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Am J Public Health. 2011 Oct;101(10):1871-3. doi: 10.2105/AJPH.2011.300148. Epub 2011 Aug 18.

The wrong tool for the job: diabetes public health programs and practice guidelines.

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  • 1Division of General Internal Medicine and Center for Vulnerable Populations, San Francisco General Hospital, University of California, San Francisco, CA 94143-1364, USA.


We surveyed state diabetes programs to determine whether they develop and disseminate diabetes guidelines. We found they largely disseminate clinical practice guidelines developed from subspecialty organizations, do not prioritize among the many recommendations contained in diabetes guidelines, and have not adapted guidelines to focus on population rather than individual health. An opportunity exists for state diabetes control programs to better align guidelines with public health goals.

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