Value of Patient-Centered Glycemic Control in Patients with Type 2 Diabetes

René Rodríguez-Gutiérrez, Juan Manuel Millan-Alanis, Francisco J. Barrera, Rozalina G. McCoy

Research output: Contribution to journalReview articlepeer-review


Purpose of review: Present the value of a person-centered approach in diabetes management and review current evidence supporting its practice. Recent findings: Early evidence from glycemic control trials in diabetes resulted in most practice guidelines adopting a glucose-centric intensive approach for management of the disease, consistently relying on HbA1c as a marker of metabolic control and success. This paradigm has been recently dispelled by new evidence that shows that intensive glycemic control does not provide a significant benefit regarding patient-important microvascular and macrovascular hard outcomes when compared to moderate glycemic targets. Summary: The goals of diabetes therapy are to reduce the risks of acute and chronic complications and increase quality of life while incurring least burden of treatment and disruption to the patient’s life. A person-centered approach to diabetes management is achieved through shared decision making, integration of evidence-based care and patient´s needs, values and preferences, and minimally disruptive approaches to diabetes care and at the same time offer practical guidance to clinicians and patients on achieving this type of care.

Original languageEnglish (US)
Article number63
JournalCurrent diabetes reports
Issue number12
StatePublished - Dec 2021


  • Diabetes
  • Minimally disruptive medicine
  • Patient-centered glycemic control
  • Shared-decision making

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism


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