Perspectives

Type 2 diabetes and multimorbidity. Factors affecting decision-making

Perspectives

Type 2 diabetes and multimorbidity. Factors affecting decision-making

Rita McMorrow, Jason Chiang, GARY KILOV, RALPH AUDEHM, Jo-Anne Manski-Nankervis

Figures

© DMPHOTO/istockphoto.com
© DMPHOTO/istockphoto.com

Abstract

In Australia, 90% of people with type 2 diabetes live with multiple medical conditions. The management of multimorbidity requires recognition of the limitations of individual disease-focused guidelines. Care needs to focus on the person’s health goals and shared decision making, with regular review of treatment burden and pharmacological management.

Key Points

  • Multimorbidity is usual in people with type 2 diabetes.
  • Single disease-focused guidelines contribute to the treatment burden.
  • Goal-orientated care involves the identification of patient priorities and health outcomes.
  • A Home Medicines Review (MBS Item 900) can be used to optimise prescribing in general practice.