International Journal of Clinical Case Reports 2024, Vol.14, No.4, 175-188 http://medscipublisher.com/index.php/ijccr 183 7.2 Public health strategies to reduce the burden of diabetes complications Public health strategies are vital in reducing the burden of diabetes complications. Effective strategies include the implementation of team-based care models and the use of clinical decision support systems (CDSS) to manage cardiovascular risk factors in diabetic patients. The D4C trial in China demonstrated that integrating CDSS with team-based care could significantly reduce glycemic levels, blood pressure, and lipid levels, thereby lowering the incidence of cardiovascular diseases among diabetic patients (Shi et al., 2021). Additionally, the American Diabetes Association's Standards of Medical Care emphasize the importance of ongoing diabetes self-management education and support to prevent acute and long-term complications (Frias, 2018). Public health campaigns, such as the "Putting feet first" initiative, have also been effective in raising awareness about diabetic foot complications and encouraging preventive measures (Holt, 2018). 7.3 Recommendations for policymakers and healthcare providers Policymakers and healthcare providers should consider the following recommendations to improve the management of diabetes complications: Enhance Health Education and Early Screening: Invest in health education programs and early screening mechanisms to promote primary and secondary prevention of diabetes complications (Mao et al., 2019). Improve Access to Diabetes Management Tools: Reduce barriers to accessing diabetes self-management training, devices, and virtual care. Streamline administrative processes to facilitate better patient outcomes (Greenlee et al., 2023). Promote Team-Based Care Models: Implement and support team-based care models that include primary care providers, health coaches, and diabetes specialists working collaboratively to manage cardiovascular risk factors and other complications (Shi et al., 2021). Leverage Technology: Utilize clinical decision support systems and other digital health tools to enhance patient management and care coordination (Liang et al., 2020; Shi et al., 2021). Ensure Comprehensive Insurance Coverage: Develop policies that ensure pre-deductible insurance coverage for high-value diabetes treatments and services to reduce financial barriers for patients (Greenlee et al., 2023). Support Research and Innovation: Encourage research on barriers to diabetes self-management education, the implementation of team-based care, and the role of digital connectivity as a social determinant of health (Greenlee et al., 2023). Adopt Integrated Service Delivery Systems: Promote integrated service delivery systems centered on primary care to improve education, early case detection, patient management, and care coordination across different levels of healthcare (Mao et al., 2019). By adopting these recommendations, policymakers and healthcare providers can significantly improve the management of diabetes complications, ultimately enhancing the quality of life for individuals living with diabetes. 8 Concluding Remarks The management of diabetes complications remains a critical area of focus in clinical practice due to the high prevalence and severe impact of these complications on patients' quality of life. Various interventions have been explored to address both physiological and psychological outcomes in diabetic patients. Cognitive Behavioral Therapy (CBT)-based interventions have shown significant improvements in glycemic control and reduction in depression symptoms among patients with diabetes. Self-management interventions, particularly those that support patient workload and capacity, have also been effective in improving health-related quality of life and reducing complications. Internet-based interventions and telehealth strategies have demonstrated promising results in glycemic management and reducing the incidence of complications. Additionally, lifestyle interventions have
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