The current system for managing diabetes has become problematic and increasingly outdated for many doctors, especially as newer diabetes drugs have come to market. This may be a concern for some people living with HIV (about 1 in 10) as diabetes is a common co-condition.
Two medical groups released a new system in the second half of 2009 to assist doctors to more accurately diagnose and treat diabetes. The system, Type 2 Diabetes Mellitus: An Algorithm for Glycemic Control, is based on the most recent clinical data from a few large studies and several drug approvals by the FDA.
The true mark of whether this new system actually does improve health outcomes would be to compare it to current standard therapy. That will involve more clinical study, and Project Inform hopes that any studies undertaken will also include people living with HIV.
For now, the system may be useful to help guide decisions for treating diabetes when used together with more detailed clinical practice guidelines. The full system can be found on Project Inform's website.