Transcultural Endocrinology: Adapting Type-2 Diabetes Guidelines on a Global Scale

Ramfis Nieto-Martínez, Juan P. González-Rivas, Hermes Florez, Jeffrey I. Mechanick

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Type-2 diabetes (T2D) needs to be prevented and treated effectively to reduce its burden and consequences. White papers, such as evidence-based clinical practice guidelines (CPG) and their more portable versions, clinical practice algorithms and clinical checklists, may improve clinical decision-making and diabetes outcomes. However, CPG are underused and poorly validated. Protocols that translate and implement these CPG are needed. This review presents the global dimension of T2D, details the importance of white papers in the transculturalization process, compares relevant international CPG, analyzes cultural variables, and summarizes translation strategies that can improve care. Specific protocols and algorithmic tools are provided.

Original languageEnglish (US)
Pages (from-to)967-1009
Number of pages43
JournalEndocrinology and Metabolism Clinics of North America
Issue number4
StatePublished - Dec 1 2016


  • Diabetes
  • Global
  • Guidelines
  • Implementation
  • Prevention
  • Transcultural
  • Type-2 diabetes

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology


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