A joint European initiative between the World Health Organization and the International Diabetes Federation resulted in the publication of the St Vincent Declaration in 1989, which calls for targets for improving the outlook for diabetic patients. The recommendations include:
• Reducing new blindness due to diabetes by a third or more
• Reducing numbers of people entering end stage diabetic renal failure by at least a third
• Reducing by a half the rate of limb amputations for diabetic gangrene
• Cutting morbidity and mortality from coronary heart disease in diabetic patients by vigorous programmes of risk reduction
• Achieving pregnancy outcome in diabetic women that approximates that of non-diabetic women
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