Comparison of the most recent guidelines for hyperglycemia management in patients with type 2 diabetes mellitus
Authors:
Zbynek Schroner 1; Vladimír Uličiansky 2
Authors‘ workplace:
SchronerMED s. r. o, Košice
1; Via medica s. r. o., Košice
2
Published in:
Diab Obez 2020; 20(39): 7-11
Category:
Guidelines
Overview
New guidelines ADA/EASD 2018, also update 2019 for the management of hyperglycemia in type 2 diabetes emphasize as a second choice after metformin therapy, in patients with cardiovascular (CV) disease or high CV risk, chronic kidney disease, importance mainly of SGLT2 inhibitors and GLP-1 receptor agonists. These two classes have not only antidiabetic effects but also cardioprotective nad renoprotective benefits. 2019 ESC/EASD guidelines on diabetes, pre-diabetes, and CV diseases in patients with CV disease or high/very high CV risk recommend as first -line therapy not metformin but SGLT2 inhibitor or GLP-1 receptor agonist. Individualised approach is always important.
Keywords:
type 2 diabetes mellitus – new guidelines ADA/EASD and ESC/EASD
Sources
- Davies MJ, D Alessio DA, Fradkin J et al. Management of hyperglycemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association and the European Association for the Study of Diabetes. Diabetologia 2018; 61(12): 2461–2498. Dostupné z DOI: <http://dx.doi.org/10.1007/s00125–018–4729–5>. Erratum in Correction to: Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). [Diabetologia 2019].
- Davies MJ, D Alessio DA, Fradkin J, et al. Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2018; 41(12): 2669–2701. Dostupné z DOI: <http://dx.doi.org/10.2337/dci18–0033>.
- Buse JB, Wexler D, Tsapas A et al. 2019 update to: Management of hyperglycemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2020; 43(2): 487–493. Dostupné z DOI: <http://dx.doi.org/10.2337/dci19–0066>.
- Cosentino F, Grant PJ, Aboyans V et al. [ESC Scientific Document Group]. 2019 ESC Guidelines on diabetes, pre-diabetes and cardiovascular diseases developed in collaboration with EASD. Eur Heart J 2020; 41(2): 255–323. Dostupné z DOI: <https://doi: 10.1093/eurheartj/ehz486>.
- Martinka M, Uličiansky V, Mokáň M et al. Konsenzuálne terapeutické odporúčanie Slovenskej diabetologickej spoločnosti pre diabetes mellitus 2. typu. Forum Diab 2018; 7(1): 47–68.
Labels
Diabetology ObesitologyArticle was published in
Diabetes and obesity
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