ADA and EASD:Patient-centered approach

Written by Jyothis George on 23 April 2012. Modified on 17 October 2012. Hits: 39593

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The ADA and the EASD have issued a position statement on a patient-centered approach to the management of hyperglycemia in type 2 diabetes.

After years of 'target-centred' guidlines, this statement is steeped in common sense approach to putting patients first.

Key points are:

  • Glycemic targets and glucose-lowering therapies must be individualized.
    Diet, exercise, and education remain the foundation of any type 2 diabetes
    treatment program
  • Unless there are prevalent contraindications,metformin is the optimal first-line drug.
  • After metformin, there are limited data to guide us. Combination therapy with an additional 1–2 oral or injectable agents is reasonable, aiming to minimize side effects where possible.
  • All treatment decisions, where possible, should be made in conjunction with the patient, focusing on his/her preferences, needs, and values.
  • Comprehensive cardiovascular risk reduction must be a major focus of therapy.

Free full text here from Diabetes Care

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