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).

Published

Journal Article

The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the prior position statements, published in 2012 and 2015, on the management of type 2 diabetes in adults. A systematic evaluation of the literature since 2014 informed new recommendations. These include additional focus on lifestyle management and diabetes self-management education and support. For those with obesity, efforts targeting weight loss, including lifestyle, medication, and surgical interventions, are recommended. With regards to medication management, for patients with clinical cardiovascular disease, a sodium-glucose cotransporter 2 (SGLT2) inhibitor or a glucagon-like peptide 1 (GLP-1) receptor agonist with proven cardiovascular benefit is recommended. For patients with chronic kidney disease or clinical heart failure and atherosclerotic cardiovascular disease, an SGLT2 inhibitor with proven benefit is recommended. GLP-1 receptor agonists are generally recommended as the first injectable medication.

Full Text

Duke Authors

Cited Authors

  • Davies, MJ; D'Alessio, DA; Fradkin, J; Kernan, WN; Mathieu, C; Mingrone, G; Rossing, P; Tsapas, A; Wexler, DJ; Buse, JB

Published Date

  • December 2018

Published In

Volume / Issue

  • 41 / 12

Start / End Page

  • 2669 - 2701

PubMed ID

  • 30291106

Pubmed Central ID

  • 30291106

Electronic International Standard Serial Number (EISSN)

  • 1935-5548

Digital Object Identifier (DOI)

  • 10.2337/dci18-0033

Language

  • eng

Conference Location

  • United States