Eight Charts That Summarize “Management of hyperglycaemia in type 2 diabetes, 2018”

See also (4) Links To The Complete “Standards Of Medical Care In Diabetes – 2018” With Link To The Update And Additional Resources Posted on October 16, 2018                          by Tom Wade MD.

The following eight charts well summarize the new principles for the management of type 2 diabetes from 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)[PubMed Abstract] [Full Text HTML] [Full Text PDF].

The eight charts are:

  • Fig 1 Decision Cycle For Patient Centered Management In Type 2 Diabetes
  • Fig 2 Glucose Lowering Medication In Type 2 Diabetes: Overall Approach
  • Fig 3 Choosing Glucose-Lowering Medication In Those With Established Atherosclerotic Cardiovascular Disease (ASCVD) Or Chronic Kidney Disease (CKD)
  • Fig 4 Choosing Glucose-Lowering Medication If Compelling Need To Minimize Weight Gain Or Promote Weight Loss
  • Fig 5 Choosing Glucose-Lowering Medication If Compelling Need To Minimize Hypoglycemia
  • Fig 6 Choosing Glucose-Lowering Medication If Cost Is A Major Issue
  • Fig 7 Intensifying To Injectable Therapies
  • Fig 8 Considering Oral Therapies In Combination With Injectable Therapies

Fig 1

Fig 2 [Enlarging the figure will make it clearer.]

Fig 3

Fig 4

Fig 5

Fig 6

Fig 7

Fig 8

Resources:

(1) 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) [PubMed Abstract] [Full Text HTML] [Full Text PDF].

(2) Cardiovascular disease and glycemic control in type 2 diabetes: now that the dust is settling from large clinical trials [PubMed Abstract] [Full Text HTML] [Full Text PDF]. Ann N Y Acad Sci. 2013 Apr;1281:36-50. doi: 10.1111/nyas.12044. Epub 2013 Feb 6.

(3) Hemoglobin A1c Targets for Glycemic Control With Pharmacologic Therapy for Nonpregnant Adults With Type 2 Diabetes Mellitus: A Guidance Statement Update From the American College of Physicians [PubMed Abstract] [Full Text HTML] [Full Text PDF]. Ann Intern Med. 2018 Apr 17;168(8):569-576. doi: 10.7326/M17-0939. Epub 2018 Mar 6.

(4) Links To The Complete “Standards Of Medical Care In Diabetes – 2018” With Link To The Update And Additional Resources Posted on October 16, 2018 by Tom Wade MD.

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