Article (Scientific journals)
Is the ADA/EASD algorithm for the management of type 2 diabetes (January 2009) based on evidence or opinion? A critical analysis.
Schernthaner, G.; Barnett, A. H.; Betteridge, D. J. et al.
2010In Diabetologia
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Keywords :
EASD consensus statement; ovascular risk .. Type 2 diabetes; . Hyperglycaemia; . Glucose-lowering therapy; Consensus Statement; Algorithm .; cardiovascular risk
Abstract :
[en] The ADA and the EASD recently published a consensus statement for the medical management of hyperglycaemia in patients with type 2 diabetes. The authors advocate initial treatment with metformin monotherapy and lifestyle modification, followed by addition of basal insulin or a sulfonylurea if glycaemic goals are not met (tier 1 recommendations). All other glucose-lowering therapies are relegated to a secondary (tier 2) status and only recommended for selected clinical settings. In our view, this algorithm does not offer physicians and patients the appropriate selection of options to individualise and optimise care with a view to sustained control of blood glucose and reduction both of diabetes complications and cardiovascular risk. This paper critically assesses the basis of the ADA/EASD algorithm and the resulting tiers of treatment options.
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
Schernthaner, G.
Barnett, A. H.
Betteridge, D. J.
Carmena, R.
Ceriello, A.
Charbonnel, B.
Hanefeld, M.
Lehmann, R.
Malecki, M. T.
Nesto, R.
Pirags, V.
Scheen, André  ;  Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Seufert, J.
Sjoholm, A.
Tsatsoulis, A.
Defronzo, R.
More authors (6 more) Less
Language :
English
Title :
Is the ADA/EASD algorithm for the management of type 2 diabetes (January 2009) based on evidence or opinion? A critical analysis.
Publication date :
2010
Journal title :
Diabetologia
ISSN :
0012-186X
eISSN :
1432-0428
Publisher :
Springer Verlag, Berlin, Germany
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 29 April 2010

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