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Management of hyperglycaemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

Melanie J. Davies*, Vanita R. Aroda, Billy S. Collins, Robert A. Gabbay, Jennifer Green, Nisa M. Maruthur, Sylvia E. Rosas, Stefano Del Prato, Chantal Mathieu, Geltrude Mingrone, Peter Rossing, Tsvetalina Tankova, Apostolos Tsapas, John B. Buse

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

842 Citations (Scopus)

Abstract

The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the previous consensus statements on the management of hyperglycaemia in type 2 diabetes in adults, published since 2006 and last updated in 2019. The target audience is the full spectrum of the professional healthcare team providing diabetes care in the USA and Europe. A systematic examination of publications since 2018 informed new recommendations. These include additional focus on social determinants of health, the healthcare system and physical activity behaviours including sleep. There is a greater emphasis on weight management as part of the holistic approach to diabetes management. The results of cardiovascular and kidney outcomes trials involving sodium–glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists, including assessment of subgroups, inform broader recommendations for cardiorenal protection in people with diabetes at high risk of cardiorenal disease. After a summary listing of consensus recommendations, practical tips for implementation are provided. Graphical abstract: [Figure not available: see fulltext.].

Original languageEnglish
JournalDiabetologia
Volume65
Issue number12
Pages (from-to)1925-1966
Number of pages42
ISSN0012-186X
DOIs
Publication statusPublished - 2022

Bibliographical note

Publisher Copyright:
© 2022, American Diabetes Association and the European Association for the Study of Diabetes.

Keywords

  • Cardiovascular disease
  • Chronic kidney disease
  • Glucose-lowering therapy
  • Guidelines
  • Heart failure
  • Holistic care
  • Person-centred care
  • Social determinants of health
  • Type 2 diabetes mellitus
  • Weight management

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