J Korean Diabetes.  2019 Mar;20(1):6-9. 10.4093/jkd.2019.20.1.6.

Management of Hyperglycemia in Type 2 Diabetes: A Summary of New Consensus Report from the American Diabetes Association and the European Association for the Study of Diabetes in 2018

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. drsskim7@gmail.com

Abstract

In 2018, the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) published a consensus recommendation on management of hyperglycemia. This consensus report emphasized the need for patient-centered management considering multimorbidity and individual patient preferences and barriers. Patients with type 2 diabetes with established atherosclerotic cardiovascular disease who fail to control blood glucose with the initial glucose-lowering medication are recommended a sodium-glucose cotransporter 2 (SGLT2) inhibitor or a glucagon-like peptide 1 (GLP-1) receptor agonist. For patients with chronic kidney disease and heart failure, SGLT2 inhibitors are recommended. In patients who need an injectable medication, GLP-1 receptor agonists are the preferred choice over insulin. In this section, we summarize "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)."

Keyword

Atherosclerosis; Cardiovascular disease; Diabetes mellitus; type 2; Hyperglycemia; Patient-centered care

MeSH Terms

Atherosclerosis
Blood Glucose
Cardiovascular Diseases
Comorbidity
Consensus*
Diabetes Mellitus
Glucagon-Like Peptide 1
Glucagon-Like Peptide-1 Receptor
Heart Failure
Humans
Hyperglycemia*
Insulin
Patient Preference
Patient-Centered Care
Renal Insufficiency, Chronic
Blood Glucose
Glucagon-Like Peptide 1
Glucagon-Like Peptide-1 Receptor
Insulin
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