Type 2 Diabetes Treatment Algorithm Nice
A target hba1c concentration of 48 mmol mol 6 5 is generally recommended when type 2 diabetes is managed by diet and lifestyle alone or when combined with a single antidiabetic drug not associated with hypoglycaemia such as metformin hydrochloride.
Type 2 diabetes treatment algorithm nice. Information on the nice technology appraisal liraglutide for the treatment of type 2 diabetes mellitus. Unstable angina see chest pain upper aerodigestive tract cancer. Metformin 1st line unless. As per algorithm for management of type 2 diabetes but consideration around.
This guideline covers the care and management of type 2 diabetes in adults aged 18 and over. This algorithm for the comprehensive management of persons with type 2 diabetes t2d was developed to provide clinicians with a practical guide that considers the whole patient his or her spectrum of risks and complications and evidence based approaches to treatment. Algorithm for the management of type 2 diabetes. Management nice guideline ng28.
Type 1 diabetes in adults. Urinary incontinence and pelvic organ prolapse in women. Algorithm for blood glucose lowering therapy in adults with type 2 diabetes type 2 diabetes in adults. Carlos mendez md facp disclosed no conflict of interest.
Information on saxagliptin onglyza and linagliptin trajenta two new dipeptidyl peptidase 4 inhibitors licensed for the treatment of adults with type 2 diabetes to improve glycaemic control. Nice recommends that treatment with glp 1s is continued only if hba1c has reduced by at least 11 mmol mol 1 and a weight loss of 3 is achieved within 6 months of commencing treatment. Treatment with combinations of medicines including sglt 2 inhibitors may be appropriate for some people with type 2 diabetes. Type 2 diabetes should initially be treated with a single oral antidiabetic drug.
It is now clear that the progressive pancreatic beta cell defect that drives the deterioration of metabolic control over time begins early and may be present before the diagnosis of t2d 1 3. Published december 2015 last updated april 2017. Type 2 diabetes in adults. How to use ada s type 2 diabetes treatment algorithm carlos mendez md facp presenter disclosure information in compliance with the accrediting board policies the american diabetes association requires the following disclosure to the participants.
Upper gastrointestinal bleeding acute. It focuses on patient education dietary advice managing cardiovascular risk managing blood glucose levels and identifying and managing long term complications. Type 1 and type 2 diabetes in children and young people.