Spanish Diabetes Society (SED) recommendations for the pharmacologic treatment of hyperglycemia in type 2 diabetes: 2018 Update

被引:17
|
作者
Gomez-Peralta, Fernando [1 ]
Escalada San Martin, Francisco Javier [2 ,3 ,4 ]
Menendez Torre, Edelmiro [5 ]
Mata Cases, Manel [6 ,7 ]
Ferrer Garcia, Juan Carlos [8 ]
Ezkurra Loiola, Patxi [9 ]
Avila Lachica, Luis [10 ]
Fornos Perez, Jose Antonio [11 ]
Artola Menendez, Sara [12 ]
Alvarez-Guisasola, Fernando [13 ]
Rica Echevarrian, Itxaso [14 ]
Girbes Borras, Juan [15 ]
机构
[1] Hosp Gen Segovia, Unidad Endocrinol & Nutr, Segovia, Spain
[2] Inst Salud Carlos III, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Pamplona, Spain
[3] Inst Invest Sanit Navarra IdiSNA, Diabet & Enfermedades Metab, Pamplona, Spain
[4] Clin Univ Navarra, Dept Endocrinol & Nutr, Pamplona, Spain
[5] Hosp Univ Cent Asturias, Serv Endocrinol & Nutr, Oviedo, Spain
[6] CIBER Diabet & Enfermedades Metab Asociadas CIBER, Madrid, Spain
[7] Gerencia Ambit Atencio Primaria Barcelona Ciuta, Ctr Atenc Primaria La Mina, Inst Catala Salut, Barcelona, Spain
[8] Hosp Gen Univ Valencia, Secc Endocrinol & Nutr, Valencia, Spain
[9] Ctr Salud Zumaia, Zumaia, Gipuzkoa, Spain
[10] Ctr Salud Axarquia Oeste, Consultorio Almachar, Malaga, Spain
[11] Grp Berbes Invest & Docencia, Cangas, Pontevedra, Spain
[12] Ctr Salud Jose Marva, Madrid, Spain
[13] Ctr Salud Ribera Orbigo, Leon, Spain
[14] Hosp Univ Cruces, Secc Endocrinol Pediat, Baracaldo, Vizcaya, Spain
[15] Hosp Arnau Vilanova, Serv Endocrinol & Nutr, Valencia, Spain
来源
ENDOCRINOLOGIA DIABETES Y NUTRICION | 2018年 / 65卷 / 10期
关键词
Type; 2; diabetes; Treatment; Cost; Complexity; Cardiovascular risk; Hypoglycaemia; Nephroprotection; FIXED-RATIO COMBINATION; CARDIOVASCULAR OUTCOMES; GLYCEMIC CONTROL; INSULIN DEGLUDEC; BASAL INSULIN; METFORMIN; PREVENTION; MANAGEMENT; DISEASE; EMPAGLIFLOZIN;
D O I
10.1016/j.endinu.2018.08.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Type 2 diabetes mellitus (DM2) has become a problem of global dimensions by their high and growing prevalence worldwide and the personal and economic costs associated with it. Correct treatment can reduce mortality and associated complications. New concepts have recently been included in routine clinical practice and have changed the algorithm of DM2 pharmacological therapy. Therefore, the Spanish Society of Diabetes (SED) entrusted to the Working Group of Consensus and Clinical Guidelines an update of the 2010 document Recommendations for Pharmacological Treatment of Hyperglycemia in Diabetes type 2. Novel aspects include nine characteristics to describe each drug group: efficiency, the risk of hypoglycemia, effects on body weight, the demonstrated effect in cardiovascular risk, nephroprotection, limitation of use in renal insufficiency, the rate of secondary effects, complexity and costs. Additionally, the document details combination options, and develop the start and adjustment of available injectable therapies. (C) 2018 SEEN y SED. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:611 / 624
页数:14
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