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)

被引:415
|
作者
Davies, Melanie J. [1 ,2 ]
Aroda, Vanita R. [3 ]
Collins, Billy S. [4 ]
Gabbay, Robert A. [5 ]
Green, Jennifer [6 ]
Maruthur, Nisa M. [7 ]
Rosas, Sylvia E. [8 ]
Del Prato, Stefano [9 ]
Mathieu, Chantal [10 ]
Mingrone, Geltrude [11 ,12 ,13 ]
Rossing, Peter [14 ,15 ]
Tankova, Tsvetalina [16 ]
Tsapas, Apostolos [17 ,18 ]
Buse, John B. [19 ]
机构
[1] Univ Leicester, Leicester Diabet Res Ctr, Leicester, Leics, England
[2] Univ Hosp Leicester NHS Trust, Leicester Natl Inst Hlth Res NIHR, Biomed Res Ctr, Leicester, Leics, England
[3] Harvard Med Sch, Brigham & Womens Hosp, Div Endocrinol Diabet & Hypertens, Boston, MA 02115 USA
[4] NHLBI, Bldg 10, Bethesda, MD 20892 USA
[5] ADA, Arlington, VA USA
[6] Duke Univ, Duke Clin Res Inst, Sch Med, Durham, NC USA
[7] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA
[8] Harvard Med Sch, Joslin Diabet Ctr, Kidney & Hypertens Unit, Boston, MA 02115 USA
[9] Univ Pisa, Dept Clin & Expt Med, Pisa, Italy
[10] Katholieke Univ Leuven, Clin & Expt Endocrinol, Leuven, Belgium
[11] Univ Cattolica Sacro Cuore, Rome, Italy
[12] Fdn Policlin Univ A Gemelli IRCCS, Rome, Italy
[13] Kings Coll London, Sch Cardiovasc & Metab Med & Sci, Div Diabet & Nutr Sci, London, England
[14] Steno Diabet Ctr Copenhagen, Herlev, Denmark
[15] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark
[16] Med Univ Sofia, Dept Endocrinol, Sofia, Bulgaria
[17] Aristotle Univ Thessaloniki, Diabet Ctr, Clin Res & Evidence Based Med Unit, Thessaloniki, Greece
[18] Univ Oxford, Harris Manchester Coll, Oxford, England
[19] Univ N Carolina, Sch Med, Chapel Hill, NC 27515 USA
关键词
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; GLP-1 RECEPTOR AGONIST; RANDOMIZED CONTROLLED-TRIAL; CARDIOVASCULAR OUTCOME TRIALS; OBSTRUCTIVE SLEEP-APNEA; FIXED-RATIO COMBINATION; FATTY LIVER-DISEASE; POST-HOC ANALYSIS; MEDICATION ADHERENCE; BASAL INSULIN; GLYCEMIC CONTROL;
D O I
10.1007/s00125-022-05787-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:1925 / 1966
页数:42
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