2018 Standards of Care Update: Pharmacologic Approaches to Glycemic Management in People With Type 2 Diabetes

Author:

Neumiller Joshua J.1,Umpierrez Guillermo E.2

Affiliation:

1. Department of Pharmacotherapy, College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, WA

2. Division of Endocrinology, Metabolism and Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, GA

Abstract

IN BRIEF Each year, the American Diabetes Association updates its Standards of Medical Care in Diabetes to inform clinicians on components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. In the 2018 Standards, recommendations related to the use of antihyperglycemic therapy in adults with type 2 diabetes were updated in consideration of new evidence published since the last iteration in 2017. This brief review summarizes key recommendations from the 2018 Standards related to the pharmacologic management of people with type 2 diabetes. In so doing, it additionally highlights drug- and patient-specific factors to consider when intensifying antihyperglycemic therapy.

Publisher

American Diabetes Association

Subject

Endocrinology, Diabetes and Metabolism,Internal Medicine

Reference12 articles.

1. National Diabetes Statistics Report, 2017;Centers for Disease Control and Prevention;Estimates of Diabetes and Its Burden in the United States

2. Pharmacologic approaches to glycemic treatment. Sec. 8 in Standards of Medical Care in Diabetes—2018;American Diabetes Association;Diabetes Care,2018

3. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes;Inzucchi;Diabetes Care,2015

4. Prescribing information;Soliqua [insulin glargine and lixisenatide injection];Bridgewater, N.J., Sanofi-aventis,2017

5. Prescribing information;Xultophy 100/3.6 [insulin degludec and liraglutide injection]

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