Diabetes care

Guidelines for Managing High Blood Sugar in Type 2 Diabetes, 2018

Updated

Abstract

New recommendations for managing type 2 diabetes emphasize lifestyle changes and specific medications based on patient conditions.

  • Lifestyle management and diabetes self-management education are prioritized updates in the approach to type 2 diabetes.
  • Weight loss strategies, including lifestyle changes, medications, and surgery, are advised for individuals with obesity.
  • For patients with clinical cardiovascular disease, medications such as sodium-glucose cotransporter 2 (SGLT2) inhibitors or glucagon-like peptide 1 (GLP-1) receptor agonists with proven cardiovascular benefits are recommended.
  • SGLT2 inhibitors are specifically recommended for patients with chronic kidney disease or clinical heart failure alongside atherosclerotic cardiovascular disease.
  • GLP-1 receptor agonists are suggested as the preferred first injectable medication for managing type 2 diabetes.

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