National guidance on type 2 diabetes

​National Guidelines on the management of Type 2 diabetes.  NZSSD guidelines on all aspects of the management of type 2 diabetes is now available at www.t2dm.nzssd.org.nz . It is designed to be concise pragmatic evidence-based advice with no reinvention of the wheel. Some of the highlights of the guidance includes (in no particular order):
 

•          Shifting from a ‘glycaemic control  based’ treatment algorithm to one reducing cardiovascular and renal disease
•          That the target HbA1c for most patients is < 53 mmol/mol
•          When to screen for diabetes in asymptomatic adults
•          When and how to use SGLT2 inhibitors and GLP1 receptor agonists
•          When and how to use other glucose lowering therapies including ‘capping’ basal insulin at 0.5 mg/kg/day before introducing prandial insulin
•          Reducing clinical inertia and how to act on abnormal findings in the ‘annual diabetes review’

 

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