A way from EBM to the latest consensus report by the ADA and EASD: management of hyperglycaemia in T2DM, 2018

Česká verzia

Authors: Zbynek Schroner ¹; Vladimír Uličiansky ²
Authors place of work: SchronerMed, s. r. o., Košice ¹; Via medica, s. r. o., Košice ²
Published in the journal: Diab Obez 2019; 19(37): 39-43
Category: Guidelines

Summary

Evidence-based medicine allows the integration of the best available research evidence with clinical expertise and patient values. Guidelines present relevant evidence to help physicians weigh the benefits and risks of a particular diagnostic or therapeutic procedure. They should be essential in everyday clinical decision making. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) (2018) addresses the approaches to management of glycaemia in adults with type 2 diabetes, with the goal of reducing complications and maintaining quality of life in the context of cardiovascular risk management and patient-centred care. Key messages: optimalisation of lifestyle; the selection of medication added to metformin is based on – patient preference and clinical characteristics, including presence of cardiovascular disease, heart failure and kidney disease. The risk for specific adverse medication effects, particularly hypoglycaemia and weight gain; as well as safety, tolerability, and cost, are also important considerations.

Received 28. 3. 2019

Accepted 6. 5. 2019

Keywords:

consensus report ADA EASD 2018 – evidence based medicine EBM – guidelines

Zdroje

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