A disease state approach to the pharmacological management of Type 2 diabetes in primary care: A position statement by Primary Care Diabetes Europe. Issue 1 (February 2021)

• Record Type: Journal Article
• Authors: Seidu, S.; Cos, X.; Brunton, S.; Harris, S.B.; Jansson, S.P.O.; Mata-Cases, M.; Neijens, A.M.J.; Topsever, P.; Khunti, K.
• Is Part Of: Primary care diabetes. Volume 15:Issue 1(2021)
• Page Start: 31
• Page End: 51
• Publication Date: 2021-02
• Subjects: Type 2 diabetes -- Cardiovascular disease -- Cardiovascular risk factors -- Multimorbidity -- Therapeutic inertia -- Heart failure -- Chronic kidney disease -- Elderly -- Primary care -- Patient-centred care -- Shared decision making; Diabetes -- Periodicals; 616.462
• DOI: 10.1016/j.pcd.2020.05.004
• Languages: English
• ISSNs: 1751-9918

Abstract

Highlights: Primary care physicians are challenged with the growing complexity of treatment options. This position statement recommends a simple, evidence-based cardiovascular risk stratification rubric. Clinicians need to consider early combination options for patients with various common comorbidities. A comprehensive summary of prescribing tips and side effects by drug class is given. Abstract: Type 2 diabetes and its associated comorbidities are growing more prevalent, and the complexity of optimising glycaemic control is increasing, especially on the frontlines of patient care. In many countries, most patients with type 2 diabetes are managed in a primary care setting. However, primary healthcare professionals face the challenge of the growing plethora of available treatment options for managing hyperglycaemia, leading to difficultly in making treatment decisions and contributing to therapeutic inertia. This position statement offers a simple and patient-centred clinical decision-making model with practical treatment recommendations that can be widely implemented by primary care clinicians worldwide through shared-decision conversations with their patients. It highlights the importance of managing cardiovascular disease and elevated cardiovascular risk in people with type 2 diabetes and aims to provide innovative risk stratification and treatment strategies that connect patients with the most effective care.