Ko Seung-Hyun, Hur Kyu Yeon, Rhee Sang Youl, Kim Nan-Hee, Moon Min Kyong, Park Seok-O, Lee Byung-Wan, Kim Hyun Jin, Choi Kyung Mook, Kim Jin Hwa
Division of Endocrinology and Metabolism, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Intern Med. 2017 Nov;32(6):947-958. doi: 10.3904/kjim.2017.298. Epub 2017 Oct 23.
In 2017, the Korean Diabetes Association (KDA) published a position statement on the use of antihyperglycemic agents for patients with type 2 diabetes mellitus (T2DM). The KDA regularly updates its Clinical Practice Guidelines, but since the last update in 2015, many results from clinical trials have been introduced, and domestic data from studies performed in Korean patients with T2DM have been published. Recently, evidence from large clinical studies assessing cardiovascular outcomes following the use of sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists in patients with T2DM were incorporated into the recommendations. Additionally, new data from clinical trials using dipeptidyl peptidase 4 inhibitors and thiazolidinediones in Korean patients with T2DM were added. Following a systematic review and assessment of recent evidence, the KDA updated and modified its clinical practice recommendations regarding the use of antihyperglycemic agents and revised the treatment algorithm for Korean adult patients with T2DM.
2017年,韩国糖尿病协会(KDA)发表了一份关于2型糖尿病(T2DM)患者使用降糖药物的立场声明。KDA定期更新其临床实践指南,但自2015年上次更新以来,引入了许多临床试验结果,并且发表了在韩国T2DM患者中开展的研究的国内数据。最近,评估T2DM患者使用钠-葡萄糖协同转运蛋白2抑制剂和胰高血糖素样肽1受体激动剂后的心血管结局的大型临床研究证据被纳入了推荐意见。此外,还增加了在韩国T2DM患者中使用二肽基肽酶4抑制剂和噻唑烷二酮类药物的临床试验的新数据。在对近期证据进行系统评价和评估后,KDA更新并修改了其关于降糖药物使用的临床实践建议,并修订了韩国成年T2DM患者的治疗算法。