Neumiller Joshua J, Umpierrez Guillermo E
Department of Pharmacotherapy, College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, WA.
Division of Endocrinology, Metabolism and Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Diabetes Spectr. 2018 Aug;31(3):254-260. doi: 10.2337/ds18-0030.
Each year, the American Diabetes Association updates its to inform clinicians on components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. In the 2018 Standards, recommendations related to the use of antihyperglycemic therapy in adults with type 2 diabetes were updated in consideration of new evidence published since the last iteration in 2017. This brief review summarizes key recommendations from the 2018 Standards related to the pharmacologic management of people with type 2 diabetes. In so doing, it additionally highlights drug- and patient-specific factors to consider when intensifying antihyperglycemic therapy.
美国糖尿病协会每年都会更新其指南,以告知临床医生糖尿病护理的组成部分、一般治疗目标和指南,以及评估护理质量的工具。在《2018年标准》中,考虑到自2017年上次更新以来发表的新证据,对2型糖尿病成人患者使用抗高血糖治疗的相关建议进行了更新。本简要综述总结了《2018年标准》中与2型糖尿病患者药物治疗管理相关的关键建议。在此过程中,还强调了强化抗高血糖治疗时需要考虑的药物和患者特定因素。