Leicester Diabetes Research Centre, University of Leicester, Leicester, U.K.
Leicester National Institute for Health Research Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester, U.K.
Diabetes Care. 2022 Nov 1;45(11):2753-2786. doi: 10.2337/dci22-0034.
The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the previous consensus statements on the management of hyperglycemia in type 2 diabetes in adults, published since 2006 and last updated in 2019. The target audience is the full spectrum of the professional health care team providing diabetes care in the U.S. and Europe. A systematic examination of publications since 2018 informed new recommendations. These include additional focus on social determinants of health, the health care system, and physical activity behaviors, including sleep. There is a greater emphasis on weight management as part of the holistic approach to diabetes management. The results of cardiovascular and kidney outcomes trials involving sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists, including assessment of subgroups, inform broader recommendations for cardiorenal protection in people with diabetes at high risk of cardiorenal disease. After a summary listing of consensus recommendations, practical tips for implementation are provided.
美国糖尿病协会和欧洲糖尿病研究协会召集了一个小组,对自 2006 年以来发布的、最后一次更新于 2019 年的成人 2 型糖尿病高血糖管理的先前共识声明进行了更新。目标受众是在美国和欧洲提供糖尿病护理的整个专业医疗保健团队。自 2018 年以来对出版物的系统审查为新建议提供了信息。这些建议包括更多地关注健康的社会决定因素、医疗保健系统以及包括睡眠在内的身体活动行为。更加强调体重管理,作为糖尿病管理整体方法的一部分。涉及钠-葡萄糖共转运蛋白 2 抑制剂和胰高血糖素样肽 1 受体激动剂的心血管和肾脏结局试验的结果,包括对亚组的评估,为心血管和肾脏疾病高危人群的糖尿病患者的心脏肾脏保护提供了更广泛的建议。在列出共识建议摘要后,提供了实施的实用技巧。