Dr KK Aggarwal
The American Diabetes
Association (ADA) has updated its 2019 Standards of Medical Care in
Diabetes by incorporating recently related published research.
- Based on the results of
the REWIND (Researching Cardiovascular Events With a Weekly Incretin in
Diabetes) trial, dulaglutide, the once-weekly GLP-1
agonist, is now recognized among other GLP1 receptor agonists that have
demonstrated macrovascular benefits in people with type 2 diabetes in
section 9 “Pharmacologic Approaches to Glycemic Treatment”
and Section 10 “Cardiovascular Disease Risk Management”. The
REWIND trial indicated that dulaglutide reduced the risk for
nonfatal myocardial infarction, nonfatal stroke and
cardiovascular death in adults with type 2 diabetes with and without
established cardiovascular disease. This update has also been approved by
the American College of Cardiology
- Section 13 “Children and
adolescents” now advises liraglutide for some children and adolescents
following its approval by the US FDA for use in pediatric patients with
type 2 diabetes who are 10 years of age and older, and
the Liraglutide in Children and Adolescents with Type 2
Diabetes study, which examined its effects on the youth… “If
glycemic targets are no longer met with metformin ± basal insulin, liraglutide
therapy should be considered in children 10 years or older, if no
history or family history of medullary thyroid carcinoma.”
- The new international
consensus report on continuous glucose monitoring (CGM) time-in-range
goals has been added in Section 6, Glycemic Targets, and Section 7,
Diabetes Technology. A table has been
added to help standardize CGM metrics for clinical care and an example of
an ambulatory glucose profile has been added to encourage consistency in
CGM data report interpretation
These updates have been
published online July 31, 2019 in the journal Diabetes Care.
(Source: ADA News Release,
Medscape)
Dr KK Aggarwal
Padma Shri Awardee
President Elect Confederation of
Medical Associations in Asia and Oceania
(CMAAO)
Group Editor-in-Chief IJCP Publications
President Heart Care Foundation of
India
Past National President
IMA
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