Erschienen in:
01.07.2010 | Commentary
Consensus guidelines, algorithms and care of the individual patient with type 2 diabetes
verfasst von:
J. J. Nolan
Erschienen in:
Diabetologia
|
Ausgabe 7/2010
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Excerpt
Despite advances in understanding of the pathophysiology of type 2 diabetes and the abundance of expert reviews on its treatment, a large gap remains between what is generally believed and what is actually known about treatments for diabetes and their long-term effects. Over a relatively short recent interval the ADA and the EASD have jointly published successive consensus algorithms for the management of hyperglycaemia in patients with type 2 diabetes [
1,
2]. The authors of both the 2006 and 2009 consensus algorithms acknowledged in their introductions that while numerous reviews on the treatment of type 2 diabetes have been published in recent years, ‘practitioners are often left without a clear pathway of therapy to follow’ [
1,
2]. The most recent algorithm, with its two-tiered approach to metabolic management, has clearly not solved this problem and has itself provoked further debate and commentary [
3,
4], including most recently the critique by Schernthaner and colleagues [
5] published in the current issue of
Diabetologia. …