Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
GPs are being urged to ramp up diabetes treatment within just three months if they do not reach their glycaemic goals on metformin alone, under a radical update of guidelines issued by European and American diabetes societies.
The new approach would advise GPs to step up treatment by choosing between a range of diabetes therapies currently reserved for third or even fourth line, such as gliptins, exenatide or basal insulin.
It also urges a progression to three-drug therapy if patients are not achieving their goals within six months of initiating treatment, and a move to multiple daily doses of insulin within nine months if goals are still not achieved.
http://www.pulsetoday.co.uk/newsart...-told?sp_rid=NjU3NzMyNzAyOQS2&sp_mid=39138317
(free reg required)
The new approach would advise GPs to step up treatment by choosing between a range of diabetes therapies currently reserved for third or even fourth line, such as gliptins, exenatide or basal insulin.
It also urges a progression to three-drug therapy if patients are not achieving their goals within six months of initiating treatment, and a move to multiple daily doses of insulin within nine months if goals are still not achieved.
http://www.pulsetoday.co.uk/newsart...-told?sp_rid=NjU3NzMyNzAyOQS2&sp_mid=39138317
(free reg required)