Highlights
- •Primary care physicians are challenged with the growing complexity of treatment options.
- •This position statement recommends a simple, evidence-based cardiovascular risk stratification rubric.
- •Clinicians need to consider early combination options for patients with various common comorbidities.
- •A comprehensive summary of prescribing tips and side effects by drug class is given.
Abstract
Type 2 diabetes and its associated comorbidities are growing more prevalent, and the
complexity of optimising glycaemic control is increasing, especially on the frontlines
of patient care. In many countries, most patients with type 2 diabetes are managed
in a primary care setting. However, primary healthcare professionals face the challenge
of the growing plethora of available treatment options for managing hyperglycaemia,
leading to difficultly in making treatment decisions and contributing to therapeutic
inertia. This position statement offers a simple and patient-centred clinical decision-making
model with practical treatment recommendations that can be widely implemented by primary
care clinicians worldwide through shared-decision conversations with their patients.
It highlights the importance of managing cardiovascular disease and elevated cardiovascular
risk in people with type 2 diabetes and aims to provide innovative risk stratification
and treatment strategies that connect patients with the most effective care.
Keywords
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Article info
Publication history
Published online: June 09, 2020
Accepted:
May 11,
2020
Received in revised form:
April 30,
2020
Received:
January 15,
2020
Identification
Copyright
© 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
