Cited by 466Diabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsAntiplatelet Therapy and Cardiovascular Diseases

2020 Expert Consensus Decision Pathway on Novel Therapies for Cardiovascular Risk Reduction in Patients With Type 2 Diabetes

Open access
Das, Sandeep R., Everett, Brendan M., Birtcher, Kim K., Brown, Jenifer M., Januzzi, James L., Kalyani, Rita R., Kosiborod, Mikhail, Magwire, Melissa +3 more·2020·Journal of the American College of Cardiology

Abstract

Ty J. Gluckman, MD, FACC, Chair Niti R. Aggarwal, MD, FACC Nicole M. Bhave, MD, FACC Gregory J. Dehmer, MD, MACC Olivia N. Gilbert, MD, MSc, FACC Chayakrit Krittanawong, MD Dharam J. Kumbhani, MD, SM, FACC Andrea L. Price, CPHQ, RCIS, AACC Javier A. Sala-Mercado, MD, PhD David E.

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Integrity signals

Registry

Crossref · 10.1016/j.jacc.2020.05.037

Cites

111 of 111 references verified0 citation errors · 0 not checkable

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  • Lifestyle intervention can reduce side effects in patients taking GLP-1 receptor agonists.

    “Lifestyle intervention can also reduce side effects in patients taking GLP-1 receptor agonists including recommending smaller (and if needed, more frequent) meals that are lower in fat [14,86].”

    From Lifestyle Medicine for Obesity in the Era of Highly Effective Anti-Obesity Treatment (2025) · cites this paper as [86]

    In “What to Monitor When Prescribing a GLP-1RA,” the consensus says eating smaller portions and following a low-fat diet can help minimize nausea and vomiting. It does not recommend eating more frequently, even if needed. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • The anti-inflammatory effects of GLP-1 RAs and SGLT2i are not fully elucidated.

    “This gap in knowledge is especially pronounced in the case of glucagon-like peptide-1 receptor agonist (GLP-1 RA) and sodium-glucose cotransporter 2 inhibitor (SGLT2i), which have shown promise in reducing cardiovascular and renal risks but whose anti-inflammatory effects are not fully elucidated.23”

    From The effect of <scp>GLP</scp> ‐1 receptor agonists on circulating inflammatory markers in type 2 diabetes patients: A systematic review and meta‐analysis (2025) · cites this paper as [23]

    The Introduction says the mechanisms behind cardiovascular and renal benefits remain uncertain, and the GLP-1RA Mechanisms of Action section identifies anti-inflammatory effects. The SGLT2 Inhibitors Mechanism of Action section also says its mechanisms of benefit are not fully elucidated. However, the paper does not specifically say that the anti-inflammatory effects of both drug classes are not fully elucidated; it does not identify anti-inflammatory effects for SGLT2 inhibitors. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • The American Diabetes Association, the American College of Cardiology, and the European Society of Cardiology recommend that patients with type 2 diabetes with established or at risk of atherosclerotic cardiovascular disease, chronic kidney disease, or heart failure be prescribed an SGLT2i or GLP-1 RA, irrespective of glycemic control or metformin use.

    “These findings prompted the American Diabetes Association,2 the American College of Cardiology,3 and the European Society of Cardiology4 to recommend that patients with type 2 diabetes with established or at risk of atherosclerotic cardiovascular disease, chronic kidney disease, or heart failure, be prescribed an SGLT2i or GLP-1 RA, irrespective of glycemic control or metformin use.”
  • In general, comorbidities were independently associated with pharmacy dispensing of these drugs, which aligns with national guidelines.

    “In general, comorbidities were independently associated with pharmacy dispensing of these drugs, which aligns with national guidelines.2, 3, 4”
  • In an analysis of repeat hospitalization after first-ever lifetime stroke, diabetes was noted to increase the risk of repeat hospitalization for all causes.

    “In an analysis of repeat hospitalization after first-ever lifetime stroke, DM was noted to increase the risk of repeat hospitalization for all causes.658”

    From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [658]

    The Introduction discusses elevated cardiovascular risk in people with type 2 diabetes, while the SGLT2 Inhibitors section discusses hospitalization for heart failure. Neither reports an analysis of all-cause repeat hospitalization after a first-ever stroke. Searches for first-ever stroke readmission and recurrent hospitalization found no passage addressing that claim. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

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Authors
Das, S. R., Everett, B. M., Birtcher, K. K., Brown, J. M., Januzzi, J. L., Kalyani, R. R., Kosiborod, M., Magwire, M., Morris, P. B., Neumiller, J. J., & Sperling, L. S.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2020-09
Volume
76
Issue
9
Pages
1117-1145
ISSN
0735-1097 (ISSN-L)
OpenAlex
W3047536039
Cited by
466
References
111
Citations by year
2026: 41 · 2025: 75 · 2024: 52 · 2023: 67 · 2022: 117 · 2021: 104 · 2020: 10
FWCI
56.38
Type
journal article
Language
en
Open access
Locations
  • Journal of the American College of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Heart, Lung, and Blood Institute (T32HL007604)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Antiplatelet Therapy and Cardiovascular Diseases
Keywords
type 2 diabetes, cardiovascular risk reduction, new drugs, cardiovascular disease prevention, expert consensus, decision pathways, SGLT2 inhibitors, GLP-1 receptor agonists
MeSH terms
Clinical Decision-Making, Heart Disease Risk Factors, Cardiology, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Humans, United States, Committee Membership, Consensus, Risk Reduction Behavior, Research Report

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