Pharmacologic Approaches to Glycemic Treatment of Type 2 Diabetes: Synopsis of the 2020 American Diabetes Association's Standards of Medical Care in Diabetes Clinical Guideline
Abstract
DESCRIPTION: The American Diabetes Association (ADA) updates the Standards of Medical Care in Diabetes annually to provide clinicians, patients, researchers, payers, and other interested parties with evidence-based recommendations for the diagnosis and management of diabetes. METHODS: To develop the 2020 Standards, the ADA Professional Practice Committee, comprising physicians, adult and pediatric endocrinologists, diabetes educators, registered dietitians, epidemiologists, pharmacists, and public health experts, continuously searched MEDLINE (English language only) from 15 October 2018 through August-September 2019 for pertinent studies, including high-quality trials that addressed pharmacologic management of type 2 diabetes. The committee selected and reviewed the studies, developed the recommendations, and solicited feedback from the larger clinical community. RECOMMENDATIONS: This synopsis focuses on guidance relating to the pharmacologic treatment of adults with type 2 diabetes. Recommendations address oral and noninsulin injectable therapies, insulin treatment, and combination injectable therapies. Results of recent large trials with cardiovascular and renal outcomes are emphasized.
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The study period ended in 2019 because of the lag time in data availability, preventing an examination of recent trends in response to 2019/2020 guideline changes and a comprehensive assessment of the impact of COVID-19 on disparities.
“Finally, the study period ended in 2019 because of the lag time in data availability, preventing an examination of recent trends in response to 2019/2020 guideline changes (when SGLT2is and GLP1-RAs were recommended for those with established cardiorenal risks irrespective of glycaemic management) [35] and a comprehensive assessment of the impact of COVID-19 on disparities in the adoption of these”
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Continuous glucose monitoring for the routine care of type 2 diabetes mellitus
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“…trends in response to 2019/2020 guideline changes (when SGLT2is and GLP1-RAs were recommended for those with established cardiorenal risks irrespective of glycaemic management) [35] and a comprehensive assessment of the impact of COVID-19 on disparities in the adoption of these newer therapies.”
- Authors
- Doyle-Delgado, K., Chamberlain, J. J., Shubrook, J. H., Skolnik, N., & Trujillo, J.
- Affiliations
- St. Mark's Hospital (US)
- Touro University California (US)
- Abington Family Medicine, Jenkintown, Pennsylvania (N.S.)
- University of Colorado Anschutz (US)
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2020-11-17
- Volume
- 173
- Issue
- 10
- Pages
- 813-821
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W3081539904
- Cited by
- 111
- References
- 62
- Citations by year
- 2026: 5 · 2025: 19 · 2024: 20 · 2023: 17 · 2022: 23 · 2021: 24 · 2020: 3
- FWCI
- 12.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Touro Scholar (Touro College) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- type 2 diabetes, pharmacotherapy, oral antidiabetic drugs, insulin therapy, cardiovascular outcomes, renal outcomes
- MeSH terms
- Glucagon-Like Peptide-1 Receptor, Blood Glucose, Diabetes Mellitus, Type 2, Drug Therapy, Combination, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Insulin, Metformin
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