Achieving Remission in the Era of Clinical Inertia: What Is Preventing Us from Treating Type 2 Diabetes?

Autor: Austen Suits, Ridhi Gudoor, Jay H. Shubrook
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Diabetology, Vol 4, Iss 1, Pp 93-107 (2023)
Druh dokumentu: article
ISSN: 2673-4540
DOI: 10.3390/diabetology4010011
Popis: Despite evolution in treatment options and improved understanding of pathophysiology, the treatment of type 2 diabetes remains unsatisfactory. Current management guidelines complicated by clinical inertia have resulted in over half of patients failing to meet glycemic targets. Expert consensus has defined a state of diabetes remission whereby treatment can induce sustained normalization of glucose levels. Evidence suggests that metabolic surgery, intensive lifestyle modification, and pharmacologic approaches are each viable options for achieving remission when implemented early in the disease course. The authors review each of these strategies and include practical considerations to aid in the pursuit of remission.
Databáze: Directory of Open Access Journals