Russian Association of Endocrinologists expert consensus document on initiation and intensification of antyhyperglycaemic therapyin type 2 diabetes mellitus

• Main Authors: Ivan Ivanovich Dedov, Marina Vladimirovna Shestakova, Alexander Sergeevich Ametov, Mikhail Borisovich Antsiferov, Gagik Radikovich Galstyan, Alexander Yur'evich Mayorov, Ashot Musaelovich Mkrtumyan, Nina Alexandrovna Petunina, Olga Yur'evna Sukhareva
• Format: Article
• Language: English
• Published: Endocrinology Research Centre 2011-12-01
• Series: Сахарный диабет
• Subjects: type 2 diabetes mellitus; russian association of endocrinologists expert consensus; antihiperglycaemic therapy
• Online Access: https://dia-endojournals.ru/dia/article/viewFile/5810/3569

Current consensus proposes a differentiated algorithm of initiation and intensification of antihyperglycaemic therapy in treatment patients withtype 2 diabetes mellitus. Patient-centered approach is considered a priority at any stage of diabetes care, as it ensures efficiency and safety of treatment.This document formulates guidelines for setting adequate therapeutic goals depending on vascular complications, age, life expectancy and riskof hypoglycemic events. Therapeutic options are stratified with regard to initial HbA1c level. This Algorithm considers all classes of antidiabetic medicationsregistered in Russian Federation, rational and irrational combinations of drugs as well as contraindications.