Glipizide in T2DM Care - Latest Update from ADA 2024

Written By :  Dr. Nandita Mohan
Published On 2024-07-09 06:38 GMT   |   Update On 2024-07-09 07:10 GMT
The 84th Scientific Sessions of the American Diabetes Association, held in Orlando, Florida, from June 21 to June 24, 2024, featured significant discussions on diabetes management.
One of the key highlights was from a session titled "Sulfonylureas in Type 2 Diabetes Management: Should They Stay or Should They Go?". Dr. Elbert S. Huang, a prominent expert in the field, emphasized the critical role of sulfonylureas in diabetes treatment. He remarked, "Considering the broader population, sulfonylureas are essential in formularies as many T2DM patients might otherwise go untreated. With the resources needed to treat one patient with GLP-1 receptor agonists, we could treat 177 patients with sulfonylureas." This comment is particularly relevant for resource-limited settings.
Dr. Elbert Huang emphasized the careful selection of sulfonylureas to minimize risks, especially hypoglycemia. He specifically recommended short-acting variants like glipizide which offer effective glucose control at much lower costs compared to alternatives such as insulin, GLP-1 receptor agonists, and SGLT2 inhibitors. Furthermore, he advised prescribing the lowest effective dose and adjusting it based on each patient’s meal size and activity level to optimize treatment outcomes for Type 2 diabetes.
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Adapted from:

ADA 2024, Scientific Sessions, Dr. Elbert Huang, "Sulfonylureas in T2DM Management, Should They Stay or Should They Go?", June 21-24, 2024.

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