Italian guidelines for treatment of type 2 diabetes released
Italy: A recent study, published in the journal Acta Diabetologica has reported Italian guidelines for the treatment of type 2 diabetes. The guideline is directed to physicians, dietitians, nurses, and educators working in diabetes specialist clinics; general practitioners; nurses and dietitians working in territorial services or private offices; and patients with diabetes.
The guideline was developed by Edoardo Mannucci, University of Florence, Largo Brambilla, Florence, Italy, and colleagues with an objective to provide a reference for the pharmacological and non-pharmacological treatment of type 2 diabetes in adults.
The guideline contains recommendations on the following clinical aspects of type 2 diabetes: 1) treatment targets; 2) nutritional therapy; 3) physical exercise; 4) educational therapy; 5) pharmacological treatment (for patients with and without previous cardiovascular disease), and 6) glycemic monitoring.
RECOMMENDATIONS
Treatment targets
- A target HbA1c between 49 mmol/mol (6.6%) and 58 mmol/mol (7.5%) is recommended for patients with type 2 diabetes treated with drugs capable of inducing hypoglycemia.
- A target HbA1c below 53 mmol/mol (7%) is recommended for patients with type 2 diabetes treated with drugs that are not capable of inducing hypoglycemia.
- A target HbA1c of 48 mmol/mol (6.5%) or lower is suggested for patients with type 2 diabetes treated with drugs which are not capable of inducing hypoglycemia.
- The authors suggest structure (with a pre-defined scheme of required tests) capillary blood glucose self-monitoring in the treatment of type 2 diabetes.
- Continuous glucose monitoring (continuous or on-demand) is not suggested rather than self-monitoring blood glucose in patients with type 2 diabetes on basal-bolus insulin therapy.
Reference:
Mannucci, E., Candido, R., Monache, L.d. et al. Italian guidelines for the treatment of type 2 diabetes. Acta Diabetol (2022). https://doi.org/10.1007/s00592-022-01857-4
KEYWORDS: type 2 diabetes, Acta Diabetologica, nutritional therapy, diabetes treatment, exercise, educational therapy, glycemic monitoring, blood sugar, HbA1c, hypoglycemia, Edoardo Mannucci, Mediterranean diet, diet, low carb diet, aerobic training, insulin
Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.
NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.