Type 2 diabetes in GP: Nice clinical update – March 2022

HbA1C targets for Type 2 diabetes · 48 mmol/mol (6.5%) = target for people just managed with lifestyle or on a single drug which doesn't cause ... Skiptocontent NASGP|NationalAssociationofSessionalGPs Menu Login Joinus Whoweare Aboutus Ourstory Ourpurpose Ourpartners Ourteam Contactus Resources Overview Moneyandpensions Knowledgebase Podcast Guides Magazine NASGPLocumChambers News ContactUs ‪01615048999‬ [email protected] T2DM:Niceupdate(March2022) 13thApril2022byDrLouiseHudman Back Nicehasreleased anupdatetoitsguidanceonitsType2diabetesmellitusinadults.ThiswaspublishedinMar2022.Thelastbigupdatewasin2015. Tosupportthisupdate,Nicehaspublisheda handyvisualguidetothedrugsusedinthemanagementofT2DM.Itisdefinitelyoneforthewall… Whatisnewinthisupdate? Bariatricsurgery. Thisisn’tnewguidance,butIhaveaddedasectiononitinthissummary. Hypertension.PeoplewithT2DMshouldbemanagedaspertheNicehypertensionguidelines.TheBPtargetsarenowthesameasforpeoplewithoutdiabetes. Cardiovasculardisease(CVD)andchronicheartfailure. AllpatientswithT2DMshouldbeassessedfortheircardiovascularrisk.IfpatientshaveestablishedchronicheartfailureorischaemicCVDthenanSGLT2inhibitorshouldbeofferedoncethepatientisestablishedonmetformin.IfpatientsareathighriskofCVDtheSGLT2inhibitorsshouldbeconsidered. GLP-1mimetics. Thesecannowbeconsideredalongsideabroaderrangeofothermedications. Continuousglucosemonitoring. ThiscannowbeofferedtosomepatientswithT2DM.Ihaveputfurtherinformationaboutwhowillbeeligibleinthesummarybelow. HbA1CtargetsforType2diabetes Niceadvisesthatthesetargetscanbetailoredtothepatient.Theyalsoadvisethatthetargetscanberelaxediftheside-effectsfrommedications,oriftheefforttoreachthattargetimpairstheirqualityoflife. 48mmol/mol(6.5%)=targetforpeoplejustmanagedwithlifestyleoronasingledrugwhichdoesn’tcausehypoglycaemia. 53mm0l/mol(7%)=targetforpeopleondrugswhichcausehypoglycaemia. 58mmol/mol(7.5%)orabove: Offerencouragement. Lifestyleadvice. Intensifydrugtreatment. Diabetesandbariatricsurgery Readmore Nocreditcarddetailsneeded–ittakestwominutes. Joinfreetrial Login Alreadyamember?Logintoviewthiscontent. Login MoreadvicefortreatingdiabetesinGP Dapagliflozininchronickidneydisease(CKD) T2DM:Niceupdate(March2022) EssentialinfoonpatientswithT2DMandhypertensions,CVDorheartfailure–plusinfoonCGM. DexcomG6forcontinuousglucosemonitoring Howcanitbeusedtomakea'hybridartificialpancreas'? Seemore "IwasdelightedtohavebeeninvitedtojoinGPlocumchambers.Ienjoygreatpeersupportfrommycolleaguesviaourmonthlymeetings,whichhasbeenhelpfultomediscussingsomespecificthingsthatarisewithGPlocumworking. IhavefoundLocumDeckreallystraightforwardtouseandimmenselyhelpful;inparticularinvoicingandthepensionformsAandBhascutdownmyadmintimedramatically,whichI’mpleasedabout.ThesupportfromNASGP'smembershipsupportmanager,isexcellent,friendlyandknowledgeable. NASGPmembershipbringswithitahostofbenefits,includingarangeofexcellentmaterialstodrawonforsupportandlearning.IwouldrecommendNASGPchamberstoanyoneworkingorthinkingofworkingasaGPlocum." DrChloeEvans,Oxford SeethefulllistoffeatureswithinourNASGPmembershipplans Membership Help Contact SignupforourweeklyemailnewsdigestforsessionalGPs. Email* ©2022NASGP AmeliaHouse,CrescentRoad,Worthing,BN111QR ‪01615048999‬ [email protected] DesignbyJamesWalker| BuiltbyUnitedUs Thissiteusescookies.Ifyoucontinuewithoutchangingyoursettings,wewillassumethatyouagreetoouruseofcookies.Viewourcookiepolicy. Close