Therapie des Typ-2-Diabetes

Abstract

New joint clinical recommendations for the treatment of patients with type 2 diabetes of the european (EASD) and american (ADA) diabetes associations and the european society for cardiology (ESC) implement the evidence from clinical cardiovascular endpoint studies into daily clinical practice. The individual patient profile and it´s cardiovascular risk rather than HbA_1c levels alone dominate treatment strategies. In case of high oder very high cardiovascular risk GLP-1-receptor agonists or SGLT-2-inhibitors are the preferred choice, the latter especially in patients with chronic heart failure or increased risk, respectively.

Auf der Jahrestagung der Europäischen Diabetes-Gesellschaft (EASD) 2018 wurden die gemeinsamen Empfehlungen der EASD zur Behandlung von Patienten mit Typ-2-Diabetes zusammen mit der Amerikanischen Diabetes-Gesellschaft (ADA) verabschiedet. Eine Modifizierung wurde 2019 von der Europäischen Gesellschaft für Kardiologie (ESC) in Kooperation mit der EASD empfohlen. Der Beitrag stellt die wesentlichen Punkte und Hintergründe dieser Veröffentlichungen vor.

Schlüsselwörter

Typ-2-Diabetes - GLP-1-Rezeptoragonisten - SGLT-2-Hemmer - evidenzbasierte Therapie

Key words

type 2 diabetes - GLP-1-Receptor agonists - SGLT-2-Inhibitors - evidence-based therapy

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