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138883 - The next step in the management of type 2 diabetes

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There are several factors that may explain the treatment gap between glycaemic goals and current management. Patient-related factors include low diabetes health literacy, resulting in poor adherence to therapy; while GP factors include “clinical inertia” - a failure to initiate or intensify therapy appropriately, resulting in a lag between best practice and the patient’s usual level of care. In this module, GPs will review patients with Type 2 Diabetes who are poorly controlled on 2 oral medications. In the Practice Essentials section GPs will identify relevant patient factors: BMI, CVD, renal function, other comorbidities. GPs are then asked to implement best practice treatment/management of identified patients. 

Relevance to General Practice

Optimisation of blood glucose management is important for all patients with type 2 diabetes to improve both short-term and long-term health outcomes. General glycaemic targets have therefore been set for newly-diagnosed patients with uncomplicated diabetes at an HbA1c = 7% (53mmol/mol). Despite these guidelines for glycaemic management, however, over 60% of patients are reported as not reaching their glycaemic goals. One Australian study showed less than half of all patients with type 2 diabetes seen in general practice had an HbA1c = 7% (53 mmol/mol) while 25% had an HbA1c > 8% (64mmol/mol).

Learning outcomes
  • Identify patients who do not meet their individual HbA1c targets despite two oral diabetes medicines who require medication review
  • Evaluate which specific oral medications to add in order to improve HbA1c management and address co-morbidities
  • Address the impact of pill burden on patients, as a means of improving adherence to diabetes medicines
  • Type
    138883 - The next step in the management of type 2 diabetes
    Provider Type
    Education Provider
    2 hours
    Start Date
    End Date
    CPD Points
    2 hours
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