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140234 - Individualising care – considerations in the escalation of pharmacological management of type 2 diabetes

  • : Online

GPs continue to leave type 2 diabetes patients on metformin monotherapy for too long when they are no longer achieving target HbA1c levels. 

Even when aware of options, when it comes to adding a second agent they tend to prescribe their favourite therapy with little regard to individual patient requirement. 

This is compounded by the fact there are a number of newer DPP-4 agents, SGLT-2 agents and even GLP-1 agents all competing as first line therapy after metformin. 

This educational module stresses the importance of reaching HbA1c targets and early on using the most appropriate agent to add on to metformin 

Relevance to General Practice

A sustained legacy effect of intensive glucose-management in type 2 diabetes has been observed, indicating a continued reduction in microvascular risk. In addition, the legacy effect demonstrates an association between intensive glucose management and a significantly decreased risk of myocardial infarction and death. 

Over 60% of patients are reported as not achieving their glycaemic goals. One Australian study showed less than half of patients with type 2 diabetes seen in general practice had an HbA1c = 7% (53 mmol/mol) with 25% having an HbA1c > 8% (64mmol/mol).

Learning outcomes
  • Explain the rationale behind timely and effective treatment escalation in type 2 diabetes
  • Identify and assess GP and patient factors contributing to treatment inertia
  • Individualise glycaemic targets according to clinical factors and patient circumstances*
  • Navigate second-line treatment options for type 2 diabetes to select appropriate therapies according to each individual’s clinical needs and circumstances
  • Delivery
    Title
    140234 - Individualising care – considerations in the escalation of pharmacological management of type 2 diabetes
    Location
    Provider Type
    Education Provider
    Duration
    2 hours
    Start Date
    21-Aug-2018
    End Date
    31-Dec-2019
    CPD Points
    2 hours
    Price
    Free
    Location
    Online
    Contact Phone
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    HealthcareLink