Diabetes Organizations Rebuke ACP’s Type 2 Guidelines

The organizations also expressed concern for the broad range advised by the ACP, noting that it is too large to apply to most patients with T2D, and could cause more harm than benefit for patients that would be better served by lower A1C target levels.

David W. Lam, MD, Assistant Professor of Medicine in the Division of Endocrinology, Diabetes and Bone Diseases at the Icahn School of Medicine at Mount Sinai, told MD Magazine at the time of the published guidelines that the new recommendations are not drastically different from current clinical guidelines.

The most significant changes Lam noted from the new guidelines are in its standard of A1C levels by which to de-escalate therapy, and the recommendation against specific A1C targets in patients 80 years or older with limited life expectancy, multiple comorbid conditions, and a focus on symptoms of hyperglycemia.

Though providers often already adjust A1C goals for this patient group, the ACP guidelines could lead to change of treatment for this group, Lam said.

Leave a Reply

Your email address will not be published. Required fields are marked *