Clinical Practice Guideline for Type 2 Diabetes Mellitus

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The management of type 2 diabetes mellitus (T2DM) requires tailored treatment strategies based on individual risk factors, comorbidities, and therapy goals. This clinical practice guideline provides evidence-based recommendations for diagnosing, treating, monitoring, and managing T2DM in adults.

Diagnosis: The diagnosis of T2DM should be based on consistent hyperglycemia documented by an A1C level >6.5%, fasting glucose >126 mg/dL or random glucose >200 mg/dL at least twice with associated symptoms such as polyuria, polydipsia and unexplained weight loss. Clinical Practice Guideline for Type 2 Diabetes Mellitus

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Treatment: Treatment options for T2DM include lifestyle changes such as dietary modifications, increased physical activity, smoking cessation and medications. Pharmacologic therapy should be tailored to the individual patient’s needs and includes oral hypoglycemic agents, insulin, GLP-1 receptor agonists/DPP-4 inhibitors and SGLT2 inhibitors. Clinical Practice Guideline for Type 2 Diabetes Mellitus

Monitoring: Routine monitoring of glycemic control is recommended for all patients with T2DM. A fasting glucose level should be monitored at least twice yearly; however, more frequent testing may be required depending on the individual’s risk factors or goals of therapy. Other laboratory tests such as A1C levels, lipid profiles, renal function tests and thyroid function tests should also be monitored regularly by treatment guidelines. Clinical Practice Guideline for Type 2 Diabetes Mellitus

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Clinical Practice Guideline for Type 2 Diabetes Mellitus