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Clinical Highlights

  • Education and self-management support is necessary for people with prediabetes and T2DM to manage his/her disease.
  • Focus on cardiovascular risk reduction (blood pressure control, low-density lipoprotein cholesterol lipid control primarily with statin use, aspirin use and tobacco cessation).
  • A1c levels should be individualized to the patient.
  • Aggressive blood pressure control is just as important as glycemic control. Systolic blood pressure level should be the major factor for detection, evaluation and treatment of hypertension.¬† The use of two or more blood pressure-lowering agents is often required to meet blood pressure goal.
  • Prevent microvascular complications through annual or biannual eye exams, foot risk assessments and foot care counseling, and annual screening for proteinuria.
  • Initial therapy with lifestyle treatment and metformin is advised, unless contraindicated.