New guidelines for managing elevated blood glucose levels in patients with type 2 diabetes have been developed jointly by the American Diabetes Association and the European Association for the Study of Diabetes. According to the ADA web site, the recommendations "call for a more patient-centered approach that allows for individual patient needs, preferences and tolerances and takes into account differences in age and disease progression."
A statement from the joint task force said their work was driven by the “increasingly complex and to some extent controversial” nature of glycemic management for type 2 diabetes, the “widening array of pharmacological agents now available, mounting concerns about their potential adverse effects and new uncertainties regarding the benefits of intensive glycemic control on macrovascular complications.”
"Diabetes Care" editor William Cefalu, MD in an accompanying editorial noted that “The most attractive aspect of the new position statement is that more than any other previously reported guidelines to date, it clearly emphasizes that ‘one size clearly does not fit all.’”
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