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AACE Releases 2023 Comprehensive T2 Diabetes Management Algorithm

May 8, 2023
American Association of Clinical Endocrinology (AACE)
American Association of Clinical Endocrinology (AACE) has released the 2023 Comprehensive Type 2 Diabetes Management Algorithm to guide healthcare professionals in clinical decision-making for the management of Type 2 diabetes. The updated algorithm emphasizes a person-centered approach to care, incorporating the latest evidence-based recommendations, associated conditions, complications, and health equity. Key elements include lifestyle modification and treatment of overweight and obesity, treatment of cardiovascular risk factors, and immunization recommendations for people with T2D.

The American Association of Clinical Endocrinology (AACE) has recently announced the release of its 2023 Comprehensive Type 2 Diabetes Management Algorithm. The algorithm provides concise guidance to assist healthcare professionals in clinical decision-making for the management of Type 2 diabetes (T2D).

The algorithm was unveiled at the AACE Annual Meeting in Seattle and builds on previous versions to include the most recent evidence-based recommendations for the care and treatment of T2D. A team of experts from AACE’s global community of endocrinologists and endocrine care team members authored the algorithm.

The updated algorithm incorporates a person-centered approach to care with a greater emphasis on associated conditions, complications, and health equity. It also emphasizes the need to assess other health concerns, including heart or kidney disease, to better inform the choice of diabetes medication.

"Over the last several years, the paradigm of diabetes treatment has changed from a strict focus on glucose control and a one-size-fits-all approach, to a personalized assessment that considers a person’s existing risks for cardiac events or kidney failure, so we can choose the right medication to decrease those risks," said Susan L. Samson, M.D., Ph.D., FRCPC, FACE, president-elect of AACE.

The 2023 algorithm supplements AACE’s 2022 Clinical Practice Guidelines for Developing a Diabetes Mellitus Comprehensive Care Plan. It provides easy-to-access immunization recommendations for people with T2D, based on guidance from the Centers for Disease Control and Prevention (CDC), emphasizing the importance of vaccination and preventative care.

Other elements of the revised algorithm include:

  • considerations for lifestyle modification and treatment of overweight and obesity
  • treatment of cardiovascular risk factors as pillars in the management of prediabetes and diabetes.
  • medication cost and access as factors related to health equity

The AACE 2023 Comprehensive Type 2 Diabetes Management Algorithm is available online and in the May issue of Endocrine Practice, the journal of the American Association of Clinical Endocrinology. .

View the full press release and more details

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