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    DCRM Multispecialty Practice Recommendations for the management of diabetes, cardiorenal, and metabolic diseases

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    Author
    Handelsman, Yehuda
    Anderson, John E.
    Bakris, George L.
    Ballantyne, Christie M.
    Beckman, Joshua A.
    Bhatt, Deepak L.
    Bloomgarden, Zachary T.
    Bozkurt, Biykem
    Budoff, Matthew J.
    Butler, Javed
    Dagogo-Jack, Samuel
    de Boer, Ian H.
    DeFronzo, Ralph A.
    Eckel, Robert H.
    Einhorn, Daniel
    Fonseca, Vivian A.
    Green, Jennifer B.
    Grunberger, George
    Guerin, Chris
    Inzucchi, Silvio E.
    Jellinger, Paul S.
    Kosiborod, Mikhail N.
    Kushner, Pamela
    Lepor, Norman
    Mende, Christian W.
    Michos, Erin D.
    Plutzky, Jorge
    Taub, Pam R.
    Umpierrez, Guillermo E.
    Vaduganathan, Muthiah
    Weir, Matthew R.
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    Date
    2021-01-01
    Journal
    Journal of Diabetes and Its Complications
    Publisher
    Elsevier
    Type
    Article
    
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    Show full item record
    See at
    https://doi.org/10.1016/j.jdiacomp.2021.108101
    Abstract
    Type 2 diabetes (T2D), chronic kidney disease (CKD), atherosclerotic cardiovascular disease (ASCVD), and heart failure (HF)-along with their associated risk factors-have overlapping etiologies, and two or more of these conditions frequently occur in the same patient. Many recent cardiovascular outcome trials (CVOTs) have demonstrated the benefits of agents originally developed to control T2D, ASCVD, or CKD risk factors, and these agents have transcended their primary indications to confer benefits across a range of conditions. This evolution in CVOT evidence calls for practice recommendations that are not constrained by a single discipline to help clinicians manage patients with complex conditions involving diabetes, cardiorenal, and/or metabolic (DCRM) diseases. The ultimate goal for these recommendations is to be comprehensive yet succinct and easy to follow by the nonexpert-whether a specialist or a primary care clinician. To meet this need, we formed a volunteer task force comprising leading cardiologists, nephrologists, endocrinologists, and primary care physicians to develop the DCRM Practice Recommendations, a multispecialty consensus on the comprehensive management of the patient with complicated metabolic disease. The task force recommendations are based on strong evidence and incorporate practical guidance that is clinically relevant and simple to implement, with the aim of improving outcomes in patients with DCRM. The recommendations are presented as 18 separate graphics covering lifestyle therapy, patient self-management education, technology for DCRM management, prediabetes, cognitive dysfunction, vaccinations, clinical tests, lipids, hypertension, anticoagulation and antiplatelet therapy, antihyperglycemic therapy, hypoglycemia, nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH), ASCVD, HF, CKD, and comorbid HF and CKD, as well as a graphical summary of medications used for DCRM.
    Keyword
    Atherosclerotic cardiovascular disease
    Chronic kidney disease
    Clinical practice
    Consensus recommendations
    Heart failure
    Type 2 diabetes
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17619
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jdiacomp.2021.108101
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