Better outcomes require tailored strategies
The past 15 years has seen the advent of many new classes of antidiabetic agents. We now have biguanides, sulfonylureas, thiazolidinediones, dipeptidyl-peptidase IV inhibitors, glucagon-like peptide 1 receptor agonists, a variety of insulins and α-glucosidase inhibitors. This has resulted in a surfeit of choice, but has also increased the complexity of decision making as there is no simple algorithm for escalation of treatment that is optimal for all patients.
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I am the President of the Australian Diabetes Society and a member of the Australian Government’s Diabetes Advisory Group for the Diabetes Care Project.