9 important changes to diabetes guidelines

Patient preference and self-management are the focus of updated RACGP guidelines for type 2 diabetes.

The GP handbook General practice management of type 2 diabetes 2016-2018 reflects major changes in the evidence for optimal blood pressure targets, diabetes in pregnancy care and anti-thrombotic therapy.

And the handbook now includes the Australian blood glucose treatment algorithm developed by the Australian Diabetes Society.

Here are nine of the key recommendations:

  1. Blood pressure (BP) targets can be lowered to  <140/90mmHg, including  younger people and those at high secondary risk of stroke;
  2. Target BP for those with microalbuminuria or proteinuria remains 130/80mmHg;
  3. Adults with known prior CVD (except haemorrhagic stroke) should receive the maximum tolerated dose of a statin,

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