Type 2 & other diabetes

Glycaemic control remains central in type 2 diabetes mellitus management: key learnings from the latest International Diabetes Federation guidelines

Diabetes Res Clin PractPublished Expert review of guidelines

Recommendations

As issued by the authors

  1. Early glycaemic control using conventional glucose-lowering drugs (GLDs) prevents complications and preserves quality of life

  2. Multifactorial management using effective GLDs and organ-protective drugs (e.g. statins and renin-angiotensin-aldosterone system inhibitors) improves outcomes

  3. Individualised regimens with shared decision-making and treatment persistence maximise benefits and minimise harm

  4. Metformin is a foundation therapy; no evidence supports first-line SGLT2i or GLP-1 RA monotherapy in low-risk individuals

  5. Sulphonylureas are highly effective and affordable GLDs, important options (particularly in low-resource settings)

  6. Initial combination therapy achieves early glycaemic control with increased durability vs stepwise GLD addition

Original publication

Glycaemic control remains central in type 2 diabetes mellitus management: key learnings from the latest International Diabetes Federation guidelines. Diabetes Res Clin Pract. Published 19 February 2026. doi:10.1016/j.diabres.2026.113173

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