Guidelines for the treatment of the diabetes mellitus type 2. Argentine Society of Diabetes

Authors

  • María Cristina Faingold Argentine Diabetes Society; Argentina Dr. César Milstein Care Unit, Autonomous City of Buenos Aires, Argentina
  • Víctor Commendatore Hospital San Martín de Paraná, Paraná, Entre Ríos, Argentina
  • Claudio Daniel González Austral University (UA), Autonomous City of Buenos Aires, Argentina
  • Julio César Bragagnolo J.M. Hospital Ramos Mejía, Autonomous City of Buenos Aires, Argentina
  • Isaac Sinay Cardiovascular Institute of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Silvia Gorbán de Lapertosa Faculty of Medicine of the National University of the Northeast (UNNE), Latin American Diabetes Association (ALAD), Entre Ríos, Argentina
  • Fabiana Vázquez Faculty of Medicine, University of Buenos Aires (UBA), Autonomous City of Buenos Aires, Argentina
  • Carla Musso Favaloro Foundation, Autonomous City of Buenos Aires, Argentina
  • Jorge Alvariñas E. Tornú Hospital. Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Alejandro De Dios Carlos G. Durand Hospital, Autonomous City of Buenos Aires, Argentina
  • Gustavo Daniel Frechtel Hospital de Clínicas, Autonomous City of Buenos Aires, Argentina
  • Susana Salzberg Latin American Diabetes Association, Autonomous City of Buenos Aires, Argentina
  • Héctor Alejandro Serra Faculty of Medical Sciences of the Argentine Catholic University (UCA), Autonomous City of Buenos Aires, Argentina
  • León Litwak Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Juan José Gagliardino National Council for Scientific and Technical Research (CONICET), Autonomous City of Buenos Aires, Argentina
  • Graciela Fuente C. Durand Hospital, Autonomous City of Buenos Aires, Argentina
  • Cristian Suárez Cordo Argentine Diabetes Society (SAD); Municipality of San Martín, Autonomous City of Buenos Aires, Argentina
  • Alicia Elbert Center for Kidney Diseases and Arterial Hypertension, Province of Buenos Aires, Argentina
  • Carlos Buso Marie Curie Municipal Oncology Hospital, Autonomous City of Buenos Aires, Argentina
  • Susana Fuentes El Cruce Hospital, Florencio Varela, Province of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v50i2.2

Keywords:

diabetes mellitus type 2, guidelines, treatment

Abstract

Objectives: 1) update the Guidelines for the Treatment of the Diabetes Mellitus Type 2 of the Argentine Society of Diabetes, published in 2010; 2) provide to the health team updated guidance for the therapeutic management of people with this disease.

Material and methods: a group of experts, full members of the Argentine Society of Diabetes, was convened to analyze the papers available from different sources, classifying them according to their level of evidence (Table 2), written in bold at the end of the paragraph; on this basis the 2010 guideline was modified to update contents. A drafting committee responsable for the final layout of the document was appointed.

Conclusions: changes in lifestyle remain the first therapeutic option, metformin is the drug of first line, if there are no contraindications for use or intolerance, any of the other families of antidiabetic drugs, insulin and insulin analogs, can be used as monotherapy or associated, taking into account their contraindicationsand not using together those with similar action mechanisms. Algorithms 1 and 2 can be considered the synthesis of the current proposal.

Author Biographies

María Cristina Faingold, Argentine Diabetes Society; Argentina Dr. César Milstein Care Unit, Autonomous City of Buenos Aires, Argentina

Medical Manager of the Endocrinology Service of the Care Unit Dr. César Milstein; Plant Physician of the Cardiovascular Institute of Buenos Aires; Director of the Medical Specialist in Endocrinology of the Faculty of Medicine (UBA)

Víctor Commendatore, Hospital San Martín de Paraná, Paraná, Entre Ríos, Argentina

Head of the Endocrinology, Diabetes and Nutrition Service

Claudio Daniel González, Austral University (UA), Autonomous City of Buenos Aires, Argentina

Advisor on the methodology of the clinical and epidemiological evidence qualification processes; Professor of Pharmacology at the Austral and Salvador Universities and the Cemic University Institute; Professor of Biostatistics and Research Methodology at the Universidad Católica Argentina

Julio César Bragagnolo, J.M. Hospital Ramos Mejía, Autonomous City of Buenos Aires, Argentina

Specialist in Internal Medicine and Nutrition; Head of the Nutrition and Diabetes Departmente, J.M. Ramos Mejia Hospital; Assistant Professor and Associate of the University of Buenos Aires (UBA); Clinical Professor of Diabetes and Pharmacology; Mastery of Diabetes, University of Salvador (USAL); Member of the Pharmacology Committee (SAD)

Isaac Sinay, Cardiovascular Institute of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Diabetes Unit Advisor

Silvia Gorbán de Lapertosa, Faculty of Medicine of the National University of the Northeast (UNNE), Latin American Diabetes Association (ALAD), Entre Ríos, Argentina

Professor of Nutrition and Health Education

Fabiana Vázquez, Faculty of Medicine, University of Buenos Aires (UBA), Autonomous City of Buenos Aires, Argentina

Head of Practical Work of the Nutrition Department

Carla Musso, Favaloro Foundation, Autonomous City of Buenos Aires, Argentina

Diabetes Coordinator

Jorge Alvariñas, E. Tornú Hospital. Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Doctor in Medicine; Nutrition Consultant Hospital E. Tornú; Member of the Pharmacy Committee of the SAD

Alejandro De Dios, Carlos G. Durand Hospital, Autonomous City of Buenos Aires, Argentina

Medical Doctor of the Clinic Service of the Durand Hospital; Chair of Molecular Genetics of the FFYB

Gustavo Daniel Frechtel, Hospital de Clínicas, Autonomous City of Buenos Aires, Argentina

Physician Specialist in Nutrition; Doctorate in the UBA; Associate Professor of the Nutrition Chair, Department of Medicine (UBA); Head of the Genetic Division of the Hospital de Clínicas (UBA); Head of the Nutrition and Diabetes Service, Syrian Lebanese Hospital; Member of the Pharmacy Committee of the SAD

Susana Salzberg, Latin American Diabetes Association, Autonomous City of Buenos Aires, Argentina

Director of the Graduate School (1999-2000) and Coordinator of the Working Group of the Latin American Diabetes Association (ALAD, 2013-2016)

Héctor Alejandro Serra, Faculty of Medical Sciences of the Argentine Catholic University (UCA), Autonomous City of Buenos Aires, Argentina

Professor of Pharmacology, Faculty of Medical Sciences (UCA); Prof. Regular Adjunct of Pharmacology, Faculty of Medicine, UBA

León Litwak, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Former head and current Associate Physician of the Diabetes Section of the Endocrinology, Metabolism and Nuclear Medicine Service of the Italian Hospital of Buenos Aires; Professor at the University Institute of the Italian Hospital

Juan José Gagliardino, National Council for Scientific and Technical Research (CONICET), Autonomous City of Buenos Aires, Argentina

Senior Researcher at CONICET, Center for Experimental and Applied Endocrinology (CENEXA), UNLP-CONICET

Graciela Fuente, C. Durand Hospital, Autonomous City of Buenos Aires, Argentina

Diabetes and Nutrition Specialist; Head of the Nutrition Unit

Cristian Suárez Cordo, Argentine Diabetes Society (SAD); Municipality of San Martín, Autonomous City of Buenos Aires, Argentina

Member of the Pharmacology Committe (SAD); Coordinator of the Diabetes Program, Municip. of San Martín; Coordinator of the Diabetes Department, Diego Thompson Hospital 

Alicia Elbert, Center for Kidney Diseases and Arterial Hypertension, Province of Buenos Aires, Argentina

Director of the Center for Kidney Diseases and Arterial Hypertension

Carlos Buso, Marie Curie Municipal Oncology Hospital, Autonomous City of Buenos Aires, Argentina

Medical plant

Susana Fuentes, El Cruce Hospital, Florencio Varela, Province of Buenos Aires, Argentina

Medical specialist in Internal Medicine and Diabetology; Member of the bariatric and metabolic surgery team

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Published

2023-01-10

How to Cite

Faingold, M. C., Commendatore, V., González, C. D., Bragagnolo, J. C., Sinay, I., Gorbán de Lapertosa, S., Vázquez, F., Musso, C., Alvariñas, J., De Dios, A., Frechtel, G. D., Salzberg, S., Serra, H. A., Litwak, L., Gagliardino, J. J., Fuente, G., Suárez Cordo, C., Elbert, A., Buso, C., & Fuentes, S. (2023). Guidelines for the treatment of the diabetes mellitus type 2. Argentine Society of Diabetes. Journal of the Argentine Society of Diabetes, 50(2), 64–90. https://doi.org/10.47196/diab.v50i2.2

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