2024-04-22 07:49:59
Summary of Medical Practice Guidelines for Diabetes 2023, Modified and Additional Content Provides better treatment and control of diabetes. Reduce diabetes prevention costs
Recently at the Amari Don Mueang Airport Hotel, the Institute of Medical Technology Research and Evaluation Organized a workshop “Transferring Knowledge on Diabetes Medical Practice Recommendations” inClinical Professor Dr. Weerasak Srinnapakorn, Head of the Department of Internal Medicine Rajavithi Hospital Medical practice guidelines for diabetes have been recommended.
Clinical Professor Dr. Weerasak said: The 2023 Medical Practice Guidelines for Diabetes have been updated and added content, with the hope that the resulting guidelines will lead to policy guidelines for the care of patients with diabetes. Provides better treatment and control of diabetes. Reduce diabetes prevention costs
The 2023 Medical Practice Guidelines for Diabetes are updated from the Medical Practice Guidelines for Diabetes, 2017 Edition, and include additional new content, including:
1. Lifestyle behavior to prevent and control diabetes. and health promotion
2. Maintain by adjusting lifestyle behaviors to bring diabetes into remission.
3. Diagnose, evaluate, treat and prevent emergencies related to high blood sugar in diabetic patients.
4.Consultation Motivate The desire to change behaviors to prevent and treat diabetes.
5. Pre-diabetic state
For examples of modified and additional content in the 2023 Diabetes Practice Guidelines.
Chapter 2 Risk assessment Screening guidelines Diagnosis of diabetes in adults and clinical assessment at first diagnosis
Assess the risk of developing diabetes using the new Thai Diabetes Risk Score, which uses data from the results of a national Thai population health survey. Accuracy in risk prediction You can also use or not use a fasting blood glucose (FPG). It is recommended to consider doing an oral glucose tolerance test in high risk cases and if you are prediabetic with an FPG value between 110 and 125 mg./ The DL will result in more and faster detection of people suffering from diabetes.
Recommendations regarding the use of HbA1c levels in the diagnosis of diabetes may be adjusted. This value must be a test result from a laboratory meeting national standards. Passed the certification of the Department of Medical Sciences. The standardization provides that the laboratory does not need to apply abroad for certification of A1C tests according to the National Glycohemoglobin Standardization Program (NGSP).
Chapter 3 Treatment goals, monitoring and evaluation of treatment results and sending consultations
LDL cholesterol goals have been adjusted to be more stringent. Patients were divided into 3 groups according to age and risk of cardiovascular disease. Especially in patients suffering from cardiovascular diseases. The level should be controlled to less than 55 mg/dL and decreased from before treatment. Greater than or equal to 50% Additionally, the blood pressure goal has been adjusted to 130/80 mmHg.
Chapter 4: Providing knowledge and developing skills for self-care of diabetes
Raise the importance of learners’ needs and attitudes. (Person-centered need and attitude) in the results of knowledge acquisition and skill development It also increases the reduction of deaths from all causes. There is information on how to provide diabetes education using information technology. It gives better results in the treatment of diabetes than conventional methods. The use of CGM is useful for assessing goals and monitoring diabetes treatment.
As for diseases associated with diabetes, fatty liver has been added. and sleep apnea General Health Care Section Increase knowledge about certain vaccines that older adults with diabetes should receive, such as the pneumonia vaccine and the shingles vaccine. Knowledge dissemination media and digital technology have modernized in the current era.
Chapter 5 Lifestyle Behaviors to Prevent and Control Diabetes and Promote Health.
This chapter was originally titled Changing Lifestyle Behaviors. It has been rewritten to include all aspects of healthy lifestyle habits. including eating physical activity, sleeping and avoiding other risk factors as well as taking care of mental health which is used to promote the health of people who do not yet have diabetes
Chapter 6 Take care by adjusting lifestyle behaviors to enter diabetes remission.
This is a new chapter that introduces lifestyle behavioral changes that emphasize diet control. and increase physical activity strictly Take weight loss as a goal. and manually monitor changes in body weight and blood sugar levels. A treatment provider will provide advice and follow closely.
Diabetes in remission is defined as a blood sugar level below 126 mg/dL and an A1C level below 6.5%.
Chapter 7 Medications to Control Blood Sugar in Adults
Add medications to the group of SGLT2 inhibitors or GLP-1 analogs as blood medications. It is used as a first medication in cases where metformin cannot be used.
The criteria have been adjusted to recommend the use of SGLT2 inhibitors and GLP-1 analogs in cases where cost is not an issue. adding indications for the use of SGLT2 inhibitors or GLP-1 analogues in people with a body mass index > 30 kg/m2 and considering the use of SGLT2 inhibitors in people with body mass index chronic kidney disease and with eGFR. < 60 มล./นาที/1.73 ตร.ม. และ/หรือ อัลบูมินในปัสสาวะ > 200mg/g.
Chapter 11 Diagnosis, evaluation, treatment and prevention of hypoglycemia in adult diabetic patients.
Prevention of hypoglycemia has been enhanced through the use of widely used continuous glucose monitoring (CGM). Its use is particularly recommended in patients with type 1 or type 2 diabetes treated with insulin. who frequently have low blood sugar levels or are unaware of hypoglycemia
Learn more: Medical practice guidelines for diabetes 2023
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