Neue Therapieziele in der Therapie des Diabetes mellitus Typ 2 – Gewichtsreduktion als co-primäres Therapieziel

Zusammenfassung

Gemäß der Empfehlungen des aktuellen Konsensusberichts von ADA und EASD wird die Bedeutung des Gewichtsmanagements bei der Behandlung der Hyperglykämie verstärkt in den Mittelpunkt gerückt und im Behandlungsalgorithmus dem Glukosemanagement gleichgestellt. Auch wenn die Bedeutung einer Gewichtsabnahme bei der Behandlung von Patienten mit T2D seit Langem bekannt ist, gilt der aktualisierte Therapiealgorithmus als Wendepunkt in der Behandlung von Menschen mit T2D. Dieser berücksichtigt, dass mittlerweile wirksame Substanzen zur Verfügung stehen, die gleichzeitig den Blutzuckerspiegel senken und zur Gewichtsregulierung beitragen. Der neue holistische, patientenzentrierte Therapieansatz enthält darüber hinaus detailliertere Empfehlungen zu Lebensstilmaßnahmen einschließlich gesunder Ernährung, körperlicher Aktivität und Schlafqualität und -quantität.

Abstract

According to the recommendations of the current ADA and EASD consensus report, there is an increased focus on the importance of weight management in the treatment of hyperglycemia, placing it on an equal footing with glucose management in the treatment algorithm. Although the importance of weight loss in the treatment of patients with T2D has long been recognized, the updated treatment algorithm is considered a turning point in the treatment of people with T2D. The algorithm acknowledges that effective agents are now available that simultaneously lower blood glucose levels and help regulate body weight. The new holistic, patient-centered approach also includes more detailed recommendations on lifestyle measures including nutrition, physical activity and sleep quality and quantity.

Schlüsselwörter

Typ-2-Diabetes - Adipositas - co-primäres Therapieziel - Gewichtsmanagement

Key words

Type 2 diabetes - obesity - co-primary therapy goal - weight management

Publication History

Article published online:
14 June 2023

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