GLP-1 receptor agonists in type 2 diabetes - NICE guidelines versus clinical practice

Ken y Thong, Piya S Gupta, Melissa L Cull, Karen A Adamson, David S Dove, Susannah V Rowles, Stephanie Tarpey, Catriona Duncan, John Chalmers, Roy Harper, Paula Mcdonald, Ursula Brennan, Chris Walton, Robert EJ Ryder

Abstract


Injectable glucagon-like peptide-1 receptor agonists (GLP-1ras) have the distinct advantage of promoting weight loss as well as lowering glucose in type 2 diabetes. Treatment with a GLP-1ra is costly, thereby necessitating a restriction on widespread use, thus in the UK the National Institute for Health and Care Excellence (NICE) has published guidance on the use of these drugs.

In the UK the Association of British Clinical Diabetologists (ABCD) conducted two nationwide audits on the use of exenatide twice daily and liraglutide once daily and noticed that deviations from NICE guidelines were common. Herein data have been used from both audits (following a combined total of 12,955 type 2 diabetes patients) to evaluate these treatment decisions, critically appraise the NICE guidelines and formulate recommendations for the use of GLP-1ras.

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References


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DOI: https://doi.org/10.15277/bjdvd.2014.015

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