Type 2 Diabetes Mellitus - quality prescribing strategy: improvement guide 2024 to 2027

This quality prescribing guide is intended to support clinicians across the multidisciplinary team and people with Type 2 Diabetes Mellitus (T2DM) in shared decision-making and the effective use of medicines, and offers practical advice and options for tailoring care to the needs and preferences of individuals.


Abbreviations

ACEi - angiotensin converting enzyme inhibitor

ADA - American Diabetes Association

ACR - Urine albumin to creatinine ratio

ADR - adverse drug reactions

ARB - angiotensin receptor blocker

ASCVD - atherosclerotic cardiovascular disease (e.g. angina, myocardial infarction, stroke)

BMI - Body Mass Index

BNF - British National Formulary

CFS - Clinical Frailty Scale

CKD - chronic kidney disease

CrCl - creatinine clearance

CVD - cardiovascular disease

DKA - diabetic ketoacidosis

DPP-4i - dipeptidyl peptidase-4 inhibitor, e.g., alogliptin, linagliptin, sitagliptin, saxagliptin, vildagliptin

DSMES - diabetes self-management education and support

EASD - European Association for the Study of Diabetes

eDKA - euglycaemic diabetic ketoacidosis

eGFR - estimated glomerular filtration rate

FGM - flash glucose monitor

GLP-1RA - glucagon-like peptide 1 receptor agonist, e.g., dulaglutide, exenatide, liraglutide, lixisenatide, and semaglutide

HbA1c - glycated haemoglobin

(c)HF - (chronic) heart failure

LVH - left ventricular hypertrophy

MACE - major adverse cardiovascular events

MDD - major depressive disorder

MHRA - Medicines and Healthcare products Regulatory Agency

NICE - National Institute for Health and Clinical Excellence

SG - Scottish Government

SGLT-2i - sodium-glucose co-transporter-2 inhibitor, e.g. canagliflozin, dapagliflozin, empagliflozin

SIMD - Scottish Index of Multiple Deprivation

SMG - self-monitoring glucose

SU - sulfonylurea

TZD - thiazolidinediones e.g. pioglitazone

Contact

Email: EPandT@gov.scot

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