COMMENTARY

AACE Algorithm Offers New Guidance on Managing T2DM

How Does It Compare With ADA/EASD Guidelines?

Anne L. Peters, MD, CDE

Disclosures

May 31, 2013

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Position Statements vs Algorithms for Type 2 Diabetes

Hi. I am Dr. Anne Peters from the University of Southern California. Today I will take on the difficult task of comparing the American Association of Clinical Endocrinologists (AACE) algorithms for the treatment of type 2 diabetes[1] with the position statement of the American Diabetes Association/European Association for the Study of Diabetes (ADA/EASD) for the management of hyperglycemia in type 2 diabetes.[2]

In fairness, I will disclose that I was one of the authors of the ADA/EASD position statement. I have biases, but I also know the process by which algorithms are created. Thus, I have some insider information to use when evaluating these statements. Furthermore, it is difficult to compare them while using the terms "algorithm," "position statement," and "guidelines" correctly. The ADA/EASD document is a position statement, which means that it is not meant to be an algorithm or a guideline. The AACE document is a series of algorithms with very minimal text; it delineates the treatment of all elements of type 2 diabetes, (hyperglycemia, obesity, prediabetes, hypertension, and dyslipidemia). The ADA/EASD position statement looks only at the treatment of hyperglycemia in type 2 diabetes. I will focus first on that position statement and then I will discuss the AACE algorithms.

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