This is one of two key parts in updating its recommendations, which are eagerly awaited because the previous recommendations date back to 2013. The second part concerns new antidiabetics that have provided evidence, in recent years, of their protective effects on the heart and kidneys. “This is a major paradigm shift: lifestyle changes (…) are a prerequisite for the possible implementation of pharmacological treatment for hyperglycemia and must be maintained over time.”The Supreme Authority for Health explains in a press release in which it presented its recommendations for 2024. “The doctor’s prescription of physical activity that is appropriate to the patient’s initial activity level and abilities constitutes a factor of motivation and commitment.”emphasizes HAS, indicating that it is “A treatment in itself” Having been the subject of specific recommendations, knowing that physical activity improves insulin sensitivity, reduces the risk of developing diabetes and cardiovascular complications.
Scalable support
In Reunion, therapeutic education for patients (f) People suffering from diabetes are now well spread in the region. A process recommended by HAS which positions itself in its favour “Personal sessions, conducted by specialists, help patients gradually gain independence in managing their diabetes.“ As a second resort, medication. Metformin (he met) It occupies a place of choice (at the maximum tolerated dose and independently of the HbA1c value) With more or less a sodium-glucose cotransporter type 2 inhibitor (iSGLT-2) Or/and a GLP-1 analogue (bring-1)according to cardiovascular and renal status as well as profiles of specific population groups (Persons over 75 years of age, pregnant women, patients with chronic kidney disease, heart failure or proven cardiovascular disease).
Mireille Leggett
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