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preserveAspectRatio="none"><path fill="none" stroke="#000" stroke-width="36" stroke-linecap="round" style="fill:#FFF" d="m320,350a153,153 0 1,0-2,2l170,170m-91-117 110,110-26,26-110-110"></path></svg></a><a id="jr-fip-done" class="wsprkl btn" title="Dismiss find">✘</a></nav><nav id="jr-fip-info-p"><a id="jr-fip-prev" class="wsprkl btn" title="Jump to previuos match">◀</a><button id="jr-fip-matches">no matches yet</button><a id="jr-fip-next" class="wsprkl btn" title="Jump to next match">▶</a></nav></nav></div><div id="jr-epub-interstitial" class="hidden"></div><div id="jr-content"><article data-type="main"><p class="vip-notice"><strong><a href="/books/n/niceng28guid/?report=reader">See Partial Update</a></strong></p><p class="vip-notice retraction"><strong>In December 2020, NICE made minor changes to the recommendations on diabetic retinopathy to align them with the NHS diabetic eye screening programme. August 2019: The section on blood pressure therapy was updated by NICE and replaced by the NICE guideline on hypertension in adults. Recommendations on blood pressure therapy have been removed. April 2016: Text on sodium-glucose cotransporter 2 (SGLT-2) inhibitors was added to the section on initial drug treatment. The algorithm for blood glucose lowering therapy in adults with type 2 diabetes was also updated to revise footnote b with links to relevant NICE guidance on SGLT-2 inhibitors, and new information on SGLT-2 inhibitors was also added to the box on action to take if metformin is contraindicated or not tolerated. July 2016: Recommendation 89 has been reworded to clarify the role of GPs in referring people for eye screening and also to add information on when this should happen. Minor corrections to project team lists. December 2016: The algorithm for blood glucose lowering therapy in adults with type 2 diabetes was updated to include reference to NICE TA418 on dapagliflozin in triple therapy for treating type 2 diabetes. Minor changes since publication June 2018: Recommendation 1.3.11 was added to the short version to provide a link to NICE's advice on bariatric surgery. This change can be seen in the short version of the guideline. January 2018: Footnotes were added with links to MHRA warnings about sodium-glucose cotransporter 2 (SGLT-2) inhibitors.</strong></p><div class="main-content lit-style"><div class="fm-sec bkr_bottom_sep"><div class="bkr_thumb"><a href="http://www.nice.org.uk/" title="National Institute for Health and Care Excellence (NICE)" class="img_link icnblk_img" ref="pagearea=logo&targetsite=external&targetcat=link&targettype=publisher"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-niceng28-lrg.png" alt="Cover of Type 2 diabetes in adults" /></a></div><div class="bkr_bib"><h1 id="_NBK338142_"><span itemprop="name">Type 2 diabetes in adults</span></h1><div class="subtitle">management</div><p><i>NICE Guideline, No. 28</i></p><div class="half_rhythm">London: <a href="http://www.nice.org.uk/" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=publisher"><span itemprop="publisher">National Institute for Health and Care Excellence (NICE)</span></a>; <span itemprop="datePublished">2015 Dec</span>.</div><div><a href="/books/about/copyright/">Copyright</a> National Institute for Health and Care Excellence, 2015.</div><a class="btn wsprkl bkr_rd" href="/books/n/niceng28/ch1/?report=reader">Read</a></div><div class="bkr_clear"></div></div><div class="bkr_bottom_sep bkr_bottom_margin body-content whole_rhythm"><div itemprop="description"><p>This guideline covers the care and management of type 2 diabetes in adults (aged 18 and over). It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications.</p></div></div></div><div class="fm-sec"><div><p>Final version</p></div><div><div class="title">Update information</div><p><b>August 2019:</b> The section on blood pressure therapy was updated and replaced by the NICE guideline on hypertension in adults. Recommendations on blood pressure therapy have been removed.</p><p><b>April 2016:</b> Text on sodium–glucose cotransporter 2 (SGLT-2) inhibitors was added to the section on initial drug treatment. The algorithm for blood glucose lowering therapy in adults with type 2 diabetes was also updated to revise footnote b with links to relevant NICE guidance on SGLT-2 inhibitors, and new information on SGLT-2 inhibitors was also added to the box on action to take if metformin is contraindicated or not tolerated.</p><p><b>July 2016:</b>
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<a href="/books/n/niceng28/ch1/?report=reader#lt232">Recommendation 89</a> has been reworded to clarify the role of GPs in referring people for eye screening and also to add information on when this should happen. Minor corrections to project team lists.</p><p><b>December 2016:</b> The algorithm for blood glucose lowering therapy in adults with type 2 diabetes was updated to include reference to NICE TA418 on dapagliflozin in triple therapy for treating type 2 diabetes.</p><p>
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<b>Minor changes since publication</b>
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</p><p><b>June 2018:</b> Recommendation 1.3.11 was added to the short version to provide a link to NICE’s advice on bariatric surgery. This change can be seen in the short version of the guideline (<a href="https://www.nice.org.uk/guidance/NG28" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">https://www.nice.org.uk/guidance/NG28</a>).</p><p><b>January 2018:</b> Footnotes were added with links to MHRA warnings about sodium–glucose cotransporter 2 (SGLT-2) inhibitors. These changes can be seen in the short version of the guideline (<a href="https://www.nice.org.uk/guidance/NG28" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">https://www.nice.org.uk/guidance/NG28</a>).</p></div><div><p>Commissioned by the National Institute for Health and Care Excellence</p></div><div><p><b>Disclaimer</b>: Healthcare professionals are expected to take NICE clinical guidelines fully into account when exercising their clinical judgement. However, the guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of each patient, in consultation with the patient and/or their guardian or carer.</p></div><div class="half_rhythm"><a href="/books/about/copyright/">Copyright</a> National Institute for Health and Care Excellence, 2015.</div><div class="small"><span class="label">Bookshelf ID: NBK338142</span><span class="label">PMID: <a href="https://pubmed.ncbi.nlm.nih.gov/26741015" title="PubMed record of this title" ref="pagearea=meta&targetsite=entrez&targetcat=link&targettype=pubmed">26741015</a></span></div></div><div class="small-screen-prev"></div><div class="small-screen-next"></div></article></div><div id="jr-scripts"><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/libs.min.js"> </script><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/jr.min.js"> </script></div></div>
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