1. 1. Comprehensive Glycaemic Control Prof. ADEL A EL-SAYED MD Chair Elect Middle East and North Africa (MENA) Region International Diabetes Federation (IDF) Professor of Internal Medicine Sohag Faculty of Medicine Sohag-EGYPT 422HQ10PM039
2. 2. Glycaemic targets are going unmet with current treatments Shortcomings of current treatments Glucose control is difficult even with intensification of therapy Treatment related trade-offs Weight gain Hypoglycaemia Conventional therapy was according to 2000 revised Danish Medical Association guidelines (diet alone, oral hypoglycaemic drugs, and/or insulin); intenassive therapy added behaviour modification and pharmacologic therapy that targeted hyperglycaemia, hypertension, dyslipidaemia, and microalbuminuria, and added aspirin for secondary prevention of cardiovascular disease PatientsObtaining TreatmentGoalat8y,% 80 70 60 50 40 30 20 10 0 P