New Recommendations for All Type 2 Diabetics

a doctor's prescription pad
Dr. Sharon Orrange
Dr. Orrange is an Associate Professor of Clinical Medicine in the Division of Geriatric, Hospitalist and General Internal Medicine at the Keck School of Medicine of USC.
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Just recently, the American Diabetes Association updated their guidelines to include the recommendation that certain Type 2 Diabetics add to their regimen one of two medications shown to lower the risk of death from stroke and heart disease. Here is the update:

If you are a type 2 diabetic with established heart disease, aka atherosclerotic cardiovascular disease, and your target blood sugars aren’t being met with metformin and diet/exercise add Victoza injections 0r Jardiance.

Which one should you choose? Victoza, or? Well, Jardiance is a pill and not a shot. Just sayin’. Victoza injections of 1.2 or 1.8 mg do help for weight loss, and in fact, the 3 mg injection dosage of liraglutide, Saxenda, is FDA approved for weight loss.

What’s the downside? Cost. Both Victoza and Jardiance are expensive and often require prior authorization forms to be filled out by your doctor (I know because I do them every day). With these new ADA recommendations, the hope is both will be covered without requiring such a fight.

Anyone on these already?

Dr O.

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