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A Jordanian Multidisciplinary Consensus Statement on the Management of Type 2 Diabetes

Received: 3 November 2022     Accepted: 17 November 2022     Published: 23 November 2022
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Abstract

Background: The prevalence of type 2 diabetes (T2D) is increasing in Jordan and cardiovascular disease (CVD) is considered the leading cause of morbidity and mortality among patients with T2D patients. New data emerged with novel antihyperglycemic agents that demonstrated reduction in cardiorenal outcomes. Aims: The aims of the expert panel were to provide a multidisciplinary consensus approach to the screening, diagnosis, controlling cardiovascular risk factors, treatment, and monitoring of T2D. In addition, the panel’s aim was to develop an algorithm, incorporating new data to serve as an easy-to-use tool by health care providers (HCPs) to ultimately improve the decision-making process and outcome. Methods: A panel of experts from different specialties representing various medical societies met to discuss and review all the relevant T2D literature and the related international clinical practice guidelines on T2D. The panel evaluated and developed a comprehensive understanding of the current situation in Jordan, addressing the screening, diagnosis, pharmacological treatment, management, and monitoring parameters of T2D. Results: The expert panel established criteria for screening and diagnosis of patients with T2D driven by international clinical practice guidelines. The panel addressed all the cardiovascular (CV) risk factors associated with T2D and developed a risk stratification strategy. Accordingly, treatment recommendations were proposed based on the evidence of reduction of cardiorenal events and hospitalizations for heart failure (HFF) with the different options of pharmacological treatments. A treatment algorithm was drafted to provide guidance to the HCPs on the management of T2D. Conclusion: The focus of treatment in T2D has shifted from just controlling hyperglycemia towards reduction in cardio-renal complications. New data with two disease-modifying agents have changed the landscape of T2D treatment. It was important to develop a consensus statement with a multidisciplinary approach to provide HCPs with useful tools to use in the management of T2D, including a treatment algorithm. These recommendations would help increase awareness about the management of T2D in Jordan with the ultimate goal of improving cardiorenal outcomes.

Published in International Journal of Diabetes and Endocrinology (Volume 7, Issue 4)
DOI 10.11648/j.ijde.20220704.13
Page(s) 122-136
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Type 2 Diabetes, Consensus Statement, Management, Jordan

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    Munther Al-Momani, Muneer Ali Abu Alsamen, Eyas Al Mousa, Mohammad Ghnaimat, Fares Haddad, et al. (2022). A Jordanian Multidisciplinary Consensus Statement on the Management of Type 2 Diabetes. International Journal of Diabetes and Endocrinology, 7(4), 122-136. https://doi.org/10.11648/j.ijde.20220704.13

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    Munther Al-Momani; Muneer Ali Abu Alsamen; Eyas Al Mousa; Mohammad Ghnaimat; Fares Haddad, et al. A Jordanian Multidisciplinary Consensus Statement on the Management of Type 2 Diabetes. Int. J. Diabetes Endocrinol. 2022, 7(4), 122-136. doi: 10.11648/j.ijde.20220704.13

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    AMA Style

    Munther Al-Momani, Muneer Ali Abu Alsamen, Eyas Al Mousa, Mohammad Ghnaimat, Fares Haddad, et al. A Jordanian Multidisciplinary Consensus Statement on the Management of Type 2 Diabetes. Int J Diabetes Endocrinol. 2022;7(4):122-136. doi: 10.11648/j.ijde.20220704.13

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  • @article{10.11648/j.ijde.20220704.13,
      author = {Munther Al-Momani and Muneer Ali Abu Alsamen and Eyas Al Mousa and Mohammad Ghnaimat and Fares Haddad and Mahmoud Hashim and Mohammad Jabary and Abdelkarim Khawaldeh and Taroub Khoury and Nadima Shegem and Mazen Matalka},
      title = {A Jordanian Multidisciplinary Consensus Statement on the Management of Type 2 Diabetes},
      journal = {International Journal of Diabetes and Endocrinology},
      volume = {7},
      number = {4},
      pages = {122-136},
      doi = {10.11648/j.ijde.20220704.13},
      url = {https://doi.org/10.11648/j.ijde.20220704.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20220704.13},
      abstract = {Background: The prevalence of type 2 diabetes (T2D) is increasing in Jordan and cardiovascular disease (CVD) is considered the leading cause of morbidity and mortality among patients with T2D patients. New data emerged with novel antihyperglycemic agents that demonstrated reduction in cardiorenal outcomes. Aims: The aims of the expert panel were to provide a multidisciplinary consensus approach to the screening, diagnosis, controlling cardiovascular risk factors, treatment, and monitoring of T2D. In addition, the panel’s aim was to develop an algorithm, incorporating new data to serve as an easy-to-use tool by health care providers (HCPs) to ultimately improve the decision-making process and outcome. Methods: A panel of experts from different specialties representing various medical societies met to discuss and review all the relevant T2D literature and the related international clinical practice guidelines on T2D. The panel evaluated and developed a comprehensive understanding of the current situation in Jordan, addressing the screening, diagnosis, pharmacological treatment, management, and monitoring parameters of T2D. Results: The expert panel established criteria for screening and diagnosis of patients with T2D driven by international clinical practice guidelines. The panel addressed all the cardiovascular (CV) risk factors associated with T2D and developed a risk stratification strategy. Accordingly, treatment recommendations were proposed based on the evidence of reduction of cardiorenal events and hospitalizations for heart failure (HFF) with the different options of pharmacological treatments. A treatment algorithm was drafted to provide guidance to the HCPs on the management of T2D. Conclusion: The focus of treatment in T2D has shifted from just controlling hyperglycemia towards reduction in cardio-renal complications. New data with two disease-modifying agents have changed the landscape of T2D treatment. It was important to develop a consensus statement with a multidisciplinary approach to provide HCPs with useful tools to use in the management of T2D, including a treatment algorithm. These recommendations would help increase awareness about the management of T2D in Jordan with the ultimate goal of improving cardiorenal outcomes.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - A Jordanian Multidisciplinary Consensus Statement on the Management of Type 2 Diabetes
    AU  - Munther Al-Momani
    AU  - Muneer Ali Abu Alsamen
    AU  - Eyas Al Mousa
    AU  - Mohammad Ghnaimat
    AU  - Fares Haddad
    AU  - Mahmoud Hashim
    AU  - Mohammad Jabary
    AU  - Abdelkarim Khawaldeh
    AU  - Taroub Khoury
    AU  - Nadima Shegem
    AU  - Mazen Matalka
    Y1  - 2022/11/23
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijde.20220704.13
    DO  - 10.11648/j.ijde.20220704.13
    T2  - International Journal of Diabetes and Endocrinology
    JF  - International Journal of Diabetes and Endocrinology
    JO  - International Journal of Diabetes and Endocrinology
    SP  - 122
    EP  - 136
    PB  - Science Publishing Group
    SN  - 2640-1371
    UR  - https://doi.org/10.11648/j.ijde.20220704.13
    AB  - Background: The prevalence of type 2 diabetes (T2D) is increasing in Jordan and cardiovascular disease (CVD) is considered the leading cause of morbidity and mortality among patients with T2D patients. New data emerged with novel antihyperglycemic agents that demonstrated reduction in cardiorenal outcomes. Aims: The aims of the expert panel were to provide a multidisciplinary consensus approach to the screening, diagnosis, controlling cardiovascular risk factors, treatment, and monitoring of T2D. In addition, the panel’s aim was to develop an algorithm, incorporating new data to serve as an easy-to-use tool by health care providers (HCPs) to ultimately improve the decision-making process and outcome. Methods: A panel of experts from different specialties representing various medical societies met to discuss and review all the relevant T2D literature and the related international clinical practice guidelines on T2D. The panel evaluated and developed a comprehensive understanding of the current situation in Jordan, addressing the screening, diagnosis, pharmacological treatment, management, and monitoring parameters of T2D. Results: The expert panel established criteria for screening and diagnosis of patients with T2D driven by international clinical practice guidelines. The panel addressed all the cardiovascular (CV) risk factors associated with T2D and developed a risk stratification strategy. Accordingly, treatment recommendations were proposed based on the evidence of reduction of cardiorenal events and hospitalizations for heart failure (HFF) with the different options of pharmacological treatments. A treatment algorithm was drafted to provide guidance to the HCPs on the management of T2D. Conclusion: The focus of treatment in T2D has shifted from just controlling hyperglycemia towards reduction in cardio-renal complications. New data with two disease-modifying agents have changed the landscape of T2D treatment. It was important to develop a consensus statement with a multidisciplinary approach to provide HCPs with useful tools to use in the management of T2D, including a treatment algorithm. These recommendations would help increase awareness about the management of T2D in Jordan with the ultimate goal of improving cardiorenal outcomes.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Endocrinology Private Clinic and Al Khalidi Hospital and Medical Center, The Jordanian Society of Endocrinology, Diabetes & Metabolism, Amman, Jordan

  • General Practice Private Clinic, The Jordanian General Practitioner Society, Amman, Jordan

  • Cardiology Private Clinic and Istishari Hospital, Jordan Cardiac Society, Amman, Jordan

  • Nephrology Private Clinic, Jordan Society of Nephrology, Renal Transplantation and the Jordanian Society of Internal Medicine, Amman, Jordan

  • Endocrinology, Abdali Medical Center, The Jordanian Society of Endocrinology, Diabetes & Metabolism, Amman, Jordan

  • General Practice Private Clinic, The Jordanian General Practitioner Society, Amman, Jordan

  • Cardiology Private Clinic, Jordan Cardiac Society, Amman, Jordan

  • Endocrinology Private Clinic, The Jordanian Society of Endocrinology, Diabetes & Metabolism, Amman, Jordan

  • Internal Medicine Private Clinic, The Jordanian Society of Internal Medicine, Amman, Jordan

  • Endocrinology Private Clinic, The Jordanian Society for the Care of Diabetes, Amman, Jordan

  • Clinical Research, Advanced Healthcare Solutions Contract Research Organization, Amman, Jordan

  • Sections