{"id":1545,"date":"2021-09-23T14:59:36","date_gmt":"2021-09-23T12:59:36","guid":{"rendered":"https:\/\/sunwardparkmedical.co.za\/?p=1545"},"modified":"2025-07-02T16:01:59","modified_gmt":"2025-07-02T14:01:59","slug":"diabetes-articles-2","status":"publish","type":"post","link":"https:\/\/sunwardparkmedical.co.za\/index.php\/2021\/09\/23\/diabetes-articles-2\/","title":{"rendered":"Diabetes Guidelines"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:100px;--awb-padding-bottom:75px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-padding-top:0px;--awb-padding-right:40px;--awb-padding-bottom:0px;--awb-padding-left:40px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#dddddd;--awb-border-top:0px;--awb-border-right:0px;--awb-border-bottom:0px;--awb-border-left:0px;--awb-border-style:solid;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-bottom:30px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:46;line-height:1.25;\">DIABETES GUIDELINES<\/h2><\/div><div class=\"fusion-text fusion-text-1\"><h3><strong>Dr Angela Murphy replies :<\/strong><\/h3>\n<p>Doctors, or other health care providers, will use their academic knowledge, clinical experience and consensus when making that all important decision of how to treat the patient in front of them.\u00a0 Today many of fields of medicine use <strong>guidelines<\/strong> as well.\u00a0 Guidelines are released after careful research and collaboration of many experts in the field who look at the evidence for therapies available.<\/p>\n<p>The <a href=\"https:\/\/www.facebook.com\/AmericanDiabetesAssociation\" target=\"_blank\" rel=\"noopener\">American Diabetes Association<\/a>, the <a href=\"https:\/\/www.easd.org\/about-easd.html\" target=\"_blank\" rel=\"noopener\">European Association for the Study of Diabetes<\/a> and the <a href=\"https:\/\/idf.org\/\" target=\"_blank\" rel=\"noopener\">International Diabetes Federation<\/a> are sentinel voices in the world of diabetes.\u00a0 South African guidelines have been drawn up by the <a href=\"https:\/\/www.semdsa.org.za\/\" target=\"_blank\" rel=\"noopener\">Society for Endocrinology, Metabolism and Diabetes South Africa (SEMDSA)<\/a>. Recommendations are set for the standardization of:<\/p>\n<ul>\n<li>Diagnosis of diabetes<\/li>\n<li>Targets for glucose control<\/li>\n<li>Targets for other conditions such as blood pressure and cholesterol<\/li>\n<li>Recommendations for lifestyle intervention<\/li>\n<li>Recommendations for medication<\/li>\n<\/ul>\n<p>Diabetic guidelines have traditionally centered around increasing medications to get the patient to the target glucose control measured by <a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/2021\/09\/28\/diabetes-monitoring\/\" target=\"_blank\" rel=\"noopener\">HbA1c<\/a>.\u00a0 in the last few years, the emphasis has shifted.\u00a0 Newer classes of diabetic medications (<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/2021\/09\/30\/new-kids-on-the-block\/\" target=\"_blank\" rel=\"noopener\">GLP1-receptor agonists and SGLT2-inhibitors<\/a>) available have shown benefit to the patient with diabetes beyond blood glucose lowering.\u00a0 These medications have shown that they can decrease the risk of cardiovascular disease and chronic kidney disease.<\/p>\n<p>The International Diabetes Federation (IDF) state that up to 41% of people with Type 2 diabetes have cardiovascular disease which includes heart attack, angina, stroke and blockage of the arteries in the legs (peripheral arterial disease).\u00a0 New diabetic guidelines suggest that the medications that can decrease these complications, as well as lower <a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/2021\/09\/28\/diabetes-monitoring\/\" target=\"_blank\" rel=\"noopener\">HbA1c<\/a>, should be used early in the course of diabetes management.\u00a0 However, newer medications are always more expensive, so our South African guidelines must take cost effectiveness into consideration too.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-padding-top:30px;--awb-padding-right:30px;--awb-padding-bottom:30px;--awb-padding-left:30px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#dddddd;--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"font-family:&quot;Source Sans Pro&quot;;font-style:normal;font-weight:400;margin:0;--fontSize:18;--minFontSize:18;line-height:2;\"><i class=\"awb-health-heart\" style=\"margin-right: 10px;\"><\/i> Services<\/h4><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-custom_color_2);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-text fusion-text-2\"><div class=\"table-2\"><a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/diabetes\/\">DIABETES<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/obesity\/\">OBESITY<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/physician\/\">SPECIALIST PHYSICIAN<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/dietetics\/\">DIETETICS<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/podiatry\/\">PODIATRY<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/biokinetics\/\">BIOKINETICS<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/psychology\/\">PSYCHOLOGY<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/sleep-studies\/\">SLEEP STUDIES<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/cde\/\">CDE<\/a><br \/>\n<a href=\"https:\/\/sunwardparkmedical.co.za\/index.php\/portfolio-items\/ddcp\/\">DISCOVERY DIABETES CARE PROGRAM<\/a><\/div>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:50px;width:100%;\"><\/div><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"font-family:&quot;Source Sans Pro&quot;;font-style:normal;font-weight:400;margin:0;--fontSize:18;--minFontSize:18;line-height:2;\"><i class=\"awb-health-clock\" style=\"margin-right: 10px;\"><\/i> OPENING HOURS<\/h4><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-custom_color_2);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-text fusion-text-3\"><div class=\"table-2\">\n<table width=\"100%\">\n<tbody>\n<tr>\n<td style=\"text-align: left;\">Monday &#8211; Thursday<\/td>\n<td style=\"text-align: right;\">8:00 &#8211; 17:00<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">Friday<\/td>\n<td style=\"text-align: right;\">8:00 &#8211; 16:00<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">Weekends<\/td>\n<td style=\"text-align: right;\">Closed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><\/div><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"font-family:&quot;Source Sans Pro&quot;;font-style:normal;font-weight:400;margin:0;--fontSize:18;--minFontSize:18;line-height:2;\"><i class=\"awb-health-phone\" style=\"margin-right: 10px;\"><\/i> (011) 896 2420<\/h4><\/div><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"font-family:&quot;Source Sans Pro&quot;;font-style:normal;font-weight:400;margin:0;--fontSize:18;--minFontSize:18;line-height:2;\"><i class=\"awb-health-phone\" style=\"margin-right: 10px;\"><\/i> 3 Albrecht Rd, Sunward Park, Boksburg, 1459<\/h4><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:50px;width:100%;\"><\/div><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"font-family:&quot;Source Sans Pro&quot;;font-style:normal;font-weight:400;margin:0;--fontSize:18;--minFontSize:18;line-height:2;\"><i class=\"awb-health-map-marker-alt\" style=\"margin-right: 10px;\"><\/i> OFFICE LOCATIONS<\/h4><\/div><div 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