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Pharmacological management of South Asians with type 2 diabetes: Consensus recommendations from the South Asian Health Foundation

  • Wasim Hanif
  • , Sarah Ali
  • , Srikanth Bellary
  • , Vinod Patel
  • , Azhar Farooqi
  • , Muhammad Ali Karamat
  • , Mujahid Saeed
  • , Sobha Sivaprasad
  • , Kiran Patel
  • , Kamlesh Khunti
  • Diabetes & Endocrinology Consultant Physician CSL Diabetes, University Hospitals of Birmingham, Trustee, South Asian Health Foundation UK
  • Consultant in Diabetes and Endocrinology Royal Free London NHS Foundation Trust, Diabetes Working Group Member, South Asian Health Foundation UK
  • Diabetes and Clinical Skills Warwick Medical School University of Warwick, Trustee, South Asian Health Foundation Warwick UK
  • East Leicester Medical Practice. Chair Leicester City CCG Clinical Director BME Centre for Health ARC East Midlands Leicester UK
  • Consultant Physician and Honorary Lecturer Diabetes and Endocrinology, ITF Clinical Tutor UHB TPD Diabetes and Endocrinology Health Education Birmingham UK
  • Regional Neuromuscular Clinic, Queen Elizabeth Hospital; University Hospitals of Birmingham; Birmingham UK
  • NIHR Moorfields Biomedical Research Centre and UCL Institute of Ophthalmology 162, City Road London UK
  • Consultant Cardiologist University Hospitals Coventry & Warwickshire NHS Trust, Honorary Chair, Warwick Medical School, University of Warwick Coventry University Chairman of Trustees South Asian Health Foundation Hon Chair Warwick UK
  • Primary Care Diabetes & Vascular Medicine Diabetes Research Centre and The Centre for Black Minority Health University of Leicester, Trustee, South Asian Health Foundation Leicester UK

Research output: Contribution to journalReview articlepeer-review

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Abstract

South Asians constitute approximately 1.6 billion people from the Indian subcontinent, comprising Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka; and make up the largest diaspora globally. Compared to the White European population, this group is at a higher risk of developing type 2 diabetes along with cardiovascular, renal and eye complications. Over the recent years, a number of new therapies for type 2 diabetes have become available for which cardiovascular outcome trials (CVOTs) have been published. The recent ADA/EASD consensus guidelines on diabetes, pre-diabetes and cardiovascular diseases’ offer a transitional shift in type 2 diabetes management. The new consensus recommendations are based on recent CVOTs, many of which had a representation of South Asian cohorts. In light of this new evidence, there is urgent need for an integrated, evidence-based, cost-effective and individualised approach specific for South Asians. This review takes into consideration the evidence from these CVOTs and provides best practice recommendations for optimal management of South Asian people with type 2 diabetes, alongside the previously published consensus report from South Asian Health Foundation in 2014 [1].

Original languageEnglish
Article numbere14497
JournalDiabetic medicine
Volume38
Issue number4
Early online date10 Dec 2020
DOIs
Publication statusPublished - Apr 2021

Bibliographical note

This is the peer reviewed version of the following article: Hanif, W., Ali, S., Bellary, S., Patel, V., Farooqi, A., Karamat, M.A., Saeed, M., Sivaprasad, S., Patel, K. and Khunti, K. (2020), Pharmacological management of South Asians with Type 2 Diabetes: Consensus Recommendations from the South Asian Health Foundation. Diabetic Medicine. Accepted Author Manuscript e14497., which has been published in final form at https://doi.org/10.1111/dme.14497.  This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • South Asians
  • cardiovascular disease
  • cardiovascular outcome trials
  • glucagon-like peptide-1 receptor agonists
  • practice guidelines
  • sodium-glucose transporter 2 inhibitors
  • type 2 diabetes

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