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

Munther Al-Momani; Muneer Ali Abu Alsamen; Eyas Al Mousa; Mohammad Ghnaimat; Fares Haddad; Mahmoud Hashim; Mohammad Jabary; Abdelkarim Khawaldeh; Taroub Khoury; Nadima Shegem; Mazen Matalka

doi:doi:10.11648/j.ijde.20220704.13

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

Munther Al-Momani, Muneer Ali Abu Alsamen, Eyas Al Mousa, Mohammad Ghnaimat, Fares Haddad, Mahmoud Hashim, Mohammad Jabary, Abdelkarim Khawaldeh, Taroub Khoury, Nadima Shegem, Mazen Matalka

Published in International Journal of Diabetes and Endocrinology (Volume 7, Issue 4)

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), 2024. 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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ACS 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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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

Munther Al-Momani

Endocrinology Private Clinic and Al Khalidi Hospital and Medical Center, The Jordanian Society of Endocrinology, Diabetes & Metabolism, Amman, Jordan
Muneer Ali Abu Alsamen

General Practice Private Clinic, The Jordanian General Practitioner Society, Amman, Jordan
Eyas Al Mousa

Cardiology Private Clinic and Istishari Hospital, Jordan Cardiac Society, Amman, Jordan
Mohammad Ghnaimat

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

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

General Practice Private Clinic, The Jordanian General Practitioner Society, Amman, Jordan
Mohammad Jabary

Cardiology Private Clinic, Jordan Cardiac Society, Amman, Jordan
Abdelkarim Khawaldeh

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

Internal Medicine Private Clinic, The Jordanian Society of Internal Medicine, Amman, Jordan
Nadima Shegem

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

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

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APA Style

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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ACS 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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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

Copy | Download

@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}
}

Copy | Download

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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