Guideline / position statementindependent cross-checkabstract only checked I-ODD-17 standard review
ADA/EASD consensus 2022
Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).
Overview
Davies MJ et al.. Diabetes Care 2022 · PMID 36148880 · DOI 10.2337/dci22-0034
Weight management plus heart- and kidney-protective drugs are central to type 2 diabetes care.
Does the study support the specific claim? No · Methodological quality: high
Plain-language summary
Study explained simply
- What did the researchers want to find out?
Management of hyperglycaemia in type 2 diabetes
- How was the study done?
ADA/EASD consensus report based on systematic examination of publications since 2018
- How many people, animals or samples were studied?
not applicable; Adults with type 2 diabetes
- What was actually found?
Cardiorenal protection and weight focus.
- How large was the observed effect?
not applicable
- What do the results mean in everyday life?
Guideline direction.
- What are the study's limitations?
Abstract only read
- What does it say about Elawady's specific claim?
- Do the results apply to Germany and Europe?
EASD co-authored; directly applicable to EU.
- What can explicitly not be concluded from this study?
Not applicable.
Scientific in-depth review
1. Full reference
- Authors
- Davies MJ et al.
- Journal
- Diabetes Care
- Year
- 2022
- Identifier
- PMID 36148880 DOI 10.2337/dci22-0034
- Verification
- verified – PubMed efetch 2026-10-25 (this agent)
- Retracted
- no
- Corrections
- none
- Extent checked
- abstract only
- Conflicts of interest and funding
not stated in abstract
2. Research question
Management of hyperglycaemia in type 2 diabetes
3. Study design and population
- Study design
- Guideline / position statement – ADA/EASD consensus report based on systematic examination of publications since 2018
- Population
Adults with type 2 diabetes
- Country
USA and Europe
- Period
2022
- Sample size
not applicable
- Inclusion and exclusion criteria
As described in the abstract; details not available in abstract.
4. Methods and endpoints
- Exposure / intervention
not applicable
- Comparator
not applicable
- Endpoints
not applicable
- Statistical methods
Consensus
5. Actual results
- Results
Abstract: greater emphasis on weight management; results of CV and kidney outcome trials of SGLT2 inhibitors and GLP-1 RAs inform broader recommendations for cardiorenal protection in people at high risk.
- Absolute risks
not reported
- Authors' conclusion
Holistic, person-centred management with cardiorenal protection.
6. Strengths
- Joint US-European consensus
7. Weaknesses
- Abstract only read
8. Risk of bias
- Orienting tool
- none applicable
- Type of assessment
- simplified assessment (abstract only)
- Full formal assessment
- no
- Overall risk of bias
- low
- Rationale
Guideline.
9. Assessment of the statistical interpretation
not applicable
10. Relevance to the specific claim
Contradicts C-ODD-06; supports C-INS-11.
11. Independent contrary findings
12. Transferability to Germany and Europe
EASD co-authored; directly applicable to EU.
13. Overall methodological judgement
Current consensus.
| Multidimensional assessment | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | high |
| Risk of bias | low |
| Precision of results | not applicable |
| Directness | direct |
| Reproducibility | replicated |
| Consistency with the overall evidence | consistent |
| Regional transferability | high |
| Adequacy of the interpretation (by the archive) | not applicable |
14. Open questions
None beyond those stated.
15. Linked fact checks
- Archive conclusion: insulin is indispensable in type 1 diabetes; in type 2 diabetes, evidence supports caution with intensive dosing, prioritising metformin, weight loss and dietary change before insulin escalation, and aiming for moderate rather than near-normal HbA1c; this is not the same as rejecting insulin. – Studies supporting the claim
- Glucose-lowering drugs are net harmful and belong among the 'forbidden' items; dapagliflozin (Forxiga) is among the 'dirtiest' drugs and kills the brain; leg amputations happen only to people taking diabetes drugs and insulin. – Studies contradicting or limiting the claim