Publications by authors named "Salima Shamji"
Article Synopsis
- Developed an evidence-based guideline to assist clinicians in safely tapering, stopping, or switching antihyperglycemic agents for older adults.
- The process involved a team of healthcare professionals using the GRADE approach and systematic reviews to assess the benefits and harms of deprescribing these medications.
- The guidelines emphasize personalized care, recommending the deprescribing of medications that may cause hypoglycemia or other adverse effects, especially for frail patients, those with dementia, or limited life expectancy.
Introduction: Individualizing glycemic targets to goals of care and time to benefit in persons with type 2 diabetes is good practice, particularly in populations at risk of hypoglycemia and adverse outcomes relating to the use of antihyperglycemics. Guidelines acknowledge the need for relaxed targets in frail older adults, but there is little guidance on how to safely deprescribe (i.e.
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