PT - JOURNAL ARTICLE AU - Nathan, David M. AU - Buse, John B. AU - Davidson, Mayer B. AU - Ferrannini, Ele AU - Holman, Rury R. AU - Sherwin, Robert AU - Zinman, Bernard TI - Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy AID - 10.2337/dc08-9025 DP - 2009 Jan 01 TA - Diabetes Care PG - 193--203 VI - 32 IP - 1 4099 - http://care.diabetesjournals.org/content/32/1/193.short 4100 - http://care.diabetesjournals.org/content/32/1/193.full SO - Diabetes Care2009 Jan 01; 32 AB - The consensus algorithm for the medical management of type 2 diabetes was published in August 2006 with the expectation that it would be updated, based on the availability of new interventions and new evidence to establish their clinical role. The authors continue to endorse the principles used to develop the algorithm and its major features. We are sensitive to the risks of changing the algorithm cavalierly or too frequently, without compelling new information. An update to the consensus algorithm published in January 2008 specifically addressed safety issues surrounding the thiazolidinediones. In this revision, we focus on the new classes of medications that now have more clinical data and experience.