The choice of a second-line agent depends on co-morbidities, primarily CV and renal disease.

Formal Recommendations

Recommendation & Evidence

Recommendation StrengthNone
Evidence LevelNone

Categories

Principles of pharmacological treatment and individualised treatment selectionCardiovascular diseaseGlycaemic targets and glucose-lowering treatment in people with chronic kidney disease
Recommendation No.: 2-2024-035E-028R Guideline No.: 2-2024-035EGuideline: Samoa MOH National Diabetes Guidelines

PICO Question

P

Population

People with type 2 diabetes requiring a second-line glucose-lowering agent

I

Intervention

Select the second-line agent according to comorbidities, especially cardiovascular and kidney disease

C

Comparison

Not explicitly stated

O

Outcome

Individualized therapy and reduced cardiorenal risk

Evidence Information

Evidence No.-
Evidence-
Evidence LevelNone
Recommendation StrengthNone
Statement TypeFormal Recommendations

Guideline Information

Guideline NameSamoa MOH National Diabetes Guidelines
Guideline No.2-2024-035E
AuthorAlec Ekeroma
Guideline TypeGuideline
Year2024
OrganizationMinistry of Health Samoa
RegionOceania
CountrySamoa
Conflict of InterestNo
DOI
Target Population所有糖尿病患者(包括1型糖尿病、2型糖尿病、妊娠期糖尿病、儿童及青少年),特别是萨摩亚及太平洋人群,包括高危人群(超重/肥胖、有家族史、既往糖尿病史等)
Journal
Recommendation Strength Methodology
Evidence Level Methodology

Other Information

Living GuidelineNo
Rapid AdviceNo
UpdatedNo
Recommendation Count0
Reference Count50
Guideline TopicComprehensive
CategoriesPrinciples of pharmacological treatment and individualised treatment selection, Cardiovascular disease, Glycaemic targets and glucose-lowering treatment in people with chronic kidney disease
Created At2026-07-28 17:47:18
Updated At2026-07-28 17:47:18