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. 2021 Jul 15;117(1):181–264. [Article in Portuguese] doi: 10.36660/abc.20210180
Outpatient management of diabetic patients with a history of the acute coronary syndrome - Summary of recommendations and evidence
An HbA1c target < 7% should be used in most diabetic patients to reduce microvascular events. I A
The HbA1c target must be individualized, considering characteristics such as comorbidities, life expect,ancy and the duration of DM I C
Unless contraindicated, metformin is the drug of choice for initial DM treatment. I A
After ACS, consider combined treatment including an SGLT2 inhibitor or a GLP1-RA with proven cardiovascular benefits regardless of HbA1c level. I A
In patients with HF or nephropathy (creatinine clearance between 30 and 90 mL/min and/or with proteinuria), SGLT2 inhibitors are the drug of choice. I A
Use saxagliptin and pioglitazone in diabetic patients with HF. III A