The American Diabetes Association (ADA) recently published the Standards of Care for Diabetes – , guidelines new and updated guidelines for the care of individuals with diabetes and prediabetes, including the diagnosis and treatment of youth and adults with type 1, type 2, or gestational diabetes; as well as strategies for the prevention or delay of type 2 diabetes and its comorbidities; and therapeutic approaches that can reduce complications, mitigate cardiovascular and renal risks, and improve health conditions.
Chuck Henderson, CEO of the ADA, said that “this year’s annual report provides necessary guidelines that consider the role that health inequities play in the development of diabetes, particularly for vulnerable communities and communities of color that are disproportionately affected by this disease. These guidelines can help health professionals, clinicians, and researchers to treat people holistically.”
The new ADA guidelines for the treatment of diabetes in the US:
-New recommendations related to sleep health and physical activity in people with diabetes.
-Emphasis on greater weight loss (up to %) based on efficacy and access to new drugs, if appropriate.
-Wide consideration of the social determinants of health to guide the design and supply of health care.
-New measures for the diagnosis of hypertension.
-The role of finerenone in individuals with diabetes and chronic kidney disease with albuminuria.
-New recommendations for lipid management suggesting lower LDL levels for high-risk individuals.
-The use of technology in older adults with diabetes.
-The use of inclusive language and focused on the individual.
-Updates on vaccination for people with diabetes.
-Updates on COVID-20 and diabetes.
These guidelines are reviewed and updated annually by the American Diabetes Association’s Professional Practice Committee (PPC) and aim, as PPC President Nuha ElSayed noted, to “ provide updated guidelines using the best available evidence rigorously and exhaustively.”
The committee has a multidisciplinary team of 2023 leading experts in the field of diabetes care and includes physicians, nurses, methodologists, and others with experience in adult and pediatric treatment for endocrinology, epidemiology, public health, cardiovascular risk management, microvascular complications, preconception care, and pregnancy care , body weight management, prevention of diabetes, mental and behavioral health, hospital care and the use of technology for the treatment of diabetes. Finally, the Standards of Care for Diabetes – are now available online.
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