Standards of Care in Diabetes 2025 pdf

 Standards of Care in Diabetes  2025 pdf 

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 EDITOR IN CHIEF: Steven E. Kahn, MB, ChB

DEPUTY EDITORS :Cheryl A.M. Anderson, PhD, MPH, MS John B. Buse, MD, PhD Elizabeth Selvin, PhD, MPH

AD HOC EDITORS :Mark A. Atkinson, PhDFrank B. Hu, MD, MPH, PhDM. Sue Kirkman, MDStephen S. Rich, PhD   Matthew C. Riddle, MD

  Pages: 359

 Language: English

 Format: PDF

 Size: 34.5

Contents :

  1. Improving Care and Promoting Health inPopulations

 2. Diagnosis and Classification of Diabetes

3. Prevention or Delay of Diabetes and AssociatedComorbidities4. Comprehensive Medical Evaluation andAssessment of Comorbidities     

 5. Facilitating Positive Health Behaviors and Well-beingto Improve Health Outcomes

 6. Glycemic Goals and Hypoglycemia

 7. Diabetes Technology

 8. Obesity and Weight Management for the Prevention

 and Treatment of Type 2 Diabetes

 9. Pharmacologic Approaches to Glycemic Treatment

10. Cardiovascular Disease and Risk Management

11. Chronic Kidney Disease and Risk Management

12. Retinopathy, Neuropathy, and Foot Care

13. Older Adults

14. Children and Adolescents

15. Management of Diabetes in Pregnancy

16. Diabetes Care in the Hospital

17. Diabetes Advocacy

   Preface

Diabetes is a complex, chronic conditionrequiring continuous medical care withcomprehensive risk-reduction strategiesbeyond glycemic management. Ongoingdiabetes self-management education andsupport are critical to empowering people,preventing acute complications, andreducing the risk of long-term complications.Significant evidence exists that supportsa range of interventions to improvediabetes outcomes.The American Diabetes Association(ADA) “Standards of Care in Diabetes,”referred to here as the Standards ofCare, serves as a comprehensive resourceto clinicians, researchers, policymakers, and other stakeholders. It outlineskey elements of diabetes care,sets treatment goals, and provides toolsto assess care quality, all aimed at improvingdiabetes care and outcomesacross diverse populations.The ADA Professional Practice Committee(PPC) updates the Standards ofCare annually and includes discussionof emerging clinical considerations in thetext, and as evidence evolves, clinicalguidance is added to the recommendationsin the Standards of Care. The Standardsof Care is a “living” document whereimportant updates are published onlineshould the PPC determine that new evidenceor regulatory changes (e.g., drugor technology approvals, label changes)merit immediate inclusion. More informationon the “Living Standards” can befound on the ADA professional websiteDiabetesPro at professional.diabetes.org/standards-of-care/living-standards-update.The Standards of Care supersedes all previouslypublished ADA statements—and therecommendations therein—on clinicaltopics within the purview of the Standardsof Care; while still containing valuableanalysis, ADA statements shouldnot be considered the current positionof the ADA. The Standards of Care receivesannual review and approval bythe ADA Board of Directors and is reviewedby the ADA scientific team andclinical leadership. The Standards ofCare also undergoes external peer reviewannually.

SCOPE OF THE GUIDELINES 

The recommendations in the Standardsof Care include screening, diagnostic, andtherapeutic actions that are scientificallyproved or known based on expert clinicalpractice or believed to favorably affecthealth outcomes of people with diabetes.They also cover the prevention, screening,diagnosis, and management of diabetesassociatedcomplications and comorbidities.The recommendations encompasscare throughout the life span for youth(children aged birth to 11 years andadolescents aged 12–17 years), adults(aged 18–64 years), and older adults(aged $65 years). The recommendationscover the management of type 1 diabetes,type 2 diabetes, gestational diabetesmellitus, and other types of diabetesand/or hyperglycemic conditions.The Standards of Care does not providecomprehensive treatment plans forcomplications associated with diabetes,such as diabetic retinopathy or diabeticfoot ulcers, but offers guidance on howand when to screen for diabetes complications,management of complications in theprimary care and diabetes care settings,and referral to specialists as appropriate.Similarly, regarding the psychosocial andbehavioral health factors often associatedwith diabetes and that can affect diabetescare, the Standards of Care provides guidanceon how and when to screen, managementin the primary care and diabetescare settings, and referral but does notprovide comprehensivemanagement plansfor conditions that require specialized care,such asmental illness

                                

 

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