[PDF] StandardS of Medical care in diabeteS—2020

View - Download StandardS of Medical care in diabeteS—2020

Previous PDF

Next PDF

STANDARDS OF MEDICAL C

AREIN DIABE

TE S 2020
S U P P L EM E N T 1 THE JOURNAL OF CLINICAL AND APPLIED RESEARCH AND EDUCATION

EMBARGOED COPY

EMBARGOED COPY

d

© 2019 by the American Diabetes Association. Readers may use this work as long as the work is properly

cited, the use is educational and not for profit, and the work is not altered. Readers may link to the version of

record of this work on https://care.diabetesjournals.org, but ADA permission is required to post this work on

any third-party website or platform. Requests to reuse or repurpose; adapt or modify; or post, display, or

distribute this work may be sent to permissions@diabetes.org.EMBARGOED COPY

EMBARGOED COPY

—Norbert Freinkel,Diabetes Care, January-February 1978

EDITOR IN CHIEF

Matthew C. Riddle, MD

ASSOCIATE EDITORS

George Bakris, MD

Lawrence Blonde, MD, FACP

Andrew J.M. Boulton, MD

David D"Alessio, MD

Linda A. DiMeglio, MA, MD, MPH

Linda Gonder-Frederick, PhD

Korey K. Hood, PhD

Frank B. Hu, MD, MPH, PhD

Steven E. Kahn, MB, ChB

Sanjay Kaul, MD, FACC, FAHA

Lawrence A. Leiter, MD, FRCPC, FACP,

FACE, FACC, FAHA

Robert G. Moses, MD

Stephen Rich, PhD

Julio Rosenstock, MD

Judith Wylie-Rosett, EdD, RD

EDITORIAL BOARD

Andrew J. Ahmann, MD

Linda A. Barbour, MD, MSPH

Ananda Basu, MD, FRCP

Roy W. Beck, MD, PhD

Gianni Bellomo, MD

Geremia Bolli, MD

Sonia Caprio, MD

Jessica R. Castle, MD

J. Hans DeVries, MD, PhD

Kathleen M. Dungan, MD, MPH

Thomas W. Gardner, MD, MS

Jennifer Green, MD

Petr Heneberg, RNDr, PhD

Norbert Hermanns, PhD, MSc

Reinhard W. Holl, MD, PhD

Philip Home, DM, DPhil

Byron J. Hoogwerf, MD, FACP, FACE

George S. Jeha, MD

Lee M. Kaplan, MD, PhDM. Sue Kirkman, MDJohn J.V. McMurray, MD, FRCP, FESC,

FACC, FAHA, FRSE, FMedSci

Maureen Monaghan, PhD, CDE

Kristen J. Nadeau, MD, MS

Gregory A. Nichols, PhD, MBA

Bruce A. Perkins, MD, MPH

Ravi Retnakaran, MD, MSc, FRCPC

Elizabeth Seaquist, MD

Jonathan Shaw, MD, FRCP, FRACP,

FAAHMS

Jay M. Sosenko, MD, MS

Kristina M. Utzschneider, MD

Daniel H. van Raalte, MD, PhD

Ram Weiss, MD, PhD

Deborah Wexler, MD, MSc

Vincent C. Woo, MD, FRCPC

Bernard Zinman, CM, MD, FRCPC,

FACP

AMERICAN DIABETES ASSOCIATION OFFICERS

CHAIR OF THE BOARD

David J. Herrick, MBA

PRESIDENT, MEDICINE & SCIENCE

Louis H. Philipson, MD, PhD, FACP

PRESIDENT, HEALTH CARE &

EDUCATION

Gretchen Youssef, MS, RD, CDE

SECRETARY/TREASURER

Brian Bertha, JD, MBA

CHAIR OF THE BOARD-ELECT

Umesh Verma

PRESIDENT-ELECT, MEDICINE & SCIENCE

Robert H. Eckel, MD

PRESIDENT-ELECT, HEALTH CARE &

EDUCATION

Mary de Groot, PhD

SECRETARY/TREASURER-ELECT

Martha Parry Clark, MBA

CHIEF EXECUTIVE OFFICER

Tracey D. Brown, MBA, BChE

January 2020Volume 43, Supplement 1

The mission of the American Diabetes Association

is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.EMBARGOED COPY Diabetes Careis a journal for the health care practitioner that is intended to increase knowledge, stimulate research, and promote better management of people with diabetes. To achieve these goals, the journal publishes original research on human studies in the following categories: Clinical Care/Education/Nutrition/ Psychosocial Research, Epidemiology/Health Services Research, Emerging Technologies and Therapeutics, Pathophysiology/Complications, and Cardiovascular and Metabolic Risk. The journal also publishes ADA statements, consensus reports, of view. Topics covered are of interest to clinically oriented physicians, researchers, epidemiologists, psychologists, diabetes educators, and other health professionals. More information about the journal can be found online at care.diabetesjournals.org.

Diabetes Care

Diabetes Care

EMBARGOED COPY

Standards of Medical Care in Diabetes - 2020

S1 S3

S4 Standards of Medical Care inDiabetes - 2020

S7

S14 fi

S32 S37 S48 S66 S77 S89 S98 S111 S135 S152 S163 S183

EMBARGOED COPY

Hospital Care Delivery Standards

Glycemic Targets in Hospitalized Patients

Bedside Blood Glucose Monitoring

Glucose-Lowering Agents in Hospitalized Patients

Hypoglycemia

Medical Nutrition Therapy in the Hospital

Self-management in the Hospital

Standards for Special SituationsTransition From the Hospital to the Ambulatory SettingPreventing Admissions and Readmissions

Advocacy Statements

This issue is freely accessible online at care.diabetesjournals.org/content/43/Supplement_1.

Keep up with the latest information forDiabetes Careand other ADA titles via Facebook (/ADAJournals) and Twitter (@ADA_Journals).EMBARGOED COPY

Diabetes Care 2020;43(Suppl. 1):S1-S2|https://doi.org/10.2337/dc20-SINT

Diabetes is a complex, chronic illness re-

quiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control. Ongoing dia- betes self-management education and support are critical to preventing acute complications and reducing the risk of long- term complications. Signicant evidence exists that supports a range of interven- tions to improve diabetes outcomes.

The American Diabetes Association

(ADA)“Standards of Medical Care in Di- abetes, "referred to as the Standards of

Care, is intended to provide clinicians,

patients, researchers, payers, and other interested individuals with the compo- nentsofdiabetescare,generaltreatment goals,andtoolstoevaluatethequalityof care. The Standards of Care recommen- dations are not intended to preclude clinical judgment and must be applied in the context of excellent clinical care, with adjustments for individual prefer- ences, comorbidities, and other patient factors. For more detailed information about the management of diabetes, please refer toMedical Management of Type 1

Diabetes(1) andMedical Management of

Type 2 Diabetes(2).

The recommendations in the Stand-

ards of Care include screening, diagnos- tic,andtherapeuticactionsthatareknown or believed to favorably affect health out- comes of patients with diabetes. Many of these interventions have also been showntobecost-effective(3).The ADA strives to improve and update the Standards of Care to ensure that clinicians, health plans, and policy mak- ers can continue to rely on it as the most authoritative source for current guidelines for diabetes care.

ADA STANDARDS, STATEMENTS,

REPORTS, and REVIEWS

The ADA has been actively involved in

the development and dissemination of diabetes care clinical practice recom- mendations and related documents for

30 years. The ADA"s Standards of Medical

Care is viewed as an important resource

for health care professionals who care for people with diabetes.

Standards of Care

The annual Standards of Care

supplement toDiabetes Carecontains of cial ADA position, is authored by the ADA, and provides all of the

ADA's current clinical practice

recommendations.

To update the Standards of Care, the

ADA"s Professional Practice Committee

(PPC) performs an extensive clinical di- abetes literature search, supplemented with input from ADA staff and the med- ical community at large. The PPC updates theStandardsofCareannually.However, the Standards of Care is a“living"docu- ment, where important updates are pub- lished online should the PPC determine that new evidence or regulatory changes

(e.g.,drugapprovals,label changes) meritimmediateinclusion.Moreinformationonthe“living Standards"canbefoundonthe

ADA "s professional website DiabetesPro at professional.diabetes.org/content-page/ living-standards. The Standards of Care supersedes all previous ADA position statementsand the recommendations therein on clinical topics within the purview of the Standards of Care; ADA position statements, while still contain- ing valuable analysis, should not be con- sideredthe ADA"scurrentposition.The

Standards of Care receives annual review

andapprovalbytheADABoardofDirectors.

ADA Statement

An ADA statement is an ofcial

ADA point of view or belief that

does not contain clinical practice recommendations and may be issued on advocacy, policy, economic, or medical issues related to diabetes.

ADA statements undergo a formal re-

view process, including a review by the appropriate ADA national committee,

ADA science and medicine staff, and

the ADA Board of Directors.

Consensus Report

A consensus report of a particular

topic contains a comprehensive examination and is authored by an expert panel (i.e., consensus panel) and represents the panel's collective analysis, evaluation, and opinion.

The need for a consensus report arises

when clinicians, scientists, regulators,

The"Standards of Medical Care in Diabetes"was originally approved in 1988. Most recent review/revision: December 2019.

© 2019 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit,

and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.

Diabetes CareVolume 43, Supplement 1, January 2020S1

INTRODUCTIONEMBARGOED COPY

Scientic Review

A scientic review is a balanced review

and analysis of the literature on a scientic or medical topic related to diabetes.

GRADING OF SCIENTIFIC EVIDENCE

A B

Table 1

ABC E A

References

Medical

Management of Type 1 Diabetes

Medical Man-

agement of Type 2 Diabetes Table1 - ADA evidence-gradingsystemfor"StandardsofMedicalCareinDiabetes" A c c c c B c c C c c c E

Diabetes Care EMBARGOED COPY

Diabetes Care 2020;43(Suppl. 1):S3|https://doi.org/10.2337/dc20-SPPC

The Professional Practice Committee (PPC)

oftheAmericanDiabetesAssociation(ADA)

Care in Diabetes,"referred to as the Stand-

ards of Care. The PPC is a multidisciplinary expert committee comprised of physicians, diabetes educators, and others who have expertise in a range of areas, including, but not limited to, adult and pediatric endocri- nology,epidemiology,publichealth,cardio- vascular risk management, microvascular complications, preconception and preg- nancy care, weight management and di- abetesprevention,anduseoftechnologyin diabetesmanagement.Appointmenttothe

PPCisbasedonexcellenceinclinicalpractice

and research. Although the primary role of the PPC members is to review and update the Standards of Care, they may also be involved in ADA statements, reports, and reviews.

The ADA adheres to the National Acad-

emy of Medicine Standards for Developing

Trustworthy Clinical Practice Guidelines. All

membersofthePPCarerequiredtodisclosequotesdbs_dbs14.pdfusesText_20

[PDF] ada dka guidelines 2019

[PDF] ada easd guidelines 2019

[PDF] ada guidelines 2019 pdf free download

[PDF] ada guidelines 2020

[PDF] ada guidelines 2020 chart

[PDF] ada guidelines 2020 for covid

[PDF] ada guidelines 2020 pdf

[PDF] ada guidelines 2020 summary

[PDF] ada guidelines covid

[PDF] ada guidelines diabetes

[PDF] ada guidelines for masks

[PDF] ada guidelines for printed materials

[PDF] ada guidelines for reopening

[PDF] ada guidelines for reopening dental offices

[PDF] ada guidelines for treatment of type 2 diabetes