The American Diabetes Association (ADA) in its 2018 Standards of Medical Care in Diabetes is recommending continuous glucose monitoring (CGM) to all adults 18 and over who aren’t meeting glycemic targets, as well as screening high-risk youths for type 2 diabetes.
Full Answer
What are the common medical treatments for diabetes?
Treatments for type 1 and type 2 diabetes
- Monitoring your blood sugar. Depending on your treatment plan, you may check and record your blood sugar as many as four times a day or more often if you're taking ...
- Insulin. People with type 1 diabetes need insulin therapy to survive. ...
- Oral or other medications. ...
- Transplantation. ...
- Bariatric surgery. ...
What are the dietary needs of a person with diabetes?
- Include a good source of fiber containing food with every meal or snack.
- Add some whole grain to the morning meal. ...
- Use whole grain breads for lunch or snacks. ...
- Eat less potatoes. ...
- Switch to whole grain pasta. ...
- Include beans/legumes which are an excellent source of slowly digested carbohydrate as well as a great source of lean protein. ...
What kind of Doctor to see for diabetes?
- The patient. This is the most important member of the diabetes care team! ...
- Primary doctor. Your primary care doctor is who you see for general checkups and when you get sick. ...
- Podiatrist. For anyone with diabetes, which can cause nerve damage in the extremities, foot care is important. ...
- Dentist. ...
- Exercise trainer. ...
- Mental health professional. ...
What is life like with diabetes?
The disease can impact your emotions. A 2016 study published in the Journal of Medicine and Life showed that people living with diabetes are significantly more prone to depression than those without the disease. And that may be because of the frustrations that come with the disease.
What is the standard for diabetes?
A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes.
What kind of care is important in the care of a diabetic?
Aspects of a diabetic care plan Understanding and taking medications—oral or insulin injections—and reporting their side effects. Understanding how to control episodes of hypoglycemia (low blood sugar) A program of healthy eating and daily exercise.
What is the standard of care for type 1 diabetes?
Anyone who has type 1 diabetes needs insulin therapy throughout their life. There are many types of insulin, including: Short-acting insulin. Sometimes called regular insulin, this type starts working around 30 minutes after injection.
What organization or organizations have established the standards of care and clinical guidelines for diabetes?
The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care.
How can we improve diabetes care?
What to do:Talk to your doctor about an exercise plan. Ask your doctor about what type of exercise is appropriate for you. ... Keep an exercise schedule. ... Know your numbers. ... Check your blood sugar level. ... Stay hydrated. ... Be prepared. ... Adjust your diabetes treatment plan as needed.
Why is it important to take care of diabetes?
Diabetes is a serious medical condition that can cause you to become fatigued, feel extreme hunger, and experience other more serious problems over time. If you do not manage this disease, you could develop more serious complications like vision problems, dementia, and kidney issues.
What are the latest guidelines for diabetes?
How to treat Type 1 Diabetes: ICMR's new guidelines in 10 pointsHealthy diet. To manage Type 1 Diabetes, the ICMR recommends eating a nutritious diet. ... Exercise. ... Insulin therapy side-effects. ... Blood glucose monitoring. ... Diabetic ketoacidosis. ... Vision loss. ... Kidney disease. ... Neuropathy.More items...•
What is the difference in treatment for type 1 and 2 diabetes?
Type 1 is managed by taking insulin to control your blood sugar. You can manage type 2 diabetes in more ways than type 1. These include through medication, exercise and diet. People with type 2 can also be prescribed insulin.
What is the latest treatment for diabetes type 1?
An investigative stem cell-based therapy called PEC-Direct, designed to act as a replacement pancreas, has the potential to provide blood sugar control in patients with high-risk type 1 diabetes, suggests a clinical study presented Saturday, June 11at ENDO 2022, the Endocrine Society's annual meeting in Atlanta, Ga.
WHAT ARE THE ABCs of diabetes care?
The American Diabetes Association and the American College of Cardiology have teamed up to raise public awareness of the “ABCs of diabetes,” namely A1C, blood pressure, and cholesterol.
What are the new guidelines for A1C 2021?
ADA now recommends A1C below 7% or TIR above 70%, and time below range lower than 4% for most adults. In previous years, the Standards of Care included an “A1C Testing” subsection that recommended people with diabetes test their A1C two to four times a year with an A1C target below 7%.
What is the current A1C guidelines?
The goal for most adults with diabetes is an A1C that is less than 7%. If your A1C level is between 5.7 and less than 6.5%, your levels have been in the prediabetes range. If you have an A1C level of 6.5% or higher, your levels were in the diabetes range.
What are 3 things you should never do to the feet of someone with diabetes?
Diabetes Foot Care GuidelinesInspect your feet daily. ... Bathe feet in lukewarm, never hot, water. ... Be gentle when bathing your feet. ... Moisturize your feet but not between your toes. ... Cut nails carefully. ... Never treat corns or calluses yourself. ... Wear clean, dry socks.More items...
How do you treat an elderly person with diabetes?
10 Ways to Help a Senior Loved One Manage DiabetesHelp your loved one make and keep appointments with their healthcare team. ... Go along to appointments. ... Learn all you can about your loved one's condition. ... Assist with medication management. ... Get creative in the kitchen.More items...
Who is involved in diabetes care?
Meet your diabetes healthcare teamWhen you're diagnosed with diabetes, you get access to your very own diabetes healthcare team. ... GP. ... Diabetes specialist nurse (DSN) ... Practice nurse. ... Diabetes specialist (diabetologist or endocrinologist) ... Registered dietitian. ... Registered podiatrist (foot specialist)More items...
What is the 2021 standard of care?
Today, the American Diabetes Association ® released the 2021 Standards of Medical Care in Diabetes. The 2021 Standards of Care is now live online in Diabetes Care. Based upon the latest scientific diabetes research and clinical trials, the Standards of Care includes new and updated recommendations and guidelines to care for people with diabetes. ...
What is the highest ranked peer reviewed journal in the field of diabetes treatment and prevention?
Other Standards of Care resources, including a webcast with continuing education credit and a full slide deck, can be found on DiabetesPro. Diabetes Care, a monthly journal of the American Diabetes Association (ADA), is the highest-ranked, peer-reviewed journal in the field of diabetes treatment and prevention.
I. CLASSIFICATION AND DIAGNOSIS
In 1997, the ADA issued new diagnostic and classification criteria ( 4 ); in 2003, modifications were made regarding the diagnosis of impaired fasting glucose (IFG) ( 5 ). The classification of diabetes includes four clinical classes:
II. SCREENING FOR DIABETES
There is a major distinction between diagnostic testing and screening. When an individual exhibits symptoms or signs of the disease, diagnostic tests are performed, and such tests do not represent screening. The purpose of screening is to identify asymptomatic individuals who are likely to have diabetes.
III. DETECTION AND DIAGNOSIS OF GESTATIONAL DIABETES MELLITUS (GDM)
Risk assessment for GDM should be undertaken at the first prenatal visit. Women with clinical characteristics consistent with a high risk for GDM (those with marked obesity, personal history of GDM, glycosuria, or a strong family history of diabetes) should undergo glucose testing as soon as possible ( 11 ).
V. DIABETES CARE
A complete medical evaluation should be performed to classify the patient, detect the presence or absence of diabetes complications, assist in formulating a management plan, and provide a basis for continuing care.
VI. PREVENTION AND MANAGEMENT OF DIABETES COMPLICATIONS
CVD is the major cause of mortality for individuals with diabetes. It is also a major contributor to morbidity and direct and indirect costs of diabetes. Type 2 diabetes is an independent risk factor for macrovascular disease, and its common coexisting conditions (e.g., hypertension and dyslipidemia) are also risk factors.
B. Preconception care
Major congenital malformations remain the leading cause of mortality and serious morbidity in infants of mothers with type 1 and type 2 diabetes.
Recommendations
A1C levels should be normal or as close to normal as possible (<1% above the upper limits of normal) in an individual patient before conception is attempted. (B)
I. CLASSIFICATION AND DIAGNOSIS
In 1997, ADA issued new diagnostic and classification criteria ( 4 ); in 2003, modifications were made regarding the diagnosis of impaired fasting glucose ( 5 ). The classification of diabetes includes four clinical classes:
II. TESTING FOR PRE-DIABETES AND DIABETES IN ASYMPTOMATIC PATIENTS
Testing to detect pre-diabetes and type 2 diabetes in asymptomatic people should be considered in adults of any age who are overweight or obese (BMI ≥25 kg/m 2) and who have one or more additional risk factors for diabetes ( Table 3 ). In those without these risk factors, testing should begin at age 45 years. (B)
III. DETECTION AND DIAGNOSIS OF GDM
Screen for GDM using risk factor analysis and, if appropriate, use of an OGTT. (C)
V. DIABETES CARE
A complete medical evaluation should be performed to classify the diabetes, detect the presence of diabetes complications, review previous treatment and glycemic control in patients with established diabetes, assist in formulating a management plan, and provide a basis for continuing care.
VI. PREVENTION AND MANAGEMENT OF DIABETES COMPLICATIONS
CVD is the major cause of morbidity and mortality for individuals with diabetes and the largest contributor to the direct and indirect costs of diabetes. The common conditions coexisting with type 2 diabetes (e.g., hypertension and dyslipidemia) are clear risk factors for CVD, and diabetes itself confers independent risk.
IX. DIABETES AND EMPLOYMENT ( 360)
When questions arise about the medical fitness of a person with diabetes for a particular job, a health care professional with expertise in treating diabetes should perform an individualized assessment; input from the treating physician should always be included. (E)
X. THIRD-PARTY REIMBURSEMENT FOR DIABETES CARE, SELF-MANAGEMENT EDUCATION, AND SUPPLIES ( 361)
Patients and practitioners should have access to all classes of antidiabetic medications, equipment, and supplies without undue controls. (E)
