New ADA 2017 Standards of Medical Care in Diabetes Published
The American Diabetes Association has published its 2017 edition of the Standards of Medical Care in Diabetes. These rules are established and revised by the Professional Practice Committee as a guidebook for screening, diagnosis, care and treatment.
The 2017 standards have several updates in several areas of diabetic care.
“This year, the Standards include critical, new evidence-based additions—psychosocial care, expanded physical fitness, metabolic surgery and hypoglycemia—all of which can impact effective diabetes care," said ADa Chief Scientific and Medical Officer Robert E Ratner, MD, FACP, FACE.
Guidelines issued throughout 2016 and included in the 2017 report include updates for physical activity, psychosocial health, metabolic surgery, and more.
The increased risk of psychological and emotional stress that come with a diabetic diagnosis means that screening for distress and emotional issues is key. So is lifestyle management in order to encourage more physical activity and improved sleep patterns. The guidelines now recommend interrupting prolonged sedentary activity every 30 minutes, for example.
Treatment options are now broadened to improve choices for patients and increase likelihoods of patients adhering to treatment regimens more closely. New recommendations for metabolic surgery for adults with type 2 diabetes are revised and include patients with higher BMIs.
A new insulin algorithm has been added to the ADA guidelines. This is designed to offer more glucose management options for those with type 2 diabetes with a detailed care recommendation flowchart to offer multiple pathways to meet A1C goals.
Other updates include provisions for patients with both diabetes and cardiovascular problems such as hypertension, high blood pressure, or a history of stroke or heart attack. This includes revisions for two glucose-lowering medication recommendations in these high-risk groups.