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ADA’s 2014 Standards of Care Released

The American Diabetes Association has released their annually revised Standards of Medical Care in Diabetes for 2014, with an emphasis on individualized treatment of diabetes…. 

Optimal diabetes management requires an organized, systematic approach and involvement of a coordinated team of dedicated health care professionals working in an environment where patient-centered high-quality care is a priority.

The position statement, to be published in the January issue of Diabetes Care, includes current criteria for the diagnosis of diabetes; testing for diabetes in asymptomatic patients, screening for type 2 diabetes in children, screening for type 1 diabetes, prevention/delay of type 2 diabetes and glucose monitoring.

Of note, the recommendations encourage clinicians to seek various options when prescribing medication to treat neuropathy and uphold one-step screening for gestational diabetes. They also suggest that patients with diabetes see a nutritionist or dietitian to implement a healthy eating pattern individualized to their needs.

Richard Grant, MD, MPH, chair of the ADA Professional Practice Committee and research scientist with the Kaiser Permanente Division of Research, said in a press release, "Individualized care is becoming more important in the treatment of diabetes." "As the evidence base evolves, we are learning more about how to apply this data to our patients, and we’re finding that the evidence often supports looking at the individual patient needs rather than a one-size-fits-all approach."

Previously, the recommendations called for a one-step screening method to identify gestational diabetes, as endorsed by the International Association of the Diabetes and Pregnancy Study Groups. In 2013, the National Institutes of Health recommended a two-step approach. However, Grant said that there is insufficient evidence that would warrant a change to the recommendation b the ADA at this time, according to the press release. 

American Diabetes Association. Diabetes Care. 2013; doi: 10.2337/dc14-S014