Summary of Revisions to ADA Standards of Medical Care for Diabetes

Published in the 2006 ADA Clinical Practice Recommendations are the new A1c goals for individual patients, which was changed to 6%

The following are a summary of some of the changes in the 2006 ADA Clinical Practice Recommendations.

1. Assessment of glycemic control: Use of point-of-care testing for HbA1c (A1C) allows for timely decisions on therapy changes, when needed (E)

2. Glycemic goals

a. The A1C goal for patients in general is <7% (B)

b. The A1C goal for the individual patient is an A1C as close to normal (<6%) as possible without significant hypoglycemia (E)

3. Nephropathy

a. To reduce the risk of nephropathy, protein intake should be limited to the Recommended Dietary Allowance (RDA) (0.8 g/kg) in those with any degree of chronic kidney disease (CKD) (B)

b. Serum creatinine should be measured at least annually for the estimation of glomerular filtration rate (GFR) in all adults with diabetes regardless of the degree of urine albumin excretion. The serum creatinine alone should not be used as a measure of kidney function but rather used to estimate GFR and stage the level of CKD (E)

https://care.diabetesjournals.org/content/vol29/suppl_1/#top

================================

DID YOU KNOW: Shape of Glass Influences How Much Alcohol Is Poured: People, including professional bartenders, pour 20 to 30 percent more liquor into short, squat glasses than into tall, thin ones, finds a new Cornell University study. Head researcher thinks the vertical-horizontal optical illusion is the reason. "People generally estimate tall glasses as holding more liquid than wide ones of the same volume," "They also focus their pouring attention on the height of the liquid they are pouring and insufficiently compensate for its width." Advice is for bars and restaurants and for those who don’t want to unintentionally drink too much: "Use tall glasses or glasses with alcohol-level marks etched on them." For parents? Use tall, thin glasses when pouring soda but short, wide glasses for milk and other healthful drinks. British Medical Journa for Dec 2005