Diabetes care is always changing with new research, technology, and treatments that may improve the health and wellbeing of people with or at risk of diabetes. Every year, the American Diabetes Association (ADA) develops guidelines that reflect these changes. These are called the “Standards of Medical Care in Diabetes.” The 2022 standards include various notable changes.
Standards updated based on new evidence
The standards for many areas of diabetes care have been updated based on recent trials, studies, and clinical experience. For instance, it is now recommended that screening for prediabetes and diabetes begin at age 35 years, and that people with prediabetes be monitored for the development of type 2 diabetes at least annually. The role of health literacy and numeracy in diabetes prevention and management was added as well.
New guidance on COVID and diabetes
COVID vaccination information was added. The ADA predicts that the COVID vaccine will become a routine part of the annual care for people with diabetes. Evidence was also added about the importance of addressing obesity, as both obesity and diabetes increase risk for severe COVID infections. The 2022 standards emphasize the use of continuous glucose monitoring (CGM) especially during the COVID pandemic to minimize contact between care providers and patients. CGM shows the time that blood sugar levels are in a target range (time in range), which is now recommended to assess glycemic control.
Technology to help manage diabetes
The 2022 standards include information about online platforms to support behavior change and wellbeing. A new recommendation was added on the evidence on telehealth visits for women with diabetes during pregnancy. Further, digital coaching and interviews were added as effective methods of diabetes education and support.
The Standards of Care include screening, diagnosis, and therapies known to improve health. This guidance helps clinicians, researchers, policymakers, and others interested in diabetes care to evaluate quality of care.
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