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Clinical inertia: failure of healthcare providers to initiate or intensify therapy when indicated, due to: overestimation of care provided. use of “soft” reasons to avoid intensification of therapy. lack of education, training, and practice organization aimed at achieving therapeutic goals.
This updated guideline provides recommendations for the care and management of people with or at risk for diabetes mellitus at every stage, including prevention, diagnosis, and treatment.
- Improving Care and Promoting Health in Populations. Diabetes and Population Health. Person-centered care considers individual patient comorbidities and prognoses; is respectful of and responsive to patient preferences, needs, and values; and ensures that patient values guide all clinical decisions.
- Classification and Diagnosis of Diabetes. Classification. Diabetes can be classified into the following general categories: Type 1 diabetes (due to autoimmune β-cell destruction, usually leading to absolute insulin deficiency including latent autoimmune diabetes of adulthood)
- Prevention or Delay of Type 2 Diabetes and Associated Comorbidities. Recommendation. 3.1 Monitor for the development of type 2 diabetes in those with prediabetes at least annually; modify based on individual risk/benefit assessment.
- Comprehensive Medical Evaluation and Assessment of Comorbidities. Person-Centered Collaborative Care. Recommendations. 4.1 A person-centered communication style that uses person-centered, culturally sensitive, and strength-based language and active listening; elicits individual preferences and beliefs; and assesses literacy, numeracy, and potential barriers to care should be used to optimize health outcomes and health-related quality of life (QoL).
Dec 4, 2020 · For patients prone to glycemic variability, especially patients with type 1 diabetes or type 2 diabetes with severe insulin deficiency, glycemic control is best evaluated by the combination of results from SMBG or CGM and A1C.
Jul 1, 2015 · The American Diabetes Association (ADA) treatment guidelines focus on medical nutrition therapy, exercise, pharmacologic therapy, and the prevention and management of diabetes-related...
Mar 18, 2024 · Treatment of patients with type 2 diabetes mellitus includes education, evaluation for micro- and macrovascular complications, attempts to achieve near normoglycemia, minimization of cardiovascular and other long-term risk factors, and avoidance of drugs that can exacerbate abnormalities of insulin or lipid metabolism.
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For patients with type 2 diabetes and CKD, with or without cardiovascular disease, consider the use of an SGLT2-i shown to reduce CKD progression or, if contraindicated or not preferred, a GLP-1 RA shown to reduce CKD progression
