The American Diabetes Association revised Standards of Medical Care for patients with diabetes include several changes in recommendations regarding testing and treatment goals.
According to the ADA, it is “recommending changes in blood pressure goals for people with diabetes as well as clarifying how frequently people with type 1 diabetes should test their blood glucose levels.”
Richard Grant, MD, MPH, incoming chair of the Professional Practice Committee and research scientist with the Kaiser Permanente Division of Research, said that raising the recommended blood pressure target goal “is not meant to downplay the importance of treating high blood pressure in people with diabetes.” It also does not imply that lower target rates are inappropriate. Grant said that lower rates “may be appropriate for some patients, particularly those who are younger and have a longer life expectancy, or for those who have a higher risk of stroke, if the lower goal can be achieved without excessive amounts of treatment and without a heavy burden of side effects from medication.”
The revised recommendations and changes include:
The updated ADA standards of care “are intended to provide clinicians, patients, researchers, payers, and other interested individuals with the components of diabetes care, general treatment goals, and tools to evaluate the quality of care.”
The revised standards include sections that address children with diabetes, pregnant women, and people with prediabetes, and include recommendations on “screening, diagnostic, and therapeutic actions that are known or believed to favorably affect health outcomes of patients with diabetes.”
Additional highlights from the revised recommendations include:
The full-text version of the recommendations is available here.