What are the recommendations of the ADA Standards of Medical Care in Diabetes?

Updated: Oct 23, 2019
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
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Answer

The 2018 edition of the ADA’s Standards of Medical Care in Diabetes recommends that a glucose-lowering medication with proven cardiovascular and/or mortality-reducing benefit be used to treat patients with type 2 diabetes who have established atherosclerotic cardiovascular disease and in whom lifestyle modification and metformin use have failed to achieve glycemic targets. [333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 348, 349]

It is also recommended that children and adolescents who, along with being overweight or obese, have at least one additional diabetes risk factor be screened for prediabetes and type 2 diabetes.

Another recommendation urges pregnant women with preexisting type 1 or type 2 diabetes to consider taking a low daily aspirin dose beginning at the end of the first trimester in order to lower their preeclampsia risk.

The recommendations continue to define hypertension in diabetes as 140/90 mm Hg or greater rather than considering a value of 130/80 mm Hg to represent stage 1 hypertension, as organizations such as the American College of Cardiology and the American Heart Association now do.


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