Cheat Sheet Updates – Reflect 2025 ADA Standards
At the beginning of each year, Coach Beverly excitedly scans the new ADA Standards to discover updates and advances in diabetes care. She then integrates these new findings into our Cheat Sheets.
Notable updates include our at-a-glance Screening and Diagnosis of Diabetes, Immunization Schedule, Insulin Storage and Dispensing Information and our Lipids and Hypertension Medication Summary Sheet and more.
You can access the complete Cheat Sheet Library on our website and on our CDCES Coach App. We are proud of our 25-year history of creating original materials that to meet the rigorous standards set by the CDR Accreditation Committee and hope you find them useful in your clinical practice and in your preparation for certification exams.
Cheat Sheet Updates based on 2025 Standards
ADA Standards of Care 2, Diagnosis and Classification of Diabetes includes additional details on screening for type 1 and type 2 diabetes and diabetes in pregnancy. The diagnostic testing methods and criteria remained the same as in past years. However, the ADA notes that there is lower sensitivity of A1C at the designated cut point compared with that of 2-h PG as well as limited access in some parts of the world.
1.) Screen those at risk for presymptomatic type 1 diabetes and those with type 1 phenotypic risk (younger age, ketoacidosis, etc.) by testing autoantibodies to insulin, GAD, islet antigen 2, ZnT8
2.) For Type 2 diabetes, screen everyone starting at age 35, but screen people with prediabetes yearly and those with GDM every 1-3 years.
3.) Additional risk factors for earlier screening were added and a few were modified from last year. See new additions in bold. The ADA added monitoring for hyperglycemia in those taking high-risk medicines (steroids, HIV meds, antipsychotic meds, statins, thiazide diuretics ) or a history of pancreatitis or periodontal disease and re-checking glucose levels at least annually or if any signs of hyperglycemia.
4.) In the diabetes and pregnancy section, the ADA still strongly recommends screening all people at the first prenatal visit (before 15 weeks) to help detect undiscovered hyperglycemia and initiate early treatment.
The update for this Insulin Storage and Dispensing sheet is inspired by Tyler Whitaker, PharmD, BC-ADM, CDCES. Tyler reached out to let us know about needed additions, updates and changes to this content. He said he uses this information all the time in his clinical practice and he was happy to give back. I want to thank Tyler for helping us improve this resource and for his thoughtful review of earlier drafts and this final version. I appreciate being a part of this wonderful community of educators who are invested in supporting each other to succeed.
Updates to this Cheat Sheet include approval for Lyumjev in insulin pumps, removal of detemir insulin and clarification of the the 70/30 insulins’ shelf life, packaging and cost information.
This chart, compiled based on ADA Standard 4, details the types of vaccines, when, and how often they are recommended for people with diabetes. The recommendations in general were very similar to last year. The COVID-19 vaccine and boosters are suggested starting at six months of age.
This standard emphasized reminding people with diabetes to avoid the live attenuated influenza vaccine and it included additional clarification on the pneumonia vaccines. For a comprehensive list of vaccines, refer to the Centers for Disease Control and Prevention web site at cdc.gov/vaccines/.
For the content included in these 5 pages, our resident expert pharmacist updated dosing ranges, considerations and added newer lipid lowering and blood pressure medications to this comprehensive list. A special shout out to our expert and my husband, Kristapor Thomassian, PharmD, BCPS, for his hours of review, edits and content negotiations with the company CEO and wife of 26 years.
If you are preparing for the CDCES exam, you will need to be familiar with the most common blood pressure and cholesterol medication classes and side effects along with when they are indicated based on the ADA Standards. For the BC-ADM exam, you will need to know the same information but in more detail, imagining you would be familiar enough with these medications to prescribe them or make need adjustments and additions.
We hope you will stop by our complete Cheat Sheet Library!!
ADA Standards of Care 2025 Webinar Update
Join us live on Jan. 30th @ 11:30am PST
Our Level 2 Courses make learning the ADA Standards of Care easy and effective by breaking them down into bite-sized, essential topics for clinical practice and exam prep. You can follow the course order based on the Standards, or choose your own path, starting with what you know least and building from there.
This course is perfect for healthcare professionals looking to master the ADA Standards for better clinical practice or for those preparing for the BC-ADM or CDCES exams.
Each webinar focuses on key content, helping you make the most of your study time. Our instructor also uses polls to highlight important concepts, so you can test your knowledge and pick up the best exam strategies.
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