New ADA 2019 Standards of Care Released

It’s that time of year, when we get nerdy about the release of the Updated ADA Standards of Care. Coach Beverly carefully listened to the webcast by Dr. Cefalu outlining the changes, and took copious notes as he described critical additions and updates. Here are some highlights of the revisions as outlined in each section.

We also invite you to hear a more detailed review and gain insights on how to apply the changes to your clinical setting. Please join our “Standards of Care Update Webinar” on January 24th, 2019 at 11:30 – 1:00pm PST. Earn 1.5 CEs and get ready to lead the charge to implement best care practices for the New Year. 

Section 1 – Improving Care and Promoting Health in Populations: Diabetes costs have increased over 25% over the past 5 years. We spend $327 billion dollars a year on treatment of diabetes.

Section 2 – Classification and Diagnosis of Diabetes: In the absence of unequivocal hyperglycemia, to establish a diagnosis of diabetes, need to repeat same test twice from same sample or on a different day to confirm diagnosis.

Section 3 – Prevention or Delay of Type 2 Diabetes: Since smoking can increase risk of type 2 diabetes, a section on tobacco cessation was added.

Section 4 – Comprehensive Medical Evaluation and Assessment of Comorbidities: Assess 10 year risk of Atherosclerotic Cardiovascular disease, to help determine best treatment approaches.  Focus on ongoing person centered care and setting realistic SMART goal. All people with diabetes are encouraged to attend DSMES Program.

Section 5 – Lifestyle Management: Decrease sugar sweetened beverages and non-nutritive sweeteners intake. Drink more water and focus on weight loss for those overweight with type 2 diabetes.

Section 6 – Glycemic Targets: Adjust glucose goals and testing frequency based on individual situation. Questions whether all people on oral medications with Type 2 need to check blood glucose daily.

NEW Section 7 – Diabetes Technology: Focuses on Diabetes Technology including insulin pumps, CGMs and newer devices to Self-Monitor Blood Glucose.

Section 8 – Obesity Management for the Treatment of Type 2 Diabetes: Includes new information on medical devices for weight loss and other obesity management strategies.

Section 9 – Pharmacologic Approaches to Glycemic Treatment: Pharmacologic Treatment of Type 2 now includes the new ADA/EASD guidelines, with more emphasis on assessment for heart failure, chronic kidney disease or CVD. Also considers cost of medications and side effects, including impact on weight and risk of hypoglycemia.

Section 10 – Cardiovascular Disease and Risk Management: For the first time, this section is endorsed by the American Heart Association. New focus on individualizing B/P goals based on assessment. Aspirin recommendations updated.

Section 12 – Older Adults: This section, has more information on MNT and a helpful chart to help simplify insulin regimens.

Section 13 – Children and Adolescents: New information focuses on unique characteristics of type 1 and type 2 in kids and unique challenges facing youth. Also includes treatment approaches to new diabetes in youth.

Section 14 – Management of Diabetes in Pregnancy: This section provides a greater emphasis on insulin as preferred treatment during pregnancy.

Section 15 – Diabetes Care in Hospital: Encourages more consultation with inpatient diabetes specialists.

Section 16 – Diabetes Advocacy: Added information on improving insulin access and affordability.

To hear a more detailed review and gain insights on how to apply the changes to your clinical setting. Please join our “Standards of Care Update Webinar” on January 24th, 2019 at 11:30 – 1:00pm PST. Earn 1.5 CEs and get ready to lead the charge to implement best care practices for the New Year.