American Diabetes Association | Standards of Medical Care in Diabetes – 2017

Filed under Consensus (a)


Standards of Medical Care in Diabetes—2017

S1 Introduction

S3 Professional Practice Committee

S4 Standards of Medical Care in Diabetes—2017:

Summary of Revisions

S6 1. Promoting Health and Reducing Disparities in Populations

Diabetes and Population Health

Tailoring Treatment to Reduce Disparities

S11 2. Classification and Diagnosis of Diabetes

Classification Diagnostic Tests for Diabetes

Categories of Increased Risk for Diabetes (Prediabetes)

Type 1 Diabetes

Type 2 Diabetes

Gestational Diabetes Mellitus

Monogenic Diabetes Syndromes

Cystic Fibrosis–Related Diabetes

Posttransplantation Diabetes Mellitus

S25 3. Comprehensive Medical Evaluation and Assessment of Comorbidities

Patient-Centered Collaborative Care

Comprehensive Medical Evaluation

Assessment of Comorbidities

S33 4. Lifestyle Management

Diabetes Self-management Education and Support

Nutrition Therapy

Physical Activity

Smoking Cessation: Tobacco and e-Cigarettes

Psychosocial Issues

S44 5. Prevention or Delay of Type 2 Diabetes

Lifestyle Interventions

Pharmacologic Interventions

Prevention of Cardiovascular Disease

Diabetes Self-management Education and Support

S48 6. Glycemic Targets

Assessment of Glycemic Control

A1C Testing

A1C Goals


Intercurrent Illness

S57 7. Obesity Management for the Treatment of Type 2 Diabetes

Diet, Physical Activity, and Behavioral Therapy


Metabolic Surgery

S64 8. Pharmacologic Approaches to Glycemic Treatment

Pharmacologic Therapy for Type 1 Diabetes

Pharmacologic Therapy for Type 2 Diabetes

S75 9. Cardiovascular Disease and Risk


Hypertension/Blood Pressure Control
Lipid Management

Antiplatelet Agents

Coronary Heart Disease

S88 10. Microvascular Complications and Foot Care

Diabetic Kidney Disease

Diabetic Retinopathy


Foot Care

S99 11. Older Adults

Neurocognitive Function


Treatment Goals

Pharmacologic Therapy

Treatment in Skilled Nursing Facilities and Nursing Homes

End-of-Life Care

S105 12. Children and Adolescents

Type 1 Diabetes

Type 2 Diabetes

Transition From Pediatric to Adult Care

S114 13. Management of Diabetes in Pregnancy

Diabetes in Pregnancy

Preconception Counseling

Glycemic Targets in Pregnancy

Management of Gestational Diabetes Mellitus

Management of Preexisting Type 1 Diabetes

and Type 2 Diabetes in Pregnancy

Postpartum Care

Pregnancy and Drug Considerations

S120 14. Diabetes Care in the Hospital

Hospital Care Delivery Standards

Glycemic Targets in Hospitalized Patients

Bedside Blood Glucose Monitoring

Antihyperglycemic Agents in Hospitalized



Medical Nutrition Therapy in the Hospital

Self-management in the Hospital

Standards for Special Situations

Transition From the Acute Care Setting

Preventing Admissions and Readmissions

S128 15. Diabetes Advocacy

Advocacy Position Statements

S130 Professional Practice Committee Disclosures

S132 Index

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