Diabetes Management Guidelines

American Diabetes Association (ADA) 2013 Guidelines  


Updated recommendations are available. Click here. 

Source: American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care. 2013;36(suppl 1):S11-S66.  

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Criteria for Diagnosis
A1C Testing
Individualized Treatment Goals
Type 2 Diabetes Risk Factors
Lifestyle Changes
Type 2 Diabetes Treatment
Insulin Therapy
Diabetes Self-Management
Obesity Treatment
Diabetes and Hypertension
Diabetes and Lipids
Diabetes and Cardiovascular Disease 
Microvascular Complications of Diabetes
Foot Care
Diabetes in the Hospital
Diabetes and Quality of Life
Diabetes and Vaccines
Diabetes and Children
Diabetes and Pregnancy
Diabetes and Older Adults
Diabetes and Cystic Fibrosis
Type 1 Diabetes Screening and Insulin Therapy 

 Diabetes and Children     Updated recommendations are available. Click here. 

Recommendations Slides
  • Consider testing for type 2 diabetes in children (aged ≤18 yrs) who are overweight* and have ≥2 of any of the following risk factors  
    • Family history of type 2 diabetes in first- or second-degree relative 
    • Race/ethnicity (Native American, African American, Latino, Asian American, Pacific Islander) 
    • Signs of insulin resistance or conditions associated with insulin resistance (eg, acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome, or small-for-gestational-age birth weight) 
    • Maternal history of diabetes or GDM during child’s gestation 
  • Begin testing at age 10 yrs or onset of puberty (if occurs at age<10 yrs) 
  • Test every 3 yrs  
  • Diabetes or prediabetes  
    • Encourage physical activity ≥60 min/day 
  • Consider age when setting glycemic goals for type 1 diabetes 
  • Screen for and manage the following complications in children and adolescents with type 1 diabetes 
    • Nephropathy 
    • Hypertension 
    • Dyslipidemia 
    • Retinopathy 
    • Celiac disease 
    • Hypothyroidism 
  • Provide support and links to resources as individuals transition from pediatric to adult care 
*BMI >85th percentile for age and sex, weight for height >85th percentile, or weight >120% ideal for height 


ADA Guidelines: Criteria for Type 2 Diabetes Testing in Asymptomatic Children 







ADA Guidelines: Children and Adolescents 


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BMI=body mass index; GDM=gestational diabetes mellitus 

January 2013 

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Last Modified: 3/13/2014

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