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
Hypoglycemia
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 

 Insulin Therapy :: Self-Monitoring and Continuous Monitoring of Blood Glucose     Updated recommendations are available. Click here. 

Recommendations Slides

Self-Monitoring of Blood Glucose (SMBG) 

  • Encourage for patients receiving multiple-dose insulin or insulin pump therapy     
    • At least prior to meals and snacks  
    • Occasionally postprandially  
    • At bedtime  
    • Prior to exercise  
    • When low blood glucose is suspected 
    • After treating low blood glucose until normoglycemic  
    • Prior to critical tasks (such as driving)  
  • Results may be useful for guiding treatment decisions and/or patient self-management for those using less frequent insulin injections or noninsulin therapies    
    • Provide ongoing instruction and regular evaluation of SMBG technique and results; data from SMBG may be used to adjust therapy   

 Continuous Glucose Monitoring (CGM)  

  • In selected adults (aged ≥25 yrs) with type 1 diabetes along with intensive insulin treatment regimens can be useful for A1C lowering   
    • May be useful among children, teens, and younger adults, although evidence for A1C lowering is less strong in these populations   
    • Success is related to adherence to ongoing use of the device 
  • May be a useful supplement to SMBG among patients with hypoglycemia unawareness and/or frequent hypoglycemic episodes  
 

ADA Guidelines: Glucose Monitoring (1 of 2) 

  

  

  

  

  

  

  

 

ADA Guidelines: Glucose Monitoring (2 of 2) 

 

 

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SMBG=self-monitoring of blood glucose 

January 2013 

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Last Modified: 3/13/2014

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