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ADA Issues Updated Recommendations for Diabetes

Position statement addresses screening, diagnosis, prevention and treatment

WEDNESDAY, Jan. 2 (HealthDay News) -- The American Diabetes Association (ADA) has issued an updated position statement containing key recommendations for the screening, diagnosis, prevention and treatment of diabetes and its complications, published in a supplement to the January issue of Diabetes Care.

The position statement, which is updated annually, represents official ADA opinion, and is meant to provide an evidence-based approach to the management of the disease. All recommendations were reviewed and approved by the ADA's Professional Practice Committee and Executive Committee of the Board of Directors.

The ADA recommends screening for pre-diabetes and diabetes in all individuals over 45 as well as in overweight adults with additional risk factors, including family history of diabetes, physical inactivity, high-risk ethnic background, hypertension, coronary artery disease, dyslipidemia, or history of gestational diabetes. The recommendations also cover lifestyle modifications and medical therapy for the treatment of diabetes, and review evidence-based strategies to prevent and manage the complications of diabetes.

"The implementation of the standards of care for diabetes has been suboptimal in most clinical settings. A recent report indicated that only 37 percent of adults with diagnosed diabetes achieved an A1C of less than 7 percent, only 36 percent had a blood pressure below 130/80 mm Hg, and just 48 percent had a cholesterol level under 200 mg/dL. Most distressing was that only 7.3 percent of people with diabetes achieved all three treatment goals," the authors write.

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