Diabetes Technology: Review of the 2019 American Diabetes Association Standards of Medical Care in Diabetes

Ann Intern Med. 2019 Sep 17;171(6):415-420. doi: 10.7326/M19-1638. Epub 2019 Aug 13.

Abstract

Description: The American Diabetes Association (ADA) annually updates its Standards of Medical Care in Diabetes to provide clinicians, patients, researchers, payers, and other interested parties with evidence-based recommendations for the diagnosis and management of patients with diabetes.

Methods: The ADA Professional Practice Committee comprises physicians, adult and pediatric endocrinologists, diabetes educators, registered dietitians, epidemiologists, pharmacists, and public health experts. To develop the 2019 standards, the committee continuously searched MEDLINE through November 2018 to consider and review studies, particularly high-quality trials including persons with diabetes, for potential incorporation into recommendations. It also solicited feedback from the larger clinical community.

Recommendations: This synopsis focuses on selected guidance relating to use of diabetes technology in adults with diabetes. Recommendations address self-monitoring of blood glucose, continuous glucose monitors, and automated insulin delivery systems.

Publication types

  • Practice Guideline

MeSH terms

  • Blood Glucose / analysis*
  • Blood Glucose Self-Monitoring*
  • Diabetes Complications / prevention & control
  • Diabetes Mellitus / therapy*
  • Disease Management
  • Humans
  • Hypoglycemic Agents / administration & dosage*
  • Insulin / administration & dosage*
  • Insulin Infusion Systems*
  • United States

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Insulin