ada 1 Flashcards
What is the purpose of the American Diabetes Association’s Standards of Care?
To provide clinicians and researchers with recommendations for the management of diabetes and its associated complications.
Who is the target audience for the Standards of Care?
Clinicians, researchers, and healthcare professionals.
Who is the target audience for the Standards of Care?
Clinicians, researchers, and healthcare professionals.
Who is the target audience for the Standards of Care?
Clinicians, researchers, and healthcare professionals.
What age groups do the recommendations in the Standards of Care cover?
Youth (birth to 11 years), adolescents (12-17 years), adults (18-64 years), and older adults (65 years and above).
What age groups do the recommendations in the Standards of Care cover?
Youth (birth to 11 years), adolescents (12-17 years), adults (18-64 years), and older adults (65 years and above).
Describe the scope of the Standards of Care.
The Standards of Care covers the prevention, screening, diagnosis, and management of diabetes and its associated complications and comorbidities.
What is the role of diabetes self-management education and support according to the Standards of Care?
It is critical in empowering individuals with diabetes, preventing acute complications, and reducing the risk of long-term complications.
What is the role of diabetes self-management education and support according to the Standards of Care?
It is critical in empowering individuals with diabetes, preventing acute complications, and reducing the risk of long-term complications.
Where can more information on the ‘Living Standards’ be found?
On the ADA professional website DiabetesPro at professional.diabetes.org/content-page/living-standards.
What types of diabetes does the Standards of Care cover?
Type 1 diabetes, type 2 diabetes, gestational diabetes mellitus, and other types of diabetes.
What is the recommended approach for improving diabetes outcomes according to the Standards of Care?
There is significant evidence supporting a range of interventions to improve diabetes outcomes.
What is the target audience for the Standards of Care?
Primary care physicians, endocrinologists, nurse practitioners, pharmacists, dietitians, and diabetes care and education specialists.
Describe the purpose of the Standards of Care.
To provide guidance and recommendations for the management of diabetes and its complications.
What healthcare professionals are included in the target audience for the Standards of Care?
Cardiologists, nephrologists, emergency physicians, internists, pediatricians, psychologists, neurologists, ophthalmologists, and podiatrists.
How are potential conflicts of interest evaluated during the appointment process?
They are evaluated by a designated review group and, if necessary, the Legal Affairs Division of the ADA.
Define the role of diabetes care and education specialists in diabetes management.
They provide specialized care, education, and support for individuals with diabetes.
What is the ADA evidence-grading system for Standards of Care in Diabetes?
Table 1-ADA evidence-grading system for Standards of Care in Diabetes
How are systematic literature searches conducted for the Standards of Care in Diabetes?
Each subcommittee devises and executes systematic literature searches
Describe the level of evidence A in the ADA evidence-grading system.
Clear evidence from well-conducted, generalizable randomized controlled trials
What is the level of evidence B in the ADA evidence-grading system?
Supportive evidence from well-conducted cohort studies
Define level of evidence C in the ADA evidence-grading system.
Supportive evidence from poorly controlled or uncontrolled studies
Define level of evidence C in the ADA evidence-grading system.
Supportive evidence from poorly controlled or uncontrolled studies
Define level of evidence C in the ADA evidence-grading system.
Supportive evidence from poorly controlled or uncontrolled studies
What does level of evidence E represent in the ADA evidence-grading system?
Expert consensus or clinical experience
What does level of evidence E represent in the ADA evidence-grading system?
Expert consensus or clinical experience
What does level of evidence E represent in the ADA evidence-grading system?
Expert consensus or clinical experience
How are the final evidence summaries and recommendations for the Standards of Care in Diabetes developed?
All PPC members discuss and review the evidence summaries and make revisions as appropriate
What is the revision process for the Standards of Care in Diabetes?
The final evidence summaries are deliberated on by the PPC, and the recommendations are drafted
What is a consensus report?
A consensus report represents expert opinion and is produced under the auspices of the ADA by invited experts.
Describe a scientific review.
A scientific review is a balanced review and analysis of the literature on a scientific or medical topic related to diabetes.
What is the purpose of ADA Statements, Consensus Reports, and Scientific Reviews?
They support the recommendations included in the ADA Standards of Care and provide a scientific rationale for clinical practice recommendations.
Who develops the ADA Standards of Care?
The ADA develops the Standards of Care and it is an essential resource for healthcare professionals caring for people with diabetes.
Who develops the ADA Standards of Care?
The ADA develops the Standards of Care and it is an essential resource for healthcare professionals caring for people with diabetes.
Who develops the ADA Standards of Care?
The ADA develops the Standards of Care and it is an essential resource for healthcare professionals caring for people with diabetes.
What does the annual Standards of Care supplement to Diabetes Care contain?
It contains the official ADA position and provides all of the ADA’s current clinical practice recommendations.
Who authors the annual Standards of Care supplement to Diabetes Care?
The ADA authors the supplement and it contains the official ADA position.
What is the role of the ADA in developing diabetes care clinical practice recommendations?
The ADA has been actively involved in developing and disseminating diabetes care clinical practice recommendations for more than 30 years.
What is the role of the ADA in developing diabetes care clinical practice recommendations?
The ADA has been actively involved in developing and disseminating diabetes care clinical practice recommendations for more than 30 years.
Describe the purpose of a scientific review.
A scientific review provides a balanced review and analysis of the literature on a scientific or medical topic related to diabetes.
Describe the general changes made in the 2023 Standards of Care.
The 2023 Standards of Care include revisions to incorporate person-first and inclusive language, as well as additional language and definitions regarding digital health, telehealth, and telemedicine.
What is the recommendation added in Section 1 regarding A1C testing?
Recommendation 2.1b was added to address the utility of point-of-care A1C testing for diabetes screening and diagnosis.
How does the 2023 Standards of Care address the use of community health workers?
Recommendation 1.7 was added to address the use of community health workers to support the management of diabetes and cardiovascular risk factors, especially in underserved communities and health care systems.
Define telehealth and telemedicine in the context of the 2023 Standards of Care.
Telehealth and telemedicine are modalities of care delivery that are discussed in the 2023 Standards of Care, highlighting their benefits and the role they play in addressing social determinants of health.
What was added to Section 5 of the Diabetes Care Volume 46, Supplement 1?
Recommendation 3.13
What changes were made to the title of the content?
It was changed to be inclusive of strength-based language
What was added to the Diabetes Self-Management Education and Support subsection?
Addressing social determinants of health
What changes were made in the immunizations subsection?
Reflecting new indications and guidance, particularly for COVID-19 and pneumococcal pneumonia vaccinations
What was added to Recommendation 6.5b in the Glycemic Targets section?
Outline for those with frailty or at high risk of hypoglycemia
What was added to the nutrition section?
Screening for food insecurity by any members of the health care team
What section incorporates more information on Nonalcoholic Fatty Liver Disease (NAFLD)?
The subsection on NAFLD
What was included in the ‘Eating Patterns and Meal Plan’ section?
A section on intermittent fasting and time-restricted eating
What is the recommended LDL cholesterol goal for individuals with diabetes and established atherosclerotic cardiovascular disease?
The recommended LDL cholesterol goal is a reduction of 50% from baseline and an LDL cholesterol goal of mg/dL.
What is the recommended LDL cholesterol goal for individuals with diabetes and established atherosclerotic cardiovascular disease?
The recommended LDL cholesterol goal is a reduction of 50% from baseline and an LDL cholesterol goal of mg/dL.
What is the recommended LDL cholesterol goal for individuals with diabetes and established atherosclerotic cardiovascular disease?
The recommended LDL cholesterol goal is a reduction of 50% from baseline and an LDL cholesterol goal of mg/dL.
Describe the benefits of early initiation of real-time CGM in children and adults with diabetes.
Early initiation of real-time CGM in children and adults with diabetes has been shown to have benefits on glycemic outcomes.
What is the recommendation for weight management in individuals with type 2 diabetes?
Weight management is recommended as an impactful component of glucose-lowering management in type 2 diabetes.
How should the treatment plan for individuals with diabetes and chronic kidney disease or atherosclerotic cardiovascular disease be approached?
The treatment plan should include agents that reduce cardiorenal risk and factors, aiming to reduce LDL cholesterol by 50% of baseline.
How should the treatment plan for individuals with diabetes and chronic kidney disease or atherosclerotic cardiovascular disease be approached?
The treatment plan should include agents that reduce cardiorenal risk and factors, aiming to reduce LDL cholesterol by 50% of baseline.
Define connected pens and their role in diabetes management.
Connected pens are pens that can be paired with smart pen caps or other devices to provide additional features and data for diabetes management.