WHY THIS MATTERS The ADA standards of care aimed to provide clinicians, researchers, policy makers, and other interested individuals with: The components of diabetes care General treatment goals Tools to evaluate the quality of care This section of ADA standards of care provided recommendations focusing glycemic targets.
The American Diabetes Association (ADA) Standards of Care in Diabetes in-cludes the ADAs current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guide-lines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for up ... 6. Glycemic Targets: Standards of Care in Diabetes-2023. Nuha A ElSayed, Grazia Aleppo, Vanita R Aroda, Raveendhara R Bannuru, Florence M Brown, Dennis Bruemmer, Billy S Collins, Marisa E Hilliard, Diana Isaacs, Eric L Johnson, Scott Kahan, Kamlesh Khunti, Jose Leon, Sarah K Lyons, Mary Lou Perry, Priya Prahalad, Richard E Pratley, Jane Jeffrie Seley, Robert C Stanton, Robert A Gabbay, on ... What glycemic measures are used in ADA standards of care? ElSayed NA, et al. Diabetes Care. 2023;46(Suppl 1):S97-S110. This section of ADA standards of care focused on glycemic targets. Useful tool for self-management and key in achieving glycemic targets Glycemic control is assessed by A1C measurement, CGM*, and BGM CGM metrics, TIR and GMI are useful for a more personalized diabetes management plan Should glycemic goals be set during consultations? Setting a glycemic goal during consultations is likely to improve patient outcomes. Diabetes is a long-term disease that worsens over time. Hence, a goal that might be appropriate for a person early in their diabetes journey might change over time. As patient factors change, A1C targets should be re-evaluated to balance the risks and benefits. What glycemia target should Ambulatory Glucose Profile/glucose management indicator be used for? 1b) If using ambulatory glucose profile/glucose management indicator to assess glycemia, a parallel goal for many nonpregnant adults is TIR of >70% with TBR 50%, TIR with <1% TBR is recommended. Does a high glycemic target correspond to A1C goals? In 2015, the ADA changed its preprandial glycemic target from 70130 mg/dL (3.97.2 mmol/L) to 80130 mg/dL (4.47.2 mmol/L). This change reflects the results of the ADAG study, which demonstrated that higher glycemic targets corresponded to A1C goals (14). merican Diabetes Association (ADA) published Standards of Care in Diabetes2023 (Standards of Care), comprehensive, evidence-based guidelines for the prevention, diagnosis, and treatment of diabetes.

