The American Diabetes Association's 83rd Scientific Sessions (#ADA2023), meeting will take place June 23-26, 2023 at San Diego Convention Center, San Diego, USA. E. See 7. E, 3.2 Refer adults with overweight/obesity at high risk of type 2 diabetes, as typified by the Diabetes Prevention Program (DPP), to an intensive lifestyle behavior change program to achieve and maintain a weight reduction of at least 7% of initial body weight through healthy reduced-calorie diet and 150 minutes/week of moderate-intensity physical activity. A list of the Centers for Disease Control and Preventionrecognized diabetes prevention lifestyle change programs is available (cdc.gov/diabetes/prevention/find-a-program.html). Reprinted from Holt RIG, DeVries JH, Hess-Fischl A, etal. B, 13.6 For older adults with type 2 diabetes on multiple daily doses of insulin, CGM should be considered to improve glycemic outcomes and decrease glucose variability. A People with diabetes should have uninterrupted access to their supplies to minimize gaps in CGM. 16.6 Basal insulin or a basal plus bolus correction insulin regimen is the preferred treatment for noncritically ill hospitalized patients with poor oral intake or those who are taking nothing by mouth. B, 11.4c An ACE inhibitor or an ARB is not recommended for the primary prevention of CKD in people with diabetes who have normal BP, normal UACR (<30 mg/g creatinine), and normal eGFR. Fifteen minutes after treatment, if BGM shows continued hypoglycemia, the treatment should be repeated. 2Tsapas A, Karagiannis T, Kakotrichi P, etal. Glycemic variability (%CV) target 36%, 6. The American Diabetes Association (ADA) "Standards of Care in Diabetes" includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. A, 9.5 Metformin should be continued upon initiation of insulin therapy (unless contraindicated or not tolerated) for ongoing glycemic and metabolic benefits. Framework for Considering Treatment Goals for Glycemia, BP, and Dyslipidemia in Older Adults With Diabetes. Such programs need to provide pathways for timely referral for a comprehensive eye examination when indicated. E, 14.64 Less stringent A1C goals (such as 7.5% [58 mmol/mol]) may be appropriate if there is an increased risk of hypoglycemia. The choice of device should be made based on the individuals circumstances, preferences, and needs. CVOT, cardiovascular outcomes trial; GIP, gastric inhibitory polypeptide; GLP-1 RA, glucagon-like peptide 1 receptor agonist; NASH, nonalcoholic steatohepatitis; SQ, subcutaneous; T2DM, type 2 diabetes mellitus. Diabetes Management Curriculum Design for Inpatient Nurses: Where to Start and Where to Stop? Raghu Mirmira, MD, PhD, Professor of Medicine (Endocrinology, Diabetes & Metabolism) and Vice Chair for Translational Research, has been named as the recipient of the 2023 Albert Renold Award by the American Diabetes Association (ADA) in recognition of his outstanding achievements in the training and mentorship of diabetes research scientists and in the development of communities of scientists . CKD is staged as detailed in Figure 11.1 in the complete 2023 Standards of Care. Metformin and glyburide should not be used as first-line agents, as both cross the placenta to the fetus. If you are a solo traveler or individual attendee planning to attend the ADA 2023, we ensure to Reprinted from Davies MJ, Aroda VR, Collins BS, etal. Strict glucose and BP control are not necessary E, and simplification of regimens can be considered. A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations. A, 14.74 Use of medications not approved by the FDA for youth with type 2 diabetes is not recommended outside of research trials. B Examples include walking, yoga, housework, gardening, swimming, and dancing. The diagnosis may become more obvious over time and should be reevaluated if there is concern. E, 10.18 For people with diabetes aged 4075 years without ASCVD, use moderate-intensity statin therapy in addition to lifestyle therapy. B, 3.10 In people with a history of stroke and evidence of insulin resistance and prediabetes, pioglitazone may be considered to lower the risk of stroke or myocardial infarction (MI). B, 12.27 Refer individuals who smoke and have a history of prior lower-extremity complications, loss of protective sensation, structural abnormalities, or PAD to foot care specialists for ongoing preventive care and lifelong surveillance. B. C, 10.20 For people with diabetes aged 4075 at higher CV risk, including those with one or more ASCVD risk factors, it is recommended to use high-intensity statin therapy to reduce LDL cholesterol by 50% of baseline and to target an LDL cholesterol goal of <70 mg/dL. In the setting of an individual whose diabetes is partially or wholly managed by someone else (e.g., a young child or a person with cognitive impairment or dexterity, psychosocial, and/or physical limitations), the caregivers skills and preferences are integral to the decision-making process. More than 100 new or revised recommendations have been made in various areas of diabetes care to consider advances in technology, medication, and social variables that may contribute to the disease. In addition, diabetes in pregnancy may increase the risk of obesity, hypertension, and type 2 diabetes in offspring later in life. B Prolonged sitting should be interrupted every 30 minutes for blood glucose benefits. B, 15.30 Postpartum care should include psychosocial assessment and support for self-care. Additionally, a patients health status and preferences may change over time. A, 12.24 Obtain a prior history of ulceration, amputation, Charcot foot, angioplasty or vascular surgery, cigarette smoking, retinopathy, and renal disease and assess current symptoms of neuropathy (pain, burning, numbness) and vascular disease (leg fatigue, claudication). C. Essential to achieving diabetes treatment goals are DSMES, medical nutrition therapy (MNT), routine physical activity, tobacco cessation counseling when needed, health behavior counseling, and psychosocial care. Additional weight loss usually results in further improvements in the management of diabetes and CV risk. A, 10.47 In people with type 2 diabetes with stable HF, metformin may be continued for glucose lowering if eGFR remains >30 mL/min/1.73 m2 but should be avoided in unstable or hospitalized individuals with HF. Any member of the health care team can screen for food insecurity using The Hunger Vital Sign. Venue Information: Get ready for San Diego, USA.! Additionally, time below range (TBR) and time above range (TAR) are useful parameters for the evaluation of the treatment plan (Table 6.2). This algorithm for the comprehensive management of persons with type 2 diabetes (T2D) was developed to provide clinicians with a practical guide that considers the whole patient, his or her spectrum of risks and complications, and evidence-based approaches to treatment. C, Standardized CGM Metrics for Clinical Care. B, 10.12 For patients treated with an ACE inhibitor, ARB, or diuretic, serum creatinine/estimated glomerular filtration rate (eGFR) and serum potassium levels should be monitored at least annually. Testing should be considered in adults with overweight or obesity (BMI 25 kg/m, High-risk race/ethnicity (e.g., African American, Latino, Native American, Asian American, Pacific Islander), Hypertension (130/80 mmHg or on therapy for hypertension), HDL cholesterol level <35 mg/dL (0.90 mmol/L) and/or a triglyceride level >250 mg/dL (2.82 mmol/L), Individuals with polycystic ovary syndrome, Other clinical conditions associated with insulin resistance (e.g., severe obesity, acanthosis nigricans). C. All HCPs should refer people with diabetes for individualized MNT provided by a registered dietitian nutritionist who is knowledgeable and skilled in providing diabetes-specific MNT. Pharmacologic Approaches to Glycemic Treatment, 12. B If one class is not tolerated, the other should be substituted. B, 15.23 Insulin resistance decreases dramatically immediately postpartum, and insulin requirements need to be evaluated and adjusted as they are often roughly half the prepregnancy requirements for the initial few days postpartum. C, 10.25 For people of all ages with diabetes and ASCVD, high-intensity statin therapy should be added to lifestyle therapy. Adapted from Davies MJ, Aroda VR, Collins BS, etal. B, 12.23 Individuals with evidence of sensory loss or prior ulceration or amputation should have their feet inspected at every visit. DIABETES CARE IN THE HOSPITAL in the complete 2023 Standards of Care for guidance on enteral/parenteral feedings, glucocorticoid therapy, perioperative care, and DKA and hyperosmolar hyperglycemic state. C, 7.5 Initiation of CGM, CSII, and/or AID early in the treatment of diabetes can be beneficial depending on a persons/caregivers needs and preferences. If tests are normal, repeat testing at a minimum of 3-year intervals (or more frequently if BMI is increasing or risk factor profile deteriorating) is recommended. B, 8.16 Obesity pharmacotherapy is effective as an adjunct to nutrition, physical activity, and behavioral counseling for selected people with type 2 diabetes and BMI 27 kg/m2. Presenting a clear Technological Perspective, Disclaimer: The website provides independent information to the visitors about event, venue, dates etc and suggest/book the best hotels and accommodation near the venue to attendees and are not directly associated with any Society. confidence and pride that radiates from the landmark features of San Diego and from the faces of A, 11.6 In people with CKD who have 300 mg/g urinary albumin, a reduction of 30% or greater in mg/g urinary albumin is recommended to slow CKD progression. B, 15.6 Individuals with preexisting type 1 or type 2 diabetes who are planning a pregnancy or who have become pregnant should be counseled on the risk of development and/or progression of DR. Dilated eye examinations should occur ideally before pregnancy or in the first trimester, and then pregnant individuals should be monitored every trimester and for 1 year postpartum as indicated by the degree of retinopathy and as recommended by the eye care HCP. Finerenone can reduce DKD, CV events, and HF hospitalization in people with advanced DKD, but it should be used with caution due to a risk of hyperkalemia. ARLINGTON, Va., March 14, 2023 /PRNewswire/ -- The American Diabetes Association (ADA) is thrilled to announce the recipients of the 2023 National Scientific and Health Care Achievement Awards . A, 3.3 A variety of eating patterns can be considered to prevent diabetes in individuals with prediabetes. C, 15.24 A contraceptive plan should be discussed and implemented with all people with diabetes of reproductive potential. A, Medications for Lowering Glucose, Summary of Characteristics. Ada 2023 Conference; Ada 2023 Annual Meeting; Ada 2023 Conference; Ada 2021 Guidelines; Ada 2023 Diabetes Guidelines; Terimakasih ya sob sudah mampir di blog kecil saya yang membahas tentang android apk . Shopping Cart Diabetes Obes Metab 2021;23:21162124. A, 8.17 If obesity pharmacotherapy is effective (typically defined as 5% weight loss after 3 months use), further weight loss is likely with continued use. 7.15 In people with diabetes on MDI or CSII, rtCGM devices should be used as close to daily as possible for maximal benefit. C. 5.33 Evaluate baseline physical activity and sedentary time. Guests may book their rooms online or by calling (407) 939-4686. A, 10.32 Statin plus niacin combination therapy has not been shown to provide additional CV benefit above statin therapy alone, may increase the risk of stroke with additional side effects, and is generally not recommended. A, 9.4c Pharmacologic approaches that provide adequate efficacy to achieve and maintain treatment goals should be considered, such as metformin or other agents, including combination therapy. B, 12.17 Symptoms and signs of autonomic neuropathy should be assessed in people with diabetes starting at diagnosis of type 2 diabetes and 5 years after the diagnosis of type 1 diabetes and at least annually thereafter and with evidence of other microvascular complications, particularly kidney disease and DPN. A, 8.21 People being considered for metabolic surgery should be evaluated for comorbid psychological conditions and social and situational circumstances that have the potential to interfere with surgery outcomes. Hotels in close proximity to the venue are available to book directly at special rates. The ADA Clinical Conference is designed specifically for primary care physicians, physician assistants, nurse practitioners, pharmacists, nurses, psychologists, dietitians, certified diabetes educators, and other health care professionals who care for patients with diabetes or those at risk for diabetes . This year's meeting will be held June 7-11, 2019, at the Moscone Center in San Francisco, California. B, 15.28 Individuals with a history of GDM should have lifelong screening for the development of type 2 diabetes or prediabetes every 13 years. Dipeptidyl peptidase 4 inhibitors are well tolerated. Key points included in standard AGP report. ACEi, ACE inhibitor; ACR, albumin-to-creatinine ratio; CVOT, cardiovascular outcomes trial; DPP-4i, dipeptidyl peptidase 4 inhibitor; GLP-1 RA, glucagon-like peptide 1 receptor agonist; HHF, hospitalization for heart failure; SGLT2i, sodium-glucose cotransporter 2 inhibitor; T2D, type 2 diabetes. A, 3.7 Long-term use of metformin may be associated with biochemical vitamin B12 deficiency; consider periodic measurement of vitamin B12 levels in metformin-treated individuals, especially in those with anemia or peripheral neuropathy. Denise Rismeyer, MSN, RN, NPD-BCNursing Education Specialist-Continuing Nursing Education ProgramAssistant Professor of Nursing, Mayo Clinic College of Medicine and ScienceDepartment of NursingMayo Clinic, Rochester, MN. 3.1 Monitor for the development of type 2 diabetes in those with prediabetes at least annually; modify based on individual risk/benefit assessment. Upon completion of this activity, participants should be able to: Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course. The patient characteristic categories are general concepts. Figure 9.3 and Table 9.2 provide details for informed decision-making on pharmacologic agents for type 2 diabetes. You won't want to miss the sessions 5.29 Most adults with type 1 diabetes C and type 2 diabetes B should engage in 150 minutes or more of moderate- to vigorous-intensity aerobic activity per week, spread over at least 3 days/week, with no more than 2 consecutive days without activity. A, 10.37 Combination therapy with aspirin plus low-dose rivaroxaban should be considered for individuals with stable CAD and/or PAD and low bleeding risk to prevent major adverse limb and CV events. 15.15 Insulin is the preferred medication for treating hyperglycemia in GDM. See Table 9.2 for general drug-specific factors, including adverse event information, for antihyperglycemic agents. 10.1 BP should be measured at every routine clinical visit. B. Glycemic control is assessed by the A1C measurement, continuous glucose monitoring (CGM) using time in range (TIR) and/or glucose management indicator (GMI), and blood glucose monitoring (BGM). Children with type 1 diabetes typically present with polyuria and polydipsia, and approximately half present with diabetic ketoacidosis (DKA). The Standards of Care is developed by the ADAs multidisciplinary Professional Practice Committee, which comprises expert diabetes health care professionals (HCPs). If the cancellation is made prior to the start of the activity, a refund less an administration fee of $25 will be issued. American Diabetes Association Releases 2023 Standards of Care in Diabetes to Guide Prevention, Diagnosis, and Treatment for People Living with Diabetes December 12, 2022 | Arlington, Virginia New guidelines include updates to recommendations around obesity, hypertension, heart failure medication, social determinants of health, and lipid management A, 11.5a For people with type 2 diabetes and DKD, use of an SGLT2 inhibitor is recommended to reduce CKD progression and CV events in patients with an eGFR 20 mL/min/1.73 m2 and urinary albumin 200 mg/g creatinine. 1Tsapas A, Avgerinos I, Karagiannis T, etal. This conference is offered in personEastern time zone, March 16-17, 2023 - Disney's Coronado Springs Resort - Orlando, FL - Eastern time zone. This congress centre has also played host to the annual meeting on multiple occasions, and repeat visitors will be familiar with its bright, open spaces, generous meeting rooms and superb location. team is here to ensure that we will make your stay perfect in the most luxurious hotels of Pharmacologic therapy should be guided by person-centered treatment factors, including comorbidities and treatment goals. A lower A1C goal may be set for an individual if achievable without recurrent or severe hypoglycemia or undue treatment burden. A, 11.5b For people with type 2 diabetes and DKD, use of an SGLT2 inhibitor is recommended to reduce CKD progression and CV events in patients with an eGFR 20 mL/min/1.73 m2 and urinary albumin ranging from normal to 200 mg/g creatinine. Any use of this site constitutes your agreement to the Terms of Use and Privacy Policy and Conditions of Use linked below. A, 10.39 In asymptomatic individuals, routine screening for CAD is not recommended as it does not improve outcomes as long as ASCVD risk factors are treated. Glucagon administration is not limited to HCPs. If oral medications are held in the hospital but will be reinstated after discharge, there should be a protocol for guiding resumption of home medications 12 days prior to discharge. B, 15.14 Lifestyle behavior change is an essential component of management of GDM and may suffice as treatment for many individuals. All sessions will include practical clinical guidance on the latest evidence and newest clinical practice recommendations. A, Review previous treatment and risk factor management in people with established diabetes. 1.5 Assess food insecurity, housing insecurity/homelessness, financial barriers, and social capital/social community support to inform treatment decisions, with referral to appropriate local community resources. Venue: San Diego Convention Center, San Diego, USA E, 7.2 When prescribing a device, ensure that people with diabetes/caregivers receive initial and ongoing education and training, either in-person or remotely, and ongoing evaluation of technique, results, and their ability to utilize data, including uploading/sharing data (if applicable), to monitor and adjust therapy. B, 13.18 Simplification of complex treatment plans (especially insulin) is recommended to reduce the risk of hypoglycemia and polypharmacy and decrease the burden of the disease if it can be achieved within the individualized A1C target. (See 10. Robert A. Gabbay; on behalf of the American Diabetes Association, 6. Learn how these standards continue to evolve. A, 9.7 The early introduction of insulin should be considered if there is evidence of ongoing catabolism (weight loss), if symptoms of hyperglycemia are present, or when A1C levels (>10% [86 mmol/mol]) or blood glucose levels (300 mg/dL [16.7 mmol/L]) are very high. the city's inhabitants as well. Hypertension, defined as a systolic BP 130 mmHg or a diastolic BP 80 mmHg, is common among people with either type 1 or type 2 diabetes. A, 10.10 Multiple-drug therapy is generally required to achieve BP targets. Postprandial glucose may be targeted if A1C goals are not met despite reaching preprandial glucose goals. Some studies suggest that lower %CV targets (<33%) provide additional protection against hypoglycemia for those receiving insulin or sulfonylureas. C, 3.11 In adults with overweight/obesity at high risk of type 2 diabetes, care goals should include weight loss or prevention of weight gain, minimizing the progression of hyperglycemia, and attention to CV risk and associated comorbidities. Assess weight trajectory to inform treatment considerations. Tour de Cure is the premier fundraising campaign of the American Diabetes Association , now with virtual engagement designed for anyone and everyone to participate. The presence of a single end-stage chronic illness, such as stage 34 HF or oxygen-dependent lung disease, CKD requiring dialysis, or uncontrolled metastatic cancer, may cause significant symptoms or impairment of functional status and significantly reduce life expectancy. The epidemiology, pathophysiology, developmental considerations, and response to therapy in pediatric-onset diabetes are different from adult diabetes. The 2023 ADA Diabetes Guidelines CEimpact Podcast Courses Every January, the American Diabetes Association publishes the Standards of Care in Diabetes. and a trip to San Diego offer visitors the chance to see what an American city can accomplish A Individuals with BP 180/110 mmHg and CVD could be diagnosed with hypertension at a single visit. Percentage of time CGM device is active (recommend 70% of data from 14 days), 5. The program will start on Friday, June 23 at 11:30 a.m., and conclude on Monday, June 26 at 12:15 p.m. Diabetes Nurse Update - What's New in the 2023 ADA Standards, Beverly Thomassian,RN, MPH, CDCES, BC-ADM, Nurse-Led Implementation ofCurrent ADA Recommendations Into Practice, Christine Aliory, APRN, MSN, AGCNS-BC, ONC, CURN;Marny Carlson, MS, RN, RN-BC; Michelle Perry, BSN, RN, CDCES; Melinda Leighton, RN, CDCES, Jada Hougen, MSN, RN, CDCES and Stacy Reiser, BSN, RN, CDCES, Diabetes and Patient Education - Strategies to Teach Adult Learners, More Than Physical: The Mental and Emotional Impact of Diabetes, Experts Weigh in On the AACEand ADA Guidelines, Omar El Kawkgi, MB, BCh, BAO and Kaitlin Yost, PharmD, BCACP, RPh. B, 10.35 Dual antiplatelet therapy (with low-dose aspirin and a P2Y12 inhibitor) is reasonable for a year after an acute coronary syndrome and may have benefits beyond this period. The safety and efficacy of noninsulin glucose-lowering therapies in the hospital setting is an area of active research. After the onset of puberty or after 10 years of age, whichever occurs earlier. A For patients on dialysis, higher levels of dietary protein intake should be considered since protein energy wasting is a major problem in some individuals on dialysis. So, pack your bags for ADA 2023. Search for other works by this author on: 2022 by the American Diabetes Association, Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. Impact of a Pharmacist-Led Diabetes Care Service for Hispanic Patients at a Free Medical Clinic, Personalized Virtual Care Using Continuous Glucose Monitoring in Adults With Type 2 Diabetes Treated With Less Intensive Therapies, Severe Hypoglycemia and the Use of Glucagon Rescue Agents: An Observational Survey in Adults With Type 1 Diabetes, Human Insulin as an Antidote to the High Cost of Insulin: Clinical Insignificance of Pharmacokinetic/Pharmacodynamic Differences, 1. Treatment for many individuals include walking, yoga, housework, gardening, swimming, and half... Loss or prior ulceration or amputation should have uninterrupted access to their supplies minimize! Device is active ( recommend 70 % of data from 14 days ), 5 and ASCVD, high-intensity therapy. Individual risk/benefit assessment without ASCVD, high-intensity statin therapy should be substituted Information... Not be used as first-line agents, as both cross the placenta to the Terms of Use and Privacy and. 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