Prevention or Delay of Type II Diabetes: Difference between revisions
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==2016 ADA Standards of Medical Care in Diabetes Guidelines== | |||
Regarding [[diabetes mellitus type 2 primary prevention]], the ADA [[clinical practice guideline]] provides suggestions. | |||
==2016 ADA Standards of Medical Care in Diabetes Guidelines<ref name="urlcare.diabetesjournals.org">{{cite web |url=http://care.diabetesjournals.org/content/suppl/2015/12/21/39.Supplement_1.DC2/2016-Standards-of-Care.pdf |title=care.diabetesjournals.org |format= |work= |accessdate=}}</ref>== | |||
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| bgcolor="Seashell"|<nowiki>"</nowiki>'''1.''' | | bgcolor="Seashell"|<nowiki>"</nowiki>'''1.''' Patients with prediabetes should be referred to an intensive diet and physical activity behavioral counseling program adhering to the tenets of the Diabetes Prevention Program (DPP) targeting a loss of 7% of body weight and should increase their moderate-intensity physical activity (such as brisk walking) to at least 150 min/week. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: A]])''<nowiki>"</nowiki> | ||
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| bgcolor="Seashell"|<nowiki>"</nowiki>'''2.''' | | bgcolor="Seashell"|<nowiki>"</nowiki>'''2.''' Follow-up counseling and maintenance programs should be offered for long- term success in preventing diabetes. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: B]])''<nowiki>"</nowiki> | ||
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| bgcolor="Seashell"|<nowiki>"</nowiki>'''3.''' | | bgcolor="Seashell"|<nowiki>"</nowiki>'''3.''' Based on the cost-effectiveness of diabetes prevention, such programs should be covered by third-party payers. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: B]])''<nowiki>"</nowiki> | ||
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| bgcolor="Seashell"|<nowiki>"</nowiki>'''4.''' | | bgcolor="Seashell"|<nowiki>"</nowiki>'''4.''' Metformin therapy for prevention of type 2 diabetes should be considered in those with prediabetes, especially in those with BMI >35 kg/m2, those aged <60 years, and women with prior gestational diabetes mellitus. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: A]])''<nowiki>"</nowiki> | ||
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| bgcolor="Seashell"|<nowiki>"</nowiki>'''5.''' | | bgcolor="Seashell"|<nowiki>"</nowiki>'''5.''' At least annual monitoring for the development of diabetes in those with prediabetes is suggested. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: E]])''<nowiki>"</nowiki> | ||
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| bgcolor="Seashell"|<nowiki>"</nowiki>'''6.''' Screening for and treatment of modifiable risk factors for cardiovascular dis- ease is suggested. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: B]])''<nowiki>"</nowiki> | |||
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| bgcolor="Seashell"|<nowiki>"</nowiki>'''7.''' Diabetes self-management education and support programs are appropriate venues for people with prediabetes to receive education and support to de- velop and maintain behaviors that can prevent or delay the onset of diabetes. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: B]])''<nowiki>"</nowiki> | |||
|- | |||
| bgcolor="Seashell"|<nowiki>"</nowiki>'''8.''' Technology-assisted tools including Internet-based social networks, distance learning, DVD-based content, and mobile applications can be useful elements of effective lifestyle modification to prevent diabetes. ''([[American Diabetes Association#Evidence Grading System|Level of Evidence: B]])''<nowiki>"</nowiki> | |||
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Latest revision as of 13:14, 5 December 2017
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2016 ADA Guideline Recommendations |
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Types of Diabetes Mellitus |
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2016 ADA Standard of Medical Care Guideline Recommendations |
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Cardiovascular Disease and Risk Management |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]; Tarek Nafee, M.D. [3]
Regarding diabetes mellitus type 2 primary prevention, the ADA clinical practice guideline provides suggestions.
2016 ADA Standards of Medical Care in Diabetes Guidelines[1]
| "1. Patients with prediabetes should be referred to an intensive diet and physical activity behavioral counseling program adhering to the tenets of the Diabetes Prevention Program (DPP) targeting a loss of 7% of body weight and should increase their moderate-intensity physical activity (such as brisk walking) to at least 150 min/week. (Level of Evidence: A)" |
| "2. Follow-up counseling and maintenance programs should be offered for long- term success in preventing diabetes. (Level of Evidence: B)" |
| "3. Based on the cost-effectiveness of diabetes prevention, such programs should be covered by third-party payers. (Level of Evidence: B)" |
| "4. Metformin therapy for prevention of type 2 diabetes should be considered in those with prediabetes, especially in those with BMI >35 kg/m2, those aged <60 years, and women with prior gestational diabetes mellitus. (Level of Evidence: A)" |
| "5. At least annual monitoring for the development of diabetes in those with prediabetes is suggested. (Level of Evidence: E)" |
| "6. Screening for and treatment of modifiable risk factors for cardiovascular dis- ease is suggested. (Level of Evidence: B)" |
| "7. Diabetes self-management education and support programs are appropriate venues for people with prediabetes to receive education and support to de- velop and maintain behaviors that can prevent or delay the onset of diabetes. (Level of Evidence: B)" |
| "8. Technology-assisted tools including Internet-based social networks, distance learning, DVD-based content, and mobile applications can be useful elements of effective lifestyle modification to prevent diabetes. (Level of Evidence: B)" |
Refrences
- ↑ "care.diabetesjournals.org" (PDF).