Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers

Abstract

American Diabetes AssociationThe American Diabetes Association's (ADA's) Standards of Medical Care in Diabetes (the Standards) is updated and published annually in a supplement to the January issue of Diabetes Care.The Standards are developed by the ADA's multidisciplinary Professional Practice Committee, which comprises expert diabetes health care professionals.The Standards include the most current evidence-based recommendations for diagnosing and treating adults and children with all forms of diabetes.ADA's grading system uses A, B, C, or E to show the evidence level that supports each recommendation.A-Clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered B-Supportive evidence from well-conducted cohort studies C-Supportive evidence from poorly controlled or uncontrolled studies E-Expert consensus or clinical experience This is an abridged version of the current Standards of Care containing the evidence-based recommendations most pertinent to primary care.The recommendations, tables, and figures included here retain the same numbering used in the complete Standards.All of the recommendations included here are substantively the same as in the complete Standards.The abridged version does not include references.The complete 2022 Standards of Care, including all supporting references, is available at professional.diabetes.org/standards.*After the onset of puberty or after 10 years of age, whichever occurs earlier.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.Reports of type 2 diabetes before age 10 years exist, and this can be considered with numerous risk factors.