Standards of Medical Care in Diabetes—2007

American Diabetes Association

doi:10.2337/dc07-s004

Cited by 1,190Diabetes Management and ResearchDiabetes Management and EducationDiabetes Treatment and Management

Standards of Medical Care in Diabetes—2007

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American Diabetes Association·2007·Diabetes Care

DOI 10.2337/dc07-s004

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Abstract

GESTATIONAL DIABETES MELLITUS, p. S7 IV.PREVENTION/DELAY OF TYPE 2 DIABETES, p. S7 V. DIABETES CARE, p. S8 A. Initial evaluation B. Management C. Glycemic control 1. Assessment of glycemic control a. Self-monitoring of blood glucose b.A1C 2. Glycemic goals 3. Approach to treatment D. Medical nutrition therapy E. Diabetes self-management education F. Physical activity G. Psychosocial assessment and care H. Referral for diabetes management I. Intercurrent illness

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Intensified multifactorial intervention with tight glucose regulation and the use of renin-angiotensin system blockers, aspirin, and lipid-lowering agents has been shown to reduce the risk of nonfatal cardiovascular disease among patients with type 2 diabetes mellitus and microalbuminuria.
“Intensified multifactorial intervention -with tight glucose regulation and the use of renin-angiotensin system blockers, aspirin, and lipid-lowering agents -has been shown to reduce the risk of nonfatal cardiovascular disease among patients with type 2 diabetes mellitus and microalbuminuria.”
From Effect of a multifactorial intervention on mortality in type 2 diabetes (2008) · cites this paper as [10]
The CVD section (page unavailable) says reducing cardiovascular risk factors can prevent or slow CVD and reports cardiovascular benefits from lipid-lowering and blood-pressure treatment. The antiplatelet section also reports that aspirin helps prevent cardiovascular events. The copy does not establish that the specified combined intervention reduced nonfatal CVD specifically in patients with type 2 diabetes and microalbuminuria. (LLM, conf=0.84)
Experimental — accuracy not yet measured
The risk of vascular complications was reduced by about half in the Steno-2 Study during an average of 7.8 years of intensified multitarget intervention aimed at concomitant risk factors.
“Furthermore, the risk of vascular complications was reduced by about half in the Steno-2 Study, our previous prospective, randomized, open-label, blinded trial, during an average of 7.8 years of intensified multitarget intervention aimed at concomitant risk factors.10”
From Effect of a multifactorial intervention on mortality in type 2 diabetes (2008) · cites this paper as [10]
The Glycemic goals section discusses intensive treatment and vascular complications in other studies, but it does not report the Steno-2 result. Searches of our copy for Steno, 7.8 years, and multifactorial intervention found no passage giving the claimed duration or approximately halved risk. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Few serious adverse effects were reported during regular interviews with patients.
“However, few serious adverse effects were reported during regular interviews with patients.10,12”
From Effect of a multifactorial intervention on mortality in type 2 diabetes (2008) · cites this paper as [10]
The ‘C. Older individuals’ section discusses the risk of serious adverse effects from hypoglycemia, but does not report how many adverse effects occurred. Searches for regular patient interviews and reports of few serious adverse effects found no passage addressing either point. (LLM, conf=0.76)
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Authors: American Diabetes Association
Corresponding author: American Diabetes Association
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 2007-01-01
Volume: 30
Issue: suppl_1
Pages: S4-S41
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/dc07-s004
OpenAlex: W4210559565
Cited by: 1,190
References: 41
Citations by year: 2026: 4 · 2025: 5 · 2024: 14 · 2023: 13 · 2022: 22 · 2021: 23 · 2020: 30 · 2019: 25 · 2018: 28 · 2017: 24 · 2016: 37 · 2015: 31 · 2014: 43 · 2013: 52 · 2012: 64
FWCI: 137.34
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Diabetes Care (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords: diabetes mellitus, gestational diabetes mellitus, type 2 diabetes prevention, glycemic control, glycemic targets, HbA1c, self-monitoring of blood glucose, medical nutrition therapy, diabetes self-management education, physical activity, psychosocial assessment, intercurrent illness, diabetes management
MeSH terms: Adolescent, Adult, Child, Diabetes Mellitus, Diabetes Mellitus, Type 2, Female, Health Services, Humans, Male, Pregnancy, Quality of Health Care, Societies, Medical, United States, Voluntary Health Agencies, Age of Onset

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