Cited by 4,369Diabetes Management and ResearchDiabetes Management and EducationDiabetes Treatment and Management

Standards of medical care in diabetes—2013

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American Diabetes Association·2013·Diabetes Care

Abstract

Table 7dComponents of the comprehensive diabetes evaluation Medical history c Age and characteristics of onset of diabetes (e.g., DKA, asymptomatic laboratory finding) c Eating patterns, physical activity habits, nutritional status, and weight history; growth and development in children and adolescents c Diabetes education history c Review of previous treatment regimens and response to therapy (A1C records) c Current treatment of diabetes, including medications, medication adherence and barriers thereto, meal plan, physical activity patterns, and readiness for behavior change c Results of glucose monitoring and patient's use of data c DKA frequency, severity, and cause c Hypoglycemic episodes c Hypoglycemia awareness c Any severe hypoglycemia: frequency and cause c History of diabetes-related complications c Microvascular: retinopathy, nephropathy, neuropathy (sensory, including history of foot lesions; autonomic, including sexual dysfunction and gastroparesis) c Macrovascular: CHD, cerebrovascular disease, and PAD c Other: psychosocial problems*, dental disease* Physical examination c Height, weight, BMI c Blood pressure determination, including orthostatic measurements when indicated c Fundoscopic examination* c Thyroid palpation c Skin examination (for acanthosis nigricans and insulin injection sites) c Comprehensive foot examination c Inspection c Palpation of dorsalis pedis and posterior tibial pulses c Presence/absence of patellar and Achilles reflexes c Determination of proprioception, vibration, and monofilament sensation Laboratory evaluation c A1C, if results not available within past 2-3 months If not performed/available within past year c Fasting lipid profile, including total, LDL and HDL cholesterol and triglycerides c Liver function tests c Test for urine albumin excretion with spot urine albumin-to-creatinine ratio c Serum creatinine and calculated GFR c TSH in type 1 diabetes, dyslipidemia or women over age 50 years Referrals c Eye care professional for annual dilated eye exam c Family planning for women of reproductive age c Registered dietitian for MNT c DSME c Dentist for comprehensive periodontal examination c Mental health professional, if needed *See appropriate referrals for these categories.care.diabetesjournals.org

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  • Safe and effective alternatives to ACE inhibitors and angiotensin-receptor blockers for treating hypertension during pregnancy include methyldopa, labetalol, diltiazem, clonidine, and prazosin.

    “Safe and effective alternatives to ACE inhibitors and angiotensin-receptor blockers for treating hypertension during pregnancy include methyldopa, labetalol, diltiazem, clonidine, and prazosin (56).”

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  1. [17]17. Selvin E, Steffes MW, Zhu H, et al. Gly- cated hemoglobin, diabetes, and car- diovascular risk in nondiabetic adults. N Engl J Med 2010;362:800-811
  2. [32]32. Dabelea D, D'Agostino RB Jr, Mayer- Davis EJ, et al.; SEARCH for Diabetes in Youth Study Group. Testing the accel- erator hypothesis: body size, beta-cell function, and age at onset of type 1 (autoimmune) diabetes. Diabetes Care 2006;29:290-294
  3. [103]103. Manning RM, Jung RT, Leese GP, Newton RW. The comparison of four weight reduction strategies aimed at overweight patients with diabetes melli- tus: four-year follow-up. Diabet Med 1998;15:497-502 138.
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  11. [458]458. Rosenthal MB, Cutler DM, Feder J. The ACO rulesdstriking the balance be- tween participation and transformative potential. N Engl J Med 2011;365:e6 528. Washington AE, Lipstein SH. The Pa- tient-Centered Outcomes Research In- stitutedpromoting better information, decisions, and health. N Engl J Med 2011;365:e31

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Authors
American Diabetes Association
Venue
Diabetes Care
Published
2012-12-10
Volume
36
Issue
Supplement_1
Pages
S11-S66
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2510708214
Cited by
4,369
References
562
Citations by year
2026: 18 · 2025: 62 · 2024: 97 · 2023: 119 · 2022: 149 · 2021: 170 · 2020: 203 · 2019: 210 · 2018: 256 · 2017: 289 · 2016: 368 · 2015: 611 · 2014: 1024 · 2013: 637 · 2012: 122
FWCI
614.59
Type
journal article
Language
en
Open access
Locations
  • Diabetes Care (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • 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, diabetes education, glycemic control, HbA1c, diabetes complications, diabetic retinopathy, diabetic nephropathy, diabetic neuropathy, diabetic foot, hypoglycemia, diabetes self-management education
MeSH terms
Delivery of Health Care, Diabetes Mellitus, Humans, Practice Guidelines as Topic, Standard of Care

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