6. Glycemic Targets: Standards of Medical Care in Diabetes—2020
Open accessAbstract
The American Diabetes Association (ADA) “Standards of Medical 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. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee (https://doi.org/10.2337/dc20-SPPC), are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations, please refer to the Standards of Care Introduction (https://doi.org/10.2337/dc20-SINT). Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
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A 2% decrease in HbA1c (eg, from 9% to 7%) lowers the probability of microvascular complications by 50% to 76%.
“a 2% decrease in HbA1c (eg, from 9% to 7%) lowers the probability of microvascular complications by 50% to 76% [9].”
From An Assessment of How Clinicians and Staff Members Use a Diabetes Artificial Intelligence Prediction Tool: Mixed Methods Study (2023) · cites this paper as [9]
The A1C GOALS section reports that, in the DCCT trial of patients with type 1 diabetes, intensive control (mean A1C about 7%) versus standard control (about 9%) was associated with 50–76% lower rates of developing or progressing microvascular complications. The citing sentence omits that trial population and presents the result as a general effect of any 2% HbA1c decrease. (LLM, conf=0.84)
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- Authors
- American Diabetes Association
- Corresponding author
- American Diabetes Association
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2019-12-16
- Volume
- 43
- Issue
- Supplement_1
- Pages
- S66-S76
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W4235701932
- Cited by
- 744
- References
- 100
- Citations by year
- 2026: 15 · 2025: 49 · 2024: 62 · 2023: 68 · 2022: 134 · 2021: 239 · 2020: 174 · 2019: 1
- FWCI
- 111.14
- 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 Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- glycemic targets, glycemic control, diabetes management, clinical guidelines, quality of care
- MeSH terms
- Glycemic Control, Blood Glucose, Diabetes Mellitus, Endocrinology, Humans, Patient Care Planning, Reference Standards, Societies, Medical, United States, History, 21st Century, Standard of Care
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