5. Facilitating Behavior Change and Well-being to Improve Health Outcomes:Standards of Medical Care in Diabetes—2021
Abstract
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/dc21-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/dc21-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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Behavioural programmes help to sustain new behaviours, relationships with foods and adherence to dietary advice.
“Behavioural programmes help to sustain new behaviours, relationships with foods and adherence to dietary advice [66–68].”
Prior to medication, carbohydrate restriction can be used as a first approach for diabetes management.
“Prior to medication, carbohydrate restriction can be used as a first approach for diabetes management [78, 79].”
From Benefits of low carbohydrate diets: a settled question or still controversial? (2021) · cites this paper as [78]
Current American Diabetes Association recommendations suggest an individualized approach to macronutrient proportions based on assessment of current dietary patterns and practices, preferences, and metabolic and health goals.
“Current American Diabetes Association recommendations suggest an individualized approach to macronutrient proportions based on assessment of current dietary patterns and practices, preferences, and metabolic and health goals [30, 78].”
From Benefits of low carbohydrate diets: a settled question or still controversial? (2021) · cites this paper as [78]
For diabetes management, there is increasing evidence that adults with prediabetes or diabetes benefit from reduced carbohydrate diets by improving glycemia and some cardiometabolic risk factors.
“For diabetes management, there is increasing evidence that adults with prediabetes or diabetes benefit from reduced carbohydrate diets by improving glycemia and some cardiometabolic risk factors [30, 78].”
From Benefits of low carbohydrate diets: a settled question or still controversial? (2021) · cites this paper as [78]
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Exercise and Diabetes: A Clinician’s Guide to Prescribing Physical Activity
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“aerobic or resistance exercise may be contraindicated because of the risk of triggering vitreous hemorrhage or retinal detachment (199).”
BackgroundDiabetes distress may adversely affect the eating styles of women with type 1 diabetes
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Detecting intentional insulin omission for weight loss in girls with type 1 diabetes mellitus
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Joseph, J. J., Deedwania, P., Acharya, T., Aguilar, D., Bhatt, D. L., Chyun, D. A., Di Palo, K. E., Golden, S. H., Sperling, L. S., & on behalf of the American Heart Association Diabetes Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Arteriosclerosis, T. A. V. B. C. O. C. C. A. C. O. H. (2022) · Circulation · doi:10.1161/cir.0000000000001040 · Cited by 660 · see citing works
Evidence-based European recommendations for the dietary management of diabetes
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2022 National standards for diabetes self-management education and support
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2022 National standards for diabetes self-management education and support
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Nutrition in Patients with Type 2 Diabetes: Present Knowledge and Remaining Challenges
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Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
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Physical activity and exercise in the management of type 2 diabetes: where to start?
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Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes
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- Authors
- American Diabetes Association
- Corresponding author
- American Diabetes Association
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2020-12-04
- Volume
- 44
- Issue
- Supplement_1
- Pages
- S53-S72
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W4253539425
- Cited by
- 299
- References
- 106
- Citations by year
- 2026: 11 · 2025: 20 · 2024: 35 · 2023: 47 · 2022: 111 · 2021: 75
- FWCI
- 8.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- behavior change, well-being, health outcomes, clinical guidelines, quality of care, treatment goals
- MeSH terms
- Diabetes Mellitus, Endocrinology, Humans, Reference Standards, Societies, Medical, Standard of Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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