The guidelines are intended to provide clinicians, patients, researchers, and other interested individuals with the components of standard diabetes care, to include treatment goals and the tools required to evaluate the quality of care rendered.

Diabetes is a severe condition that requires continued medical care. It also requires patient’s self-knowledge and self-management in order to prevent acute complications as well as long term, life threatening conditions.

Diabetes guidelines offer vital information that promotes a range of interventions provided to improve diabetes outcomes. Diabetes is very complex and must suggest standards to accommodate additional issues beyond glycemic control. Unfortunately, many people with diabetes are not treated properly or receive the assistance they need.

Fortunately, the ADA has made crucial recommendations that target the growing number of diabetes patient. These recommendations and guidelines encompass more extensive evaluations and management strategies for the patient. The recommendations include screening, diagnostic, and therapeutic actions that are suggested to favorably affect health outcomes of diabetic patients.

Initially, the ADA issued progressive classification and diagnostic criteria for diagnosing diabetes.

A) Type 1 – usually leads to absolute insulin deficiency (no insulin produced by the pancreas)

B) Type 2 – results from insulin resistance (body’s inability to accept the insulin produced)

C) Diabetes due to other causes – genetic defects in cell functions, genetic defects in insulin action, diseases of the exocrine pancreas, and drug- or chemically induced

D) Gestational diabetes mellitus – diagnosed during pregnancy

There are three ways to diagnose diabetes that is recommended through ADA diabetes guidelines.

E) Tolerance Test (OGTT) – sensitive and modest, yet not recommended for routine clinical use *useful for further evaluation of patients of whom diabetes is strongly suspected

F) Fasting Plasma Glucose (FPG) – poorly reproducible and difficult to perform in practice, yet easy to use and at a low cost * preferred by patients

G) A1C – not previously recommended as a measure to diagnose diabetes due to a lack of global standardization until 2008 * became the preferred diagnostic test for diabetes due to increasing observational evidence.

Conclusively, the American Diabetes Association diabetes guidelines identify three important techniques for quality diabetes care: initial evaluation, management, and glycemic control. These techniques are essential in regards to the lives of many Americans that are living with this serious disease.

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