The 2015 Standards for Diabetes Care: Maintaining a Patient-Centered Approach
Authors: Giulio R. Romeo, Martin J. Abrahamson
Journal: Annals of Internal Medicine (2015)

Ideas and Opinions2 June 2015The 2015 Standards for Diabetes Care: Maintaining a Patient-Centered ApproachGiulio R. Romeo, MD and Martin J. Abrahamson, MDGiulio R. Romeo, MDFrom Joslin Diabetes Center, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts.Search for more papers by this author and Martin J. Abrahamson, MDFrom Joslin Diabetes Center, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M15-0385 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Each year, the American Diabetes Association's (ADA) Standards of Medical Care in Diabetes provide comprehensive clinical practice recommendations for diabetes care and amend them on the basis of the latest evidence supporting such recommendations. Of the 14 sections included in the recently published 2015 Standards (1), we highlight 3 revisions or new topics that we believe are of substantial interest to nonendocrinologists who care for patients with diabetes.One Body Mass Index Does Not Fit AllThe ADA endorsed a new body mass index (BMI) cut point for prediabetes and type 2 diabetes screening in Asian Americans, decreasing it from ...References1. American Diabetes Association. (1) Strategies for improving care. Diabetes Care. 2015;38 Suppl:S5-7. [PMID: 25537709] doi:10.2337/dc15-S004 CrossrefMedlineGoogle Scholar2. Hsu WC, Araneta MR, Kanaya AM, Chiang JL, Fujimoto W. BMI cut points to identify at-risk Asian Americans for type 2 diabetes screening. Diabetes Care. 2015;38:150-8. [PMID: 25538311] doi:10.2337/dc14-2391 CrossrefMedlineGoogle Scholar3. Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2015;38:140-9. [PMID: 25538310] doi:10.2337/dc14-2441 CrossrefMedlineGoogle Scholar4. Nathan DM, Buse JB, Kahn SE, Krause-Steinrauf H, Larkin ME, Staten M, et al; GRADE Study Research Group. Rationale and design of the glycemia reduction approaches in diabetes: a comparative effectiveness study (GRADE). Diabetes Care. 2013;36:2254-61. [PMID: 23690531] doi:10.2337/dc13-0356 CrossrefMedlineGoogle Scholar5. Ali MK, Bullard KM, Saaddine JB, Cowie CC, Imperatore G, Gregg EW. Achievement of goals in U.S.diabetes care, 1999–2010. N Engl J Med. 2013;368:1613-24. [PMID: 23614587] doi:10.1056/NEJMsa1213829 CrossrefMedlineGoogle Scholar6. 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[PMID: 22607822] doi:10.1016/S0140-6736(12)60367-5 CrossrefMedlineGoogle Scholar9. Stone NJ, Robinson JG, Lichtenstein AH, BaireyMerz CN, Blum CB, Eckel RH, et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129:S1-45. [PMID: 24222016] doi:10.1161/01.cir.0000437738.63853.7a CrossrefMedlineGoogle Scholar10. D'Agostino RB, Ansell BJ, Mora S, Krumholz HM. Clinical decisions. The guidelines battle on starting statins. N Engl J Med. 2014;370:1652-8. [PMID: 24758622] doi:10.1056/NEJMclde1314766 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Joslin Diabetes Center, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0385.Corresponding Author: Martin J. Abrahamson, MD, Joslin Diabetes Center, 1 Joslin Place, Boston, MA 02215; e-mail, martin.[email protected]harvard.edu.Current Author Addresses: Drs. Romeo and Abrahamson: Joslin Diabetes Center, 1 Joslin Place, Boston, MA 02215.Author Contributions: Conception and design: G.R. Romeo, M.J. Abrahamson.Analysis and interpretation of the data: G.R. Romeo.Drafting of the article: G.R. Romeo, M.J. Abrahamson.Critical revision of the article for important intellectual content: G.R. Romeo, M.J. Abrahamson.Final approval of the article: G.R. Romeo, M.J. Abrahamson.Collection and assembly of data: G.R. Romeo.This article was published online first at www.annals.org on 24 March 2015. 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