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Summary of Revisions for the 2008 Clinical Practice Recommendations

Beginning with the 2005 supplement, the Clinical Practice Recommendations contained only the "Standards of Medical Care in Diabetes" and selected other position statements. This change was made to emphasize the importance of the "Standards" as the best source to determine the recommendations of the American Diabetes Association (ADA). The position statements in the supplement are updated yearly. Position statements not included in the supplement will be updated as necessary and republished when updated. A list of recent position statements not included in this supplement appears on p. S109.

Revisions to the 2008 Clinical Practice Recommendations

• ADA Statements and ADA Position Statements have been combined under the category of ADA Position Statements. Such statements may be authored or unauthored, are reviewed and approved by the Professional Practice Committee and Executive Committee of the Association, and represent an official point of view of ADA.
  
• "The Standards of Medical Care in Diabetes—2008" has undergone substantial revisions compared with the 2007 version; the revisions are based on updated literature reviews and the desire to make the document more user-friendly. The following summarizes significant additions and revisions to the 2008 standards:
  

Additions to the "Standards of Medical Care in Diabetes"

• An executive summary on page S5 outlines all recommendations in the "Standards of Medical Care in Diabetes—2008"
  
• Table 5 lists screening recommendations and diagnostic cut points for gestational diabetes
  
• Table 6 summarizes interventions and results of diabetes prevention trials
  
• The "Approach to treatment" section includes a section on the general treatment of type 1 diabetes, in addition to the section on the general treatment of type 2 diabetes
  
• A table summarizing the evidence for statin therapy in people with diabetes has been added (Table 10).
  

Revisions to the "Standards of Medical Care in Diabetes"

• Testing for pre-diabetes in asymptomatic patients (previously screening for diabetes):
  • A . . . [Full Text of this Article]

Prevention and management of diabetes complications:

Diabetes care in specific populations:

Diabetes care in specific settings

Members of the Professional Practice Committee

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