Diabetes Care 26:S3, 2003
© 2003 by the American Diabetes Association, Inc.
Summary of Revisions Original Article |
Summary of Revisions for the 2003 Clinical Practice Recommendations
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Additions to the Clinical Practice Recommendations
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- "Diabetic Retinopathy" was rewritten and incorporates ADAs evidence-based grading system
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Summary of Revisions to Position Statements
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The following position statements had substantial revisions that are outlined below:
"Standards of Medical Care for Patients With Diabetes Mellitus"
- Added a table on the relationship between A1C levels and mean plasma glucose levels
- Included a summary table with goals for glycemia, lipids, and blood pressure
- Clarified that the assessment for microalbuminuria should begin with analbumin-to-creatinine ratio from a spot urine sample
- Updated recommendations for the treatment of hypertension and nephropathy
"Treatment of Hypertension in Adults With Diabetes"
- Updated recommendations for the treatment of hypertension
"Diabetic Nephropathy"
- Updated recommendations for the treatment of nephropathy
"Third Party Reimbursement for Diabetes Care, Self-Management Education, and Supplies"
- Added language addressing the potential impact of formulary restriction and prior authorizations for medications, equipment, and supplies
"Translation of the Diabetes Nutrition Recommendations for Health Care Institutions"
- Updated the primary goals of medical nutrition therapy (MNT) for diabetes
- Revised language around the use of regular diets for nursing home residents based on a recent study
"Test of Glycemia in Diabetes"
- Added a table on the relationship between A1C levels and mean plasma glucose levels
"Insulin Administration"
- Included information on temporary insulin brand substitution
- Added information on the use of insulin syringes with engineered sharps injury protection

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