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Living with Diabetes 101 is written by registered nurses and diabetes educators.

New Standards of Medical Care in Diabetes 2017

January 13, 2017
 

Every year the American Diabetes Association updates its recommendations for “Standards of Medical Care in Diabetes.” The ADA has been involved in the development of these standards for more than 20 years.  While the entire document is 142 pages I will provide highlights of that document in 200 words or less!

Here are some of the changes for 2017:

Sleep is important!

It is now recommended that sleep pattern assessment be part of a comprehensive medical exam based on evidence suggesting a relationship between sleep quality and blood sugar control.

No more than 30 minutes of sitting!  

For those people who are sitting for long periods of time it is recommended to interrupt that sitting every 30 minutes with short bouts of activity.  Another recommendation highlights the importance of flexibility training in older adults.

Carb counting, protein counting and fat counting …

In addition to the recommendation of counting carbohydrates in the diet for those people who use mealtime insulin, the new recommendation includes counting fat and protein. Evidence shows that these also influence insulin dosing and blood glucose levels.

Early screening for diabetes

The importance of recognizing people who are at risk for diabetes cannot be overemphasized. Providers are encouraged to use assessment tools to identify those at risk early and to identify those people with undiagnosed prediabetes and diabetes.

Psychosocial issues

The recommendations now also include the relevance of psychosocial issues in all aspects of diabetes care, including self-management, mental health, communication, complications, co-morbidities and life-stage considerations. Additional recommendations also highlight the importance of assessment and referral for psychosocial issues in youth with diabetes.  

For more information on the 2017 Standards of Care for Diabetes:
http://professional.diabetes.org/sites/professional.diabetes.org/files/media/dc_40_s1_final.pdf

Tags: diabetes, DaCruz

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