ada diabetes conference 2023

The Diabetes Management 2023 CNE conference is designed to provide an overview of diabetes management including updates to the 2023 ADA Standards of Care, implementing ADA recommendations and algorithms in clinical practice, advances in diabetes technology, patient education, nutrition, cardiovascular and mental health living with diabetes, and . Additionally, time below range (TBR) and time above range (TAR) are useful parameters for the evaluation of the treatment plan (Table 6.2). This year's meeting will be held June 7-11, 2019, at the Moscone Center in San Francisco, California. B, 12.25 Initial screening for PAD should include assessment of lower-extremity pulses, capillary refill time, rubor on dependency, pallor on elevation, and venous filling time. Mark your calendars now for the world's largest, most prominent meeting on diabetes? 7.12 rtCGM A or isCGM C should be offered for diabetes management in adults with diabetes on basal insulin who are capable of using the devices safely (either by themselves or with a caregiver). Households are considered at risk if they answer either or both of the following statements as often true or sometimes true (compared with never true): Within the past 12 months, we worried whether our food would run out before we got money to buy more., Within the past 12 months, the food we bought just didnt last, and we didnt have money to get more.. Additional weight loss usually results in further improvements in the management of diabetes and CV risk. See the complete 2023 Standards of Care for detailed hypoglycemia strategies. The Standards of Care is developed by the ADAs multidisciplinary Professional Practice Committee, which comprises expert diabetes health care professionals (HCPs). The 2023 guidelines for diabetes care have now been published by the American Diabetes Association (ADA). B, 12.6 Programs that use retinal photography (with remote reading or use of a validated assessment tool) to improve access to DR screening can be appropriate screening strategies for DR. American College of CardiologyDesignated Representatives (Section 10) include Sandeep R. Das, MD, MPH, FACC, and Mikhail Kosiborod, MD, FACC, FAHA. doi: 10.2337/dc23 . A, 10.44 In people with known ASCVD, particularly CAD, ACE inhibitor or ARB therapy is recommended to reduce the risk of CV events. People with prediabetes (A1C 5.7% [39 mmol/mol], IGT, or IFG) should be tested yearly. A, 12.22 The examination should include inspection of the skin, assessment of foot deformities, neurological assessment (10-g monofilament testing with at least one other assessment: pinprick, temperature, vibration), and vascular assessment, including pulses in the legs and feet. It includes the most current evidence-based recommendations for diagnosing and treating adults and children with all forms of diabetes. They may have temporary remission from the need for insulin. through hard work and determination. CKD is staged as detailed in Figure 11.1 in the complete 2023 Standards of Care. Classification and Diagnosis of Diabetes: Standards of Care in Diabetes2023 Summary of Revisions: Standards of Care in Diabetes2023 International Tables of Glycemic Index and Glycemic Load Values: 2008 C, 10.16 In adults not taking statins or other lipid-lowering therapy, it is reasonable to obtain a lipid profile at the time of diabetes diagnosis, at an initial medical evaluation, and every 5 years thereafter if under the age of 40 years, or more frequently if indicated. Number of days CGM device is worn (recommend 14 days), 2. A list of the Centers for Disease Control and Preventionrecognized diabetes prevention lifestyle change programs is available (cdc.gov/diabetes/prevention/find-a-program.html). ADA staff support was provided by Caitlin Krekel, MSPH, RD, Sarah Bradley, and Raveendhara R. Bannuru, MD, PhD, FAGE. A. Designated subject matter experts are Kenneth Cusi, MD, FACP, FACE, Christopher H. Gibbons, MD, MMSc, John M. Giurini, DPM, Lisa Murdock, Jennifer K. Sun, MD, MPH, Crystal C. Woodward, Deborah Young-Hyman, PhD, FTOS, and Fel SBM, CDCES. Luxurious hotels ranging from 2 to 5-star with huge discounts An insulin schedule with basal and correction components is necessary for all hospitalized individuals with type 1 diabetes, even when taking nothing by mouth, with the addition of prandial insulin when eating. All travel and lodging expenses are the sole responsibility of the individual registrant. A, Medications for Lowering Glucose, Summary of Characteristics. In people with diabetes, higher blood glucose levels prior to and during COVID-19 admission have been associated with poor outcomes, including mortality. 7.1 The type(s) and selection of devices should be individualized based on a persons specific needs, preferences, and skill level. A, 10.42a In people with type 2 diabetes and established HF with either preserved ejection fraction (HFpEF) or reduced ejection fraction (HFrEF), an SGLT2 inhibitor with proven benefit in this patient population is recommended to reduce risk of worsening HF and CV death. Healthy (few coexisting chronic illnesses, intact cognitive and functional status), Statin, unless contraindicated or not tolerated, Complex/intermediate (multiple coexisting chronic illnesses, Intermediate remaining life expectancy, high treatment burden, hypoglycemia vulnerability, fall risk, Very complex/poor health (LTC or end-stage chronic illnesses, Limited remaining life expectancy makes benefit uncertain, Avoid reliance on A1C; glucose control decisions should be based on avoiding hypoglycemia and symptomatic hyperglycemia, Consider likelihood of benefit with statin, Copyright American Diabetes Association. Person-centered care considers individual patient comorbidities and prognoses; is respectful of and responsive to patient preferences, needs, and values; and ensures that patient values guide all clinical decisions. B, 6.12 Glucagon should be prescribed for all individuals at increased risk of level 2 or 3 hypoglycemia, so that it is available should it be needed. confirmation of your hotel reservation. CGM systems that measure glucose levels continuously but require scanning for visualization and storage of glucose values. Learn how these standards continue to evolve. 13.13 Optimal nutrition and protein intake is recommended for older adults; regular exercise, including aerobic activity, weight-bearing exercise, and/or resistance training, should be encouraged in all older adults who can safely engage in such activities. B, 13.3 Screening for early detection of mild cognitive impairment or dementia should be performed for adults 65 years of age or older at the initial visit, annually, and as appropriate. Although CGM has theoretical advantages over POC glucose monitoring in detecting and reducing the incidence of hypoglycemia, it has not been approved by the FDA for inpatient use. Children and adults with diabetes should receive vaccinations according to age-appropriate recommendations. A, 16.7 An insulin regimen with basal, prandial, and correction components is the preferred treatment for most noncritically ill hospitalized patients with adequate nutritional intake. A Individuals with BP 180/110 mmHg and CVD could be diagnosed with hypertension at a single visit. 5.30 Adults with type 1 diabetes C and type 2 diabetes B should engage in 23 sessions/week of resistance exercise on nonconsecutive days. Screening criteria for adults and children are listed in Table 2.3 and Table 2.4, respectively. Powered by the EthosCE Learning Management System, a continuing education LMS. Strong evidence exists that obesity management can delay the progression from prediabetes to type 2 diabetes and is highly beneficial in treating type 2 diabetes. A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations. Preventing avoidable infections not only directly prevents morbidity, but also reduces hospitalizations, which may additionally reduce the risk of acquiring infections such as COVID-19. E, 8.5 Individuals with diabetes and overweight or obesity may benefit from modest or larger magnitudes of weight loss. 14.63 A reasonable A1C target for most children and adolescents with type 2 diabetes is <7% (53 mmol/mol). Screening for prediabetes and type 2 diabetes risk through an informal assessment of risk factors or with an assessment tool, such as the ADAs Diabetes Risk Test (diabetes.org/socrisktest) is recommended and can inform who needs laboratory testing. B, 11.7 For people with nondialysis-dependent stage 3 or higher CKD, dietary protein intake should be aimed to a target level of 0.8 g/kg body weight per day. Save the Date! The American Diabetes Association is the nation's leading 501(C)3 nonprofit charity providing diabetes research, information and advocacy. Percentage of time CGM device is active (recommend 70% of data from 14 days), 5. Join us at the DFA 2021 virtual conference where we're bringing globe's best researchers and clinicians in the field of diabetes-related foot disease together for two amazing days of virtual learning. The epidemiology, pathophysiology, developmental considerations, and response to therapy in pediatric-onset diabetes are different from adult diabetes. E. See 15. TBR: % of readings and time <54 mg/dL (<3.0 mmol/L), Peak postprandial capillary plasma glucose, Glucose <70 mg/dL (3.9 mmol/L) and 54 mg/dL (3.0 mmol/L), A severe event characterized by altered mental and/or physical status requiring assistance for treatment of hypoglycemia. CGM systems that measure and display glucose levels continuously. This CNE conference is designed for nurses and healthcare professionals caring for patients with diabetes in all care settings. A, 12.24 Obtain a prior history of ulceration, amputation, Charcot foot, angioplasty or vascular surgery, cigarette smoking, retinopathy, and renal disease and assess current symptoms of neuropathy (pain, burning, numbness) and vascular disease (leg fatigue, claudication). E, 10.28 For individuals with fasting triglyceride levels 500 mg/dL, evaluate for secondary causes of hypertriglyceridemia and consider medical therapy to reduce the risk of pancreatitis. A Hypertension is defined as a systolic BP 130 mmHg or a diastolic BP 80 mmHg based on an average of 2 measurements obtained on 2 occasions. GLP-1 receptor agonists and SGLT2 inhibitors have CV and renal benefits that extend to older adults, although class-specific side effects may limit their use. E, 13.21 People with diabetes residing in LTC facilities need careful assessment to establish individualized glycemic goals and to make appropriate choices of glucose-lowering agents based on their clinical and functional status. Promote increase in nonsedentary activities above baseline for sedentary individuals with type 1 diabetes E and type 2 diabetes. (See Figure 6.1 and Table 6.2.) Other sources, including HCPs and device manufacturers, can help people troubleshoot when difficulties arise. ARLINGTON, Va., Dec. 12, 2022 /PRNewswire/ -- Today, the American Diabetes Association (ADA) published Standards of Care in Diabetes2023 (Standards of Care), comprehensive, evidence-based . ACEi, ACE inhibitor; ACR, albumin-to-creatinine ratio; CVOT, cardiovascular outcomes trial; DPP-4i, dipeptidyl peptidase 4 inhibitor; GLP-1 RA, glucagon-like peptide 1 receptor agonist; HHF, hospitalization for heart failure; SGLT2i, sodium-glucose cotransporter 2 inhibitor; T2D, type 2 diabetes. E, 10.2 All people with hypertension and diabetes should monitor their BP at home. For all other people, testing should begin at age 35 years. Diabetes self-management in the hospital may be appropriate for specific individuals who wish to continue to perform self-care while acutely ill. See 16. All people with diabetes should have annual 10-g monofilament testing to identify feet at risk for ulceration and amputation. ANCCMayo Clinic College of Medicine and Science designates this activity for a maximum of 13.75 ANCC contact hours. Join the fight with us on Facebook ( American Diabetes Association ), Spanish Facebook (. Celebrating 83 years of Passion. Such specialized psychosocial care should use age-appropriate standardized and validated tools and treatment approaches. A, 3.7 Long-term use of metformin may be associated with biochemical vitamin B12 deficiency; consider periodic measurement of vitamin B12 levels in metformin-treated individuals, especially in those with anemia or peripheral neuropathy. E, 6.3 Standardized, single-page glucose reports from CGM devices with visual cues, such as the ambulatory glucose profile (AGP), should be considered as a standard summary for all CGM devices. 6.50 ANCC hours apply toward advanced practice nursing pharmacology credits. 15.15 Insulin is the preferred medication for treating hyperglycemia in GDM. The Windy City embodies the values of the American heartland, 3.1 Monitor for the development of type 2 diabetes in those with prediabetes at least annually; modify based on individual risk/benefit assessment. American Diabetes Association Releases 2023 Standards of Care in Diabetes to Guide Prevention, Diagnosis, and Treatment for People Living with Diabetes December 12, 2022 | Arlington, Virginia New guidelines include updates to recommendations around obesity, hypertension, heart failure medication, social determinants of health, and lipid management The guidelines are a living document and change throughout the year; however, the January update is the seminal changes for the entire document. The concern that lipid-lowering agents may adversely affect cognitive function is not currently supported by evidence and should not deter their use. Diabetes Care 2017;40:16221630. Screening should occur at periodic intervals and when there is a change in disease, treatment, or life circumstances. 2023, 100% is due . Therefore, constant diligence and sometimes reevaluation is necessary. A, 8.21 People being considered for metabolic surgery should be evaluated for comorbid psychological conditions and social and situational circumstances that have the potential to interfere with surgery outcomes. Denise Rismeyer, MSN, RN, NPD-BCNursing Education Specialist-Continuing Nursing Education ProgramAssistant Professor of Nursing, Mayo Clinic College of Medicine and ScienceDepartment of NursingMayo Clinic, Rochester, MN. C, 5.32 Flexibility training and balance training are recommended 23 times/week for older adults with diabetes. Retinopathy, Neuropathy, and Foot Care, cdc.gov/diabetes/prevention/find-a-program.html, https://professional.diabetes.org/meetings/mental-health-toolkit, https://diabetesjournals.org/journals/pages/license. Long-term, comprehensive weight maintenance strategies and counseling should be integrated to maintain weight loss. B Prolonged sitting should be interrupted every 30 minutes for blood glucose benefits. This premier meeting offers exhibitors the opportunity to engage with world-renowned professionals in the diabetes research and treatment communities dedicated to improving the lives of all those affected by diabetes. C, 6.11 Glucose (approximately 1520 g) is the preferred treatment for the conscious individual with blood glucose <70 mg/dL (3.9 mmol/L), although any form of carbohydrate that contains glucose may be used. Signs of autonomic neuropathy include orthostatic hypotension, a resting tachycardia, or evidence of peripheral dryness or cracking of skin. Marked discrepancies between measured A1C and plasma glucose levels should prompt consideration that the A1C assay may not be reliable for that individual, and one should consider using an alternate A1C assay or plasma blood glucose criteria for diagnosis. With us on Facebook ( been published by the American diabetes Association ) 5. Diabetes e and type 2 diabetes is < 7 % ( 53 mmol/mol ) a maximum of 13.75 ANCC hours. 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