Etiological Approach to Characterization of Diabetes Type: The SEARCH for Diabetes in Youth Study

OBJECTIVE To describe an etiologic approach to classification of diabetes types in youth based on the 1997 American Diabetes Association (ADA) framework, using data from the SEARCH for Diabetes in Youth Study

A Diabetes Crash Course in a Primary Care Setting to Improve Diabetes Self-Care: A Pilot Project

Diabetes (DM) is a deadly disease affecting millions. Lack of proper DM self-care management can lead to numerous complications and even death. The American Diabetes Association (ADA) recommends lifestyle change as a first-line treatment along with diabetes self-management education (DSME). However, according to the Centers for Disease Control and Prevention (CDC) only a fraction of those diagnosed attend. The purpose of this project was to improve DM self-management behaviors following a patient focused unique DMSE designed to meet community needs. A customized crash course style DM educational session was offered to all DM patients in a rural primary care clinic. The Diabetes Self-Management Questionnaire (DSMQ) was utilized to assess mean DM self-management changes within four sub-categories and self-management sums using a pre-post intervention design. Paired t tests reveal a statistically significant change in glucose management (p = 0.13) among six voluntary participants. All other measures found no statically significant change. Although small, this change supports use of brief DMSE to improve DM self-management practices. Keywords: Diabetes (DM), American Diabetes Association (ADA), American Association of Diabetes Educators (AADE), Chronic Care Model (CCM), Diabetes Self-Management Education (DSME), Plan-Do-Study-Act (PDSA), Diabetes Self-Management Questionnaire (DSMQ

Adherence to Guidelines for Youths With Diabetes Mellitus

To describe demographic and clinical characteristics associated with self-reported receipt of tests and measurements recommended by the American Diabetes Association (ADA) for children and youths with diabetes

Key Points from the Updated Guidelines on Exercise and Diabetes

From the Introduction: No doubt remains that the adoption and maintenance of physical activity is important for overall health and blood glucose management in individuals with diabetes and prediabetes. Recently, the American Diabetes Association (ADA) published updated recommendations and precautions about physical activity and exercise in people with type 1 diabetes, type 2 diabetes, and gestational diabetes (1). Given the importance of these topics, it is worth discussing the key changes and updates included in this ADA position statement (PS)

National public health initiative on diabetes and women's health

The National Agenda for Public Health Action represents a monumental step in addressing a priority health issue for women. It has been a work in progress and a true collaboration among the Centers for Disease Control and Prevention (CDC), the American Diabetes Association (ADA), the Association of State and Territorial Health Officials (ASTHO), and the American Public Health Association (APHA) -- and numerous additional partnering organizationsAlso available via the World Wide Web.Includes bibliographical references (p. 42)

The Perspective of Social Determinants of Health (SDOH) for Diabetes Mellitus

Clinical practice for diabetes mellitus requires bio-psycho-social aspects. For continuing adequate health care, the perspective of social determinants of health (SDOH) has been recognized as indispensable intervention target for evaluating health equity. SDOH include socio-economic situation, neighbourhood and physical circumstance, food environment, health care, social context with social support capital and relationship. For contextual factors, American Diabetes Association (ADA) established the writing committee and reviewed the detail of SDOH. They included Healthy People 2020, Social Determinants of Health of WHO, the County Health Rankings Model and others. Thus, enough understanding of environmental and social factors would be necessary for diabetes

Direction for Basal Insulin Therapy by Once Daily Injection in the Clinical Practice

American Diabetes Association (ADA) has announced the new version of the standards of Medical Care in Diabetes-2021. The guideline of the diabetic patients with Older Adults seems to be used for a wide range of clinical practice. Among them, several impressive comments were found, where “Once-daily basal insulin injection therapy is associated with minimal side effects and maybe a reasonable option in many elder patients”. Recent topic includes Dual Action of Liraglutide and insulin degludec (DUAL) studies, and Xultophy has shown beneficial efficacy. Consequently, the trend would be developed from multiple daily injection (MDI) method to once daily injection

Perspectives Concerning the Influence of Protein Intake for Renal Function in Diabetic Nephropathy

Regarding the diet treatment of diabetic nephropathy, protein restriction has been recommended. American Diabetes Association (ADA) proposed protein restriction guidelines in the 2008 edition. However, this comment was deleted in the 2013/2019 edition, because of insufficient evidence. A recent report showed that the intake of plant protein has a protective effect on the decrease of estimated glomerular filtration rate (eGFR), and the intake of animal protein has neither protection nor deterioration. There are controversies about the relationship between protein intake and the reduction of renal function. Further research will be expected for diabetic nephropathy, diabetic kidney disease (DKD), and chronic kidney disease (CKD)

Recent Tendency of Nutritional Standard for Diabetes Mellitus with Chronic Kidney Disease (CKD) and Arteriosclerotic Cardiovascular Disease (ASCVD)

Ministry of Health, Labor and Welfare, Japan proposed new edition of standard nutritional guideline. Target BMI is 20-24.9 for 50-64 years, and 21.5-24.9 for >65 years. Japanese Elderly Diabetes Intervention Trial (J-EDIT) study reported U-shaped association between BMI and mortality, and elevated mortality in elderly with energy intake below 30 kcal/kg/day. American Diabetes Association (ADA) showed consensus report that i) weight can be reduced by 5% as immediate goal, ii) various eating patterns can be applied such as low carbohydrate diet (LCD). Patients with diabetes and chronic kidney disease (CKD) cannot decide ideal intake amount of protein and salt