2.0.0.0 Pro­fes­sion­al Prac­tice Com­mit­tee

The Pro­fes­sion­al Prac­tice Com­mit­tee (PPC) of the Amer­i­can Di­a­betes As­so­ci­a­tion (ADA) is re­spon­si­ble for the “Stan­dards of Med­i­cal Care in Di­a­betes,” re­ferred to as the Stan­dards of Care. The PPC is a mul­ti­dis­ci­plinary ex­pert com­mit­tee com­prised of physi­cians, di­a­betes ed­u­ca­tors, and oth­ers who have ex­pertise in a range of areas, in­clud­ing adult and pe­di­atric en­docrinol­o­gy, epi­demi­ol­o­gy, pub­lic health, lipid re­search, hy­per­ten­sion, pre­con­cep­tion plan­ning, and preg­nan­cy care. Ap­point­ment to the PPC is based on ex­cel­lence in clin­i­cal prac­tice and re­search. Al­though the pri­ma­ry role of the PPC is to re­view and up­date the Stan­dards of Care, it may also be in­volved in ADA state­ments, re­ports, and re­views.

The ADA ad­he­res to the Na­tion­al Acade­my of Medicine Stan­dards for De­vel­op­ing Trust­wor­thy Clin­i­cal Prac­tice Guide­lines. All mem­bers of the PPC are re­quired to dis­close po­ten­tial conflicts of in­ter­est with in­dus­try and/‍or other rel­e­vant or­ga­ni­za­tions. These dis­clo­sures are dis­cussed at the onset of each Stan­dards of Care re­vi­sion meet­ing. Mem­bers of the com­mit­tee, their em­ploy­ers, and their dis­closed conflicts of in­ter­est are list­ed in the “Dis­clo­sures: Stan­dards of Med­i­cal Care in Di­a­betes – 2019” table (see pp. S184–S186). The ADA funds de­vel­op­ment of the Stan­dards of Care out of its gen­er­al rev­enues and does not use in­dus­try sup­port for this pur­pose.

For the cur­rent re­vi­sion, PPC mem­bers sys­tematically searched MED­LINE for human stud­ies re­lat­ed to each sec­tion and pub­lished since 15 Oc­to­ber 2017. Rec­om­men­da­tions were re­vised based on new ev­i­dence or, in some cases, to clar­i­fy the prior rec­om­men­da­tion or match the strength of the word­ing to the strength of the ev­i­dence. A table link­ing the changes in rec­om­men­da­tions to new ev­i­dence can be re­viewed at pro­fes­sion­al.di­a­betes.org/‍SOC. The Stan­dards of Care was ap­proved by ADA’s Board of Di­rec­tors, which in­cludes health care pro­fes­sion­als, sci­en­tists, and lay peo­ple.

Feed­back from the larg­er clin­i­cal com­mu­ni­ty was valu­able for the 2018 re­vi­sion of the Stan­dards of Care. Read­ers who wish to com­ment on the 2019 Stan­dards of Care are in­vit­ed to do so at pro­fes­sion­al.di­a­betes.org/‍SOC.

The PPC would like to thank the fol­low­ing in­di­vid­u­als who pro­vided their ex­pertise in re­viewing and/‍or con­sult­ing with the com­mit­tee: Ann Al­bright, PhD, RD; Pamela All­weiss, MD, MPH; Bar­bara J. An­der­son, PhD; George Bakris, MD; Richard Bergen­stal, MD; Stu­art Brink, MD; Do­nald R. Cous­tan, MD; Ellen D. Davis, MS, RN, CDE, FAADE; Jesse Dinh, Phar­mD; Steven Edel­man, MD; Barry H. Gins­berg, MD, PhD; Irl B. Hirsch, MD; Scott Kahan, MD, MPH; David Klonoff, MD; Joyce Lee, MD, MPH; Randie Lit­tle, PhD; Alexan­dra Migdal, MD; Anne Pe­ters, MD; Amy Roth­berg, MD; Jen­nifer Sherr, MD, PhD; Hood Thabit, MB, BCh, MD, PhD; Stu­art Alan Weinz­imer, MD; and Neil White, MD.

Mem­bers of the PPC

Joshua J. Neu­miller, Phar­mD, CDE, FASCP* (Chair)

Christo­pher P. Can­non, MD

Jill Cran­dall, MD

David D’Alessio, MD

Ian H. de Boer, MD, MS*

Mary de Groot, PhD

Ju­dith Frad­kin, MD

Kathryn Evans Krei­der, DNP, APRN, FNP-‍BC, BC-‍ADM

David Maahs, MD, PhD

Nisa Maruthur, MD, MHS

Medha N. Mun­shi, MD*

Maria Jose Re­don­do, MD, PhD, MPH

Guiller­mo E. Umpier­rez, MD, CDE, FACE, FACP*

Jen­nifer Wyck­off, MD

*Sub­group lead­ers

ADA Nu­tri­tion Con­sen­sus Re­port Writ­ing Group-Li­ai­son

Melin­da Maryniuk, MEd, RDN, CDE

Amer­i­can Col­lege of Car­di­ol­o­gy­-­Des­ig­nat­ed Rep­re­sen­ta­tives (Sec­tion 10)

Sandeep Das, MD, MPH, FACC

Mikhail Kosi­borod, MD, FACC

ADA Staff

Erika Gebel Berg, PhD (cor­re­spond­ing au­thor: eberg@di­a­betes.org)

Mindy Sara­co, MHA

Matthew P. Pe­tersen

Sacha Uel­men, RDN, CDE

Sham­era Robin­son, MPH, RDN

William T. Ce­falu, MD