3.0.0.0 Sum­ma­ry of Re­vi­sions 2019

3.1.0.0 Gen­er­al Changes

The field of di­a­betes care is rapid­ly chang­ing as new re­search, tech­nol­o­gy, and treat­ments that can im­prove the health and well-‍being of peo­ple with di­a­betes con­tin­ue to emerge. With an­nu­al up­dates since 1989, the Amer­i­can Di­a­betes As­so­ci­a­tion (ADA) has long been a lead­er in pro­duc­ing guide­lines that cap­ture the most cur­rent state of the field. To that end, the “Stan­dards of Med­i­cal Care in Di­a­betes” (Stan­dards of Care) now in­cludes a ded­i­cat­ed sec­tion on Di­a­betes Tech­nol­o­gy, which con­tains preex­ist­ing ma­te­ri­al that was pre­vi­ously in other sec­tions that has been con­sol­i­dat­ed, as well as new rec­om­men­da­tions. An­oth­er gen­er­al change is that each rec­om­men­da­tion is now as­so­ci­at­ed with a num­ber (i.e., the sec­ond rec­om­men­da­tion in Sec­tion 7 is now rec­om­men­da­tion 7.2). Fi­nal­ly, the order of the pre­vention sec­tion was changed (from Sec­tion 5 to Sec­tion 3) to fol­low a more log­i­cal pro­gres­sion.

Al­though lev­els of ev­i­dence for sev­er­al rec­om­men­da­tions have been up­dated, these changes are not ad­dressed below as the clin­i­cal rec­om­men­da­tions have re­mained the same. Changes in ev­i­dence level from, for ex­am­ple, E toare not noted below. The 2019 Stan­dards of Care con­tains, in ad­di­tion to many minor changes that clar­i­fy rec­om­men­da­tions or reflect new ev­i­dence, the fol­low­ing more sub­stan­tive re­vi­sions.