1.2.0.0 ADA Stan­dards, State­ments, Re­ports, and Re­views

The ADA has been ac­tive­ly in­volved in the de­vel­op­ment and dis­sem­i­na­tion of di­a­betes care stan­dards, guide­lines, and re­lat­ed doc­u­ments for over 25 years. The ADA’s clin­i­cal prac­tice rec­om­men­da­tions are viewed as im­por­tant re­sources for health care pro­fes­sion­als who care for peo­ple with di­a­betes.

Stan­dards of Care

This doc­u­ment is an official ADA po­si­tion, is au­thored by the ADA, and pro­vides all of the ADA’s cur­rent clin­i­cal prac­tice rec­om­men­da­tions.

To up­date the Stan­dards of Care, the ADA’s Pro­fes­sion­al Prac­tice Com­mit­tee (PPC) per­forms an ex­ten­sive clin­i­cal di­a­betes lit­er­a­ture search, sup­ple­ment­ed with input from ADA staff and the med­i­cal com­mu­ni­ty at large. The PPC up­dates the Stan­dards of Care an­nu­al­ly. How­ev­er, the Stan­dards of Care is a “liv­ing” doc­u­ment, where no­table up­dates are in­cor­po­rat­ed on­line should the PPC de­ter­mine that new ev­i­dence or reg­u­la­to­ry changes (e.g., drug ap­provals, label changes) merit im­me­di­ate in­clu­sion. More in­for­ma­tion on the liv­ing Stan­dards” can be found on Di­a­betesPro at pro­fes­sion­al.di­a­betes.org/content-page/liv­ing-stan­dards. The Stan­dards of Care su­per­sedes all pre­vi­ous ADA po­si­tion state­ment-and the rec­om­men­da­tions therein­-on clin­i­cal top­ics with­in the purview of the Stan­dards of Care; ADA po­si­tion state­ments, while still con­tain­ing valu­able anal­y­sis, should not be con­sid­ered the ADA’s cur­rent po­si­tion. The Stan­dards of Care re­ceives an­nu­al re­view and ap­proval by the ADA Board of Di­rec­tors.

ADA State­ment

An ADA state­ment is an official ADA point of view or be­lief that does not con­tain clin­i­cal prac­tice rec­om­men­da­tions and may be is­sued on ad­vo­ca­cy, pol­i­cy, eco­nom­ic, or med­i­cal is­sues re­lat­ed to di­a­betes.

ADA state­ments un­der­go a for­mal re­view pro­cess, in­clud­ing a re­view by the ap­pro­pri­ate na­tion­al com­mit­tee, ADA mis­sion staff, and the ADA Board of Di­rec­tors.

Con­sen­sus Re­port

A con­sen­sus re­port of a par­tic­u­lar topic con­tains a com­pre­hen­sive ex­am­i­na­tion and is au­thored by an ex­pert panel (i.e., con­sen­sus panel) and rep­re­sents the panel’s col­lec­tive anal­y­sis, eval­u­a­tion, and opin­ion.

The need for a con­sen­sus re­port aris­es when clin­i­cians, sci­en­tists, reg­u­la­tors, and/‍or pol­i­cy mak­ers de­sire guid­ance and/‍or clar­i­ty on a med­i­cal or sci­en­tific issue re­lat­ed to di­a­betes for which the ev­i­dence is con­tra­dic­to­ry, emerg­ing, or in­com­plete. Con­sen­sus re­ports may also high­light gaps in ev­i­dence and pro­pose areas of fu­ture re­search to ad­dress these gaps. A con­sen­sus re­port is not an ADA po­si­tion and rep­re­sents ex­pert opin­ion only but is pro­duced under the aus­pices of the As­so­ci­a­tion by in­vit­ed ex­perts. A con­sen­sus re­port may be de­vel­oped after an ADA Clin­i­cal Con­fer­ence or Re­search Sym­po­sium.

Sci­en­tific Re­view

A sci­en­tific re­view is a bal­anced re­view and anal­y­sis of the lit­er­a­ture on a sci­en­tific or med­i­cal topic re­lat­ed to di­a­betes.

A sci­en­tific re­view is not an ADA po­si­tion and does not con­tain clin­i­cal prac­tice rec­om­men­da­tions but is pro­duced under the aus­pices of the As­so­ci­a­tion by in­vit­ed ex­perts. The sci­en­tific re­view may pro­vide a sci­en­tific ra­tio­nale for clin­i­cal prac­tice rec­om­men­da­tions in the Stan­dards of Care. The cat­e­go­ry may also in­clude task force and ex­pert com­mit­tee re­ports.