Pro­fes­sion­al Prac­tice Com­mit­tee

The PPC of the ADA is re­spon­si­ble for the Stan­dards of Care. The PPC is a mul­ti­dis­ci­plinary ex­pert com­mit­tee com­pris­ing physi­cians, nurse prac­ti­tion­ers, phar­ma­cists, di­a­betes care and ed­u­ca­tion spe­cial­ists, reg­is­tered di­eti­tian nu­tri­tion­ists, be­hav­ioral health sci­en­tists, and oth­ers who have ex­per­tise in a range of ar­eas in­clud­ing but not lim­it­ed to adult/​pe­di­atric en­docrinol­o­gy, epi­demi­ol­o­gy, pub­lic health, be­hav­ioral health, car­dio­vas­cu­lar risk man­age­ment, mi­crovas­cu­lar com­pli­ca­tions, nephrol­o­gy, neu­rol­o­gy, oph­thal­mol­o­gy, po­di­a­try, clin­i­cal phar­ma­col­o­gy, pre­con­cep­tion and preg­nan­cy care, weight man­age­ment and di­a­betes pre­ven­tion, and use of tech­nol­o­gy in di­a­betes man­age­ment. Ap­point­ment to the PPC is based on ex­cel­lence in clin­i­cal prac­tice and re­search, with at­ten­tion to ap­pro­pri­ate rep­re­sen­ta­tion of mem­bers based on con­sid­er­a­tions in­clud­ing but not lim­it­ed to de­mo­graph­ic, ge­o­graph­ic, work set­ting, or iden­ti­ty char­ac­ter­is­tics (e.g., gen­der, eth­nic­i­ty, abil­i­ty lev­el). For the 2023 Stan­dards of Care, as in pre­vi­ous years, two rep­re­sen­ta­tives from the Amer­i­can Col­lege of Car­di­ol­o­gy (ACC) act­ed as ad hoc PPC mem­bers and re­viewed and ap­proved Sec­tion 10, “Car­dio­vas­cu­lar Dis­ease and Risk Man­age­ment.” A PPC chair­per­son is ap­point­ed by the ADA (cur­rent­ly N.A.E.) for a 1-​year term and over­sees the com­mit­tee.

Each sec­tion of the Stan­dards of Care is re­viewed an­nu­al­ly and up­dat­ed with the lat­est ev­i­dence-​based rec­om­men­da­tions by a PPC mem­ber des­ig­nat­ed as the sec­tion lead as well as sub­com­mit­tee mem­bers. The sub­com­mit­tees per­form sys­tem­at­ic lit­er­a­ture re­views and iden­ti­fy and sum­ma­rize the sci­en­tific ev­i­dence. An in­for­ma­tion spe­cial­ist with knowl­edge and ex­pe­ri­ence in lit­er­a­ture search­ing (a li­brar­i­an) is con­sult­ed as nec­es­sary. A guide­line method­ol­o­gist (R.R.B. for the 2023 Stan­dards of Care) with ex­per­tise and train­ing in ev­i­dence­based medicine and guide­line de­vel­op­ment method­ol­o­gy over­sees all method­olog­i­cal as­pects of the de­vel­op­ment of the Stan­dards of Care and serves as a sta­tis­ti­cal an­a­lyst.