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.

The 2023 Stan­dards of Care in­cludes re­vi­sions to in­cor­po­rate per­son-​first and in­clu­sive lan­guage. Ef­forts were made to con­sis­tent­ly ap­ply ter­mi­nol­o­gy that em­pow­ers peo­ple with di­a­betes and rec­og­nizes the in­di­vid­u­al at the cen­ter of di­a­betes care.

Al­though lev­els of ev­i­dence for sev­er­al rec­om­men­da­tions have been up­dat­ed, these changes are not out­lined be­low where the clin­i­cal rec­om­men­da­tion has re­mained the same. That is, changes in ev­i­dence lev­el from, for example, E to C are not not­ed be­low. The 2023 Stan­dards of Care con­tains, in ad­di­tion to many mi­nor changes that clar­i­fy rec­om­men­da­tions or reflect new ev­i­dence, more sub­stan­tive re­vi­sions de­tailed be­low.