Revisions to the American Diabetes Association (ADA) 2024 guidelines
Section | Key revisions (2024) |
---|---|
Diagnosis | Glycated hemoglobin (HbA1c) resides at the top of the testing hierarchy as opposed to the earlier recommendations where fasting plasma glucose (FPG) was pre-eminent.HbA1c should not be used for screening of cystic-fibrosis-related diabetes and post-transplantation diabetes [oral glucose tolerance test (OGTT) is preferred]. |
Classification | Consideration of standardized islet autoantibody tests in adults who phenotypically overlap with type 1 diabetes.Possible association between coronavirus disease 2019 (COVID-19) infection and new-onset type 1 diabetes highlighted. |
Associated comorbidities | Recommend screening for heart failure using natriuretic peptides. |
Obesity and weight management | Additional anthropometric measurements are to be considered in obese patients.The importance of pharmacotherapy for obesity management highlighted. |
Diabetes technology | Emphasized the benefits of using continuous glucose monitoring (CGM) in the management of non-pregnant and pregnant individuals with diabetes.Guidance provided on CGM metrics and their interpretation. |