The 2009 Standards of Medical Care in Diabetes by the American Diabetes Association (ADA) provide comprehensive guidelines for the management of diabetes, emphasizing the complexity of care and the need for ongoing education and self-management by patients. The standards cover classification and diagnosis, testing for pre-diabetes and diabetes, prevention and delay of type 2 diabetes, and diabetes care. Key points include: 1. **Classification and Diagnosis**: - ADA's diagnostic criteria for diabetes and pre-diabetes. - Recommendations for screening and diagnostic testing, including the use of A1C as a preferred test. 2. **Testing for Pre-diabetes and Diabetes**: - Testing recommendations for asymptomatic individuals, especially those at high risk. - Interval for repeat testing and the importance of healthcare settings for testing. 3. **Prevention and Delay of Type 2 Diabetes**: - Lifestyle interventions and pharmacological options for high-risk individuals. - Monitoring and follow-up for those with pre-diabetes. 4. **Diabetes Care**: - Initial evaluation and management plan formulation. - Importance of a multidisciplinary team approach and patient involvement. - Glycemic control assessment through self-monitoring of blood glucose (SMBG) and A1C testing. - Glycemic goals for adults, with a general target of <7% for microvascular disease prevention and <7% for macrovascular risk reduction. The standards aim to provide a structured approach to diabetes care, emphasizing the importance of individualized treatment plans and ongoing monitoring to prevent complications and improve outcomes.The 2009 Standards of Medical Care in Diabetes by the American Diabetes Association (ADA) provide comprehensive guidelines for the management of diabetes, emphasizing the complexity of care and the need for ongoing education and self-management by patients. The standards cover classification and diagnosis, testing for pre-diabetes and diabetes, prevention and delay of type 2 diabetes, and diabetes care. Key points include: 1. **Classification and Diagnosis**: - ADA's diagnostic criteria for diabetes and pre-diabetes. - Recommendations for screening and diagnostic testing, including the use of A1C as a preferred test. 2. **Testing for Pre-diabetes and Diabetes**: - Testing recommendations for asymptomatic individuals, especially those at high risk. - Interval for repeat testing and the importance of healthcare settings for testing. 3. **Prevention and Delay of Type 2 Diabetes**: - Lifestyle interventions and pharmacological options for high-risk individuals. - Monitoring and follow-up for those with pre-diabetes. 4. **Diabetes Care**: - Initial evaluation and management plan formulation. - Importance of a multidisciplinary team approach and patient involvement. - Glycemic control assessment through self-monitoring of blood glucose (SMBG) and A1C testing. - Glycemic goals for adults, with a general target of <7% for microvascular disease prevention and <7% for macrovascular risk reduction. The standards aim to provide a structured approach to diabetes care, emphasizing the importance of individualized treatment plans and ongoing monitoring to prevent complications and improve outcomes.