The American Diabetes Association provides clinical recommendations for managing diabetes with a focus on personalized, interprofessional care. This approach considers individual preferences, cultural factors, and barriers to care. A coordinated team of specialists works with the patient with diabetes to create a comprehensive care plan, emphasizing lifestyle management, regular assessments, and evidence-based strategies to address complications like neuropathy, retinopathy, and foot care.
The comprehensive evaluation of diabetes includes regular assessments of health status, complications, and psychosocial well-being. Early identification of complications and comorbidities, such as cardiovascular disease and kidney issues, is vital for effective treatment. This includes evaluating risk factors, reviewing medications, and setting personalized goals. Annual evaluations should address complications like retinopathy and neuropathy while ensuring preventive care, including vaccinations and screenings. The guidelines also recommend screening for metabolic dysfunction–associated steatotic liver disease in individuals with type 2 diabetes or prediabetes and managing related comorbidities like obesity and cardiovascular disease.
Reference: American Diabetes Association Professional Practice Committee. 4. Comprehensive Medical Evaluation and Assessment of Comorbidities: Standards of Care in Diabetes-2024. Diabetes Care. 2024;47(Suppl 1):S52-S76. doi: 10.2337/dc24-S004.