The American Diabetes Association® (ADA) issued important updates to the 2019 Standards of Medical Care in Diabetes, in annotations as the Living Standards of Care. The changes focus on new metrics for continuous glucose monitoring (CGM) utilization and new medication options and recommendations for youth and adults with type-2 diabetes (T2D). Updates to Section 10, Cardiovascular Disease and Risk Management, have also been reviewed and approved by the American College of Cardiology. The Living Standards of Care is available online at Diabetes Care.
Two sections have been revised to incorporate the new international consensus report on continuous glucose monitoring (CGM) time-in-range goals; a new table has been added to help standardize CGM metrics for clinical care; and an example of an ambulatory glucose profile has been added to encourage consistency in CGM-data report interpretation.
Other revisions include the results of the Food and Drug Administration’s (FDA’s) approval of injectable liraglutide in pediatric patients with T2D who are 10 years of age and older. Liraglutide is the first non-insulin medication approved to treat T2D in the pediatric population since 2000.
Other updates reflect the results of the Researching Cardiovascular Events With a Weekly Incretin in Diabetes (REWIND) trial, which indicated that dulaglutide reduced the risk for nonfatal myocardial infarction, nonfatal stroke, and cardiovascular death in adults with T2D with and without established cardiovascular disease.
Source: BioSpace, July 31, 2019