A1C, S14–S15, S61–S63. see also glycemic targets

  • advantages of, S15

  • age and, S15

  • cardiovascular disease and, S64, S65

  • in children and adolescents, S20, S62, S151, S156

  • continuous glucose monitoring reduction of, S76

  • discharge planning, S178–S179

  • ethnic variability in, S15, S62

  • glucose assessment, S62–S63

  • goals, S63–S64

  • goals, setting/modifying, S64–S66

  • hemoglobinopathies, S14, S15

  • HIV and, S41

  • limitations of, S62

  • microvascular complications and, S63–S65

  • in older adults, S141, S142

  • other conditions affecting, S15

  • performance of, S14–S15

  • physical activity benefits, S52

  • prediabetes, S17

  • pregnancy values, S14, S15, S166, S167

  • race/ethnicity, S15

  • recommendations, S14, S61, S63

  • testing frequency, S61–S62

acarbose, S96

ACCORD BP trial, S104–S106

ACCORD MIND trial, S140

ACCORD study, S40, S64, S65, S67, S127

ACE inhibitors

  • children and adolescents, S153, S154

  • chronic kidney disease, S128–S129

  • hypertension, S106–S108

  • pregnancy, S169

  • retinopathy, S131

acute kidney injury, S126

ADA evidence-grading system, S2

ADAG study, S62, S66

ADA statements, S1

adolescents. see children and adolescents

ADVANCE BP trial, S105

ADVANCE study, S64, S65, S67

advocacy position statements, S6, S182–S183

aerobic exercise, S52

Affordable Care Act, S9, S160

African Americans

  • A1C as predictive in, S17

  • A1C variability in, S15, S52, S62

  • BMI cut point, S20

  • exercise targets in, S52

  • food insecurity in, S10

  • hemoglobinopathies in, S15

  • hypoglycemia in, S67

  • idiopathic type 1 diabetes in, S16

  • risk-based screening, S18

agave syrup, S51

age, S15, S20

α-glucosidase inhibitors, S31, S96

AIM-HIGH trial, S112

albiglutide, S116

alcohol, S49, S51

alogliptin, S96, S117, S118, S176

American Indians, S18

amylin mimetics, S83, S96

angiotensin receptor blockers (ARBs)

  • children and adolescents, S153, S154

  • chronic kidney disease, S128–S129

  • hypertension, S106–S108

  • pregnancy, S169

  • retinopathy, S131

anorexia nervosa, S144, S145

anticholinergics, S83

anticonvulsants, S83

antidepressants, S83

antihistamines, S83

antihyperglycemics

  • cardiovascular disease, S115–S119

  • heart failure, S118

  • hospital care, S175–S176

  • obesity management, S83

  • type 2 diabetes, S92, S93

antihypertensives

  • cardiovascular disease, S104, S106–S108

  • chronic kidney disease, S128

  • pregnancy, S169

antioxidant supplementation, S51

antiplatelet agents, S113–S114

antipsychotics, S83

antiretroviral (ARV) therapies, S41

anti-VEGF, S129–S131

anxiety disorders evaluation, S42, S55

ARRIVE trial, S113

ASCEND trial, S113, S114

Asians Americans

  • BMI cut point, S17, S20

  • idiopathic type 1 diabetes in, S16

  • metabolic surgery, S85, S86

  • prediabetes/type 2 criteria, S18

  • risk-based screening, S18, S19

Aspart, S97

Aspart 70/30, S97

ASPIRE study, S76

aspirin

  • cardiovascular disease and, S113–S114

  • preeclampsia, S167–S169

  • resistance, S114

  • retinopathy and, S129

ASPREE trial, S113

assisted living facilities, S144, S145

atorvastatin, S111

autoimmune diseases, S39, S152

automated insulin delivery, S77

autonomic neuropathy

  • cardiac, S131, S132

  • diagnosis, S132

  • genitourinary, S132

  • glycemic control, S132

  • physical activity and, S53

  • pre-exercise evaluation, S52–S53

  • prevention, S131

  • screening, S131

  • treatment, S131, S132

bariatric surgery referrals, S55

BARI 2D trial, S132

basal insulin analogs, S97–S99

bedside blood glucose monitoring, S175

behavioral therapy, S82–S83

β-blockers, S114

beverage consumption, S5

biguanides, S96

bile acid sequestrants, S96

blood glucose meter accuracy, S74

blood pressure control. see hypertension

blood pressure targets, S104

BMI, ethnicity and, S17, S20

board certified-advanced diabetes management (BC-ADM), S47

bromocriptine, S96

canagliflozin, S96, S98, S115–S116, S128

cancer evaluation, S39

CANVAS-Renal (CANVAS-R) trial, S115–S118

CANVAS trial, S115–S119, S127, S128

carbohydrates, S49, S50

cardiovascular disease, S103–S119

  • A1C and, S64, S65

  • antihyperglycemics, S115–S119

  • antiplatelet agents, S113–S114

  • atherosclerotic, defined, S103

  • atherosclerotic, pharmacology in type 2, S92, S98

  • cardiac testing, S114–S115

  • children and adolescents, S153–S155, S159

  • chronic kidney disease and, S128–S129

  • fats (dietary) and, S51

  • heart failure, S103, S114, S118–S119

  • hypertension, S104–S113

  • lifestyle interventions, S115

  • obesity management and, S82

  • pharmacology, S115–S119

  • pharmacology outcomes, S98

  • physical activity benefits, S52

  • prevention of, S31

  • primary prevention/aspirin, S113–S114

  • primary prevention/statins, S110

  • recommendations, S114

  • revisions summary, S5

  • risk assessment, S36, S103–S104

  • risk factors, S17, S20, S66

  • screening, S114, S115

  • secondary prevention/statins, S111

  • statins, S109–S113

  • stroke. see stroke

  • treatment, S114

care delivery systems

  • Affordable Care Act, S9, S160

  • background, S8

  • care team, S8

  • chronic care model, S8–S9, S34

  • social context in, S9–S10

  • system-level improvement strategies, S8

  • telemedicine, S4, S5, S8–S9, S31, S129

carotene, S51

Caucasians

  • A1C/mean glucose levels in, S52

  • BMI cut points in, S20

  • exercise levels in, S52

  • hemoglobinopathies in, S15

celiac disease, S152–S153

certified diabetes educator (CDE), S47

CGM. see continuous glucose monitoring (CGM)

Charcot foot, S134

child care/school, S150

children and adolescents, S148–S160

  • A1C targets in, S151, S156

  • A1C validity in, S20, S62

  • autoimmune conditions in, S152

  • cardiac function testing, S159

  • cardiovascular risk factor management, S153–S155

  • celiac disease, S152–S153

  • complications prevention/management, S158–S160

  • continuous glucose monitoring in, S149, S151

  • diabetic ketoacidosis in, S149, S156, S157

  • DSMES, S149

  • dyslipidemia, S153–S154, S159

  • eating disorders in, S151

  • glycemic control/type 1, S151–S152

  • glycemic control/type 2, S156–S157

  • hypertension, S153

  • hypoglycemia in, S67

  • immune-mediated diabetes, S16

  • immunizations, S36

  • insulin pumps, S72–S73

  • lifestyle management, S156

  • metabolic surgery, S158

  • monogenic diabetes in, S25

  • nephropathy, S154

  • neuropathy, S155, S158

  • new-onset management algorithm, S157

  • nutrition therapy, S149, S156

  • obesity management, S150, S155, S156

  • pediatric to adult care transition, S160

  • pharmacology, S156–S158

  • physical activity/exercise, S51, S52, S149–S150, S156

  • preconception counseling, S150, S151

  • psychosocial issues, S150–S151, S159–S160

  • real-time CGM in, S75

  • retinopathy, S154–S155, S158–S159

  • revisions summary, S6

  • school/child care, S150

  • shared decision making, S150–S151

  • smoking, S154

  • thyroid disease, S152

  • type 2 diabetes in, S17, S18, S155–S160

  • type 1 diabetes in, S13–S14, S148–S155

chronic care model, S8–S9, S34

chronic kidney disease, S124–S129

  • acute kidney injury, S126

  • albuminuria screening, S125

  • albuminuria treatment, S128

  • antihypertensives, S128

  • cardiovascular disease and, S128–S129

  • children and adolescents, S154, S158–S159

  • complications of, S126

  • diagnosis of, S125

  • eGFR assessment, S125

  • epidemiology, S125

  • glucose-lowering medications, renal effects, S127

  • glycemic targets, S127

  • hypertension and, S124, S128–S129

  • nutrition therapy, S50, S53, S124, S127

  • pharmacology, S92, S97, S125, S127–S128

  • recommendations, S124–S125

  • referrals, S129

  • renal replacement treatment, S125, S129

  • screening, S124

  • staging of, S125–S126

  • surveillance, S126–S127

  • treatment, S124–S129

CKD. see chronic kidney disease

classification, S4, S13–S14

clopidogrel, S113, S114

closed-loop pump system, S91

clozapine, S83

cognitive impairment/dementia

  • evaluation, S39–S40

  • older adults, S140

  • risk factors, S67

  • statins and, S113

colesevelam, S96

community health workers, S10

community screening, S20

community support, S10

comorbidities, S4, S36, S39–S43

concentrated human regular insulin, S97, S99

consensus reports, S1–S2

contact dermatitis, S77

continuous glucose monitoring (CGM), S74–S77

  • accuracy, S74, S75

  • A1C measurement with, S15

  • A1C reduction, S76

  • A1C testing and, S62

  • basal insulin/oral agents, S73–S74

  • children and adolescents, S149, S151

  • as complementary method, S73

  • flash, S76–S77

  • function, applications of, S75

  • glucose assessment, S62–S63

  • glycemic control impacts, S75

  • hospital care, S175

  • hypoglycemia impacts, S67, S75, S76

  • intensive insulin regimens, S73

  • optimization, S73

  • pregnancy, S169

  • real-time, S75–S76

  • recommendations, S74–S76

continuous subcutaneous insulin injection (CSII), S72–S73

contraception, S170

counterfeit strips, S74

CREDENCE trial, S128

CVD. see cardiovascular disease

cystic fibrosis, S13

cystic fibrosis–related diabetes, S23

DAMOCLES trial, S135

dapagliflozin, S96, S128

Da Qing Diabetes Prevention Study, S30

DASH diet, S48, S109

degludec, S97

dental care, S20, S41

depression evaluation, S42, S55

detemir, S97

Diabetes Control and Complications Trial (DCCT) trial, S65, S66, S67, S72, S91, S127, S140, S152

diabetes distress, S54–S55

Diabetes Prevention Program (DPP), S17, S29, S30, S31

Diabetes Prevention Program Outcomes Study (DPPOS), S30, S51, S96

Diabetes Prevention Recognition Program (DPRP), S31

diabetes self-management education and support (DSMES), S9, S10

  • benefits of, S47

  • children and adolescents, S149

  • older adults, S141

  • principles of, S46–S47

  • psychosocial issues and, S54

  • recommendations, S32

  • reimbursement, S47

  • social determinants of health and, S9, S10

diabetic ketoacidosis

  • in children and adolescents, S149, S156, S157

  • epidemiology, S13–S14

  • glycemic targets and, S68

  • hospital care, S178

  • nutrition therapy, S48, S50

  • pregnancy, S169

  • as pump complication, S72, S73

  • referrals, S55

  • risk factors, S16

  • in type 2 diabetes, S18

diabetic kidney disease. see chronic kidney disease

diabetic macular edema, S129, S131

diabetic retinopathy. see retinopathy

Diabetic Retinopathy Study (DRS), S130–S131

diagnosis

  • A1C. see A1C

  • CFRD, S23

  • community screening, S20

  • confirming, S15–S16

  • criteria, S15

  • fasting plasma glucose (FPG), S14, S15, S20, S23

  • IFG, S17

  • MODY, S13, S25

  • monogenic diabetes syndromes, S13, S24–S25

  • neonatal diabetes, S24, S25

  • one-step strategy, GDM, S21–S22

  • oral glucose tolerance test (OGTT), S14, S20, S22

  • posttransplantation diabetes mellitus, S23–S24

  • revisions summary, S4

  • testing interval, S20

  • 2-h plasma glucose (2-h PG), S14, S15

  • two-step strategy, GDM, S21, S22

  • type 1 diabetes, S15, S16–S17

  • type 2 diabetes, S17–S20

DIAMOND study, S76

Dietary Reference Intakes (DRI), S168

discharge planning, S178–S179

disordered eating behavior evaluation, S42–S43

DKA. see diabetic ketoacidosis

dopamine-2 agonists, S96

DPP-4 inhibitors

  • in combination therapy, S93–S94, S97–S98

  • costs, S96

  • heart failure, S118

  • hospital care, S176

  • indications, considerations, S93

  • older patients, S143–S145

  • in renal transplant recipients, S24

dulaglutide, S96

duloxetine, S132

dumping syndrome, S86

e-cigarettes, S5, S6, S53–S54, S154

economic costs of diabetes, S8

EDIC study, S64–S67, S127

ELIXA trial, S116–S118

empagliflozin, S96, S98, S115, S116, S119, S128

EMPA-REG OUTCOME trial, S115, S117–S119, S127, S128

end-of-life/palliative care, S141, S144, S146

enteral/parenteral feedings, S177

eplerenone, S129

erectile dysfunction, S133

ertugliflozin, S96

erythropoietin therapy, S15

ETDRS, S130–S131

ethnicity, S15, S20, S62. see also specific ethnicities

evolocumab, S111

EXAMINE trial, S117, S118

Exenatide, Exenatide ER, S96

exercise. see physical activity

EXSCEL trial, S116–S118

eye disease. see diabetic retinopathy

ezetimibe, S111, S113

fasting plasma glucose (FPG), S14, S15, S20, S23

fats (dietary), S49–S51

fenofibrate, S112

fibrates, S112

finerenone, S129

Finland study, S16

Finnish Diabetes Prevention Study, S30

flash CGM, S76–S77

food insecurity, S10

foot care

  • hyperbaric oxygen therapy, S134–S135

  • infections, S134

  • loss of protective sensation, S131, S134

  • neuropathy, S133–S135

  • patient education, S134

  • peripheral arterial disease, S133, S134

  • recommendations, S133

  • revisions summary, S5

  • treatment, S134

  • ulcers/amputations risk, S133–S134

footwear, S134

FOURIER trial, S111

fractures, S40–S41

frailty, S141–S142

FRAX score, S41

gabapentin, S5, S83

gastrointestinal neuropathy, S132

gastroparesis, S133

genitourinary autonomic neuropathy, S132

German study, S16

gestational diabetes mellitus, S6, S13, S20–S23, S76, S167–S170

GI surgery. see metabolic surgery

glargine, glargine biosimilar, S97

glimepiride, S96

glipizide, S96

GLP-1 receptor agonists

  • cardiovascular disease outcomes, S65, S98, S114, S116

  • in CKD, S127, S128

  • in combination therapy, S93–S94, S97–S99

  • costs, S95, S97

  • heart failure, S118–S119

  • hospital care, S176

  • indications, considerations, S93

  • obesity management, S85

  • older patients, S143–S145

  • stroke and, S116

  • type 1 diabetes, S92

  • type 2 diabetes prevention/delay, S31

glucagon, S66–S68

glucocorticoids, S83, S177

glucose oxidase systems, S74

glulisine, S97

gluten-free diets, S152, S153

glyburide, S96, S167

glycemic index/glycemic load, S50

glycemic targets, S61–S68. see also A1C

  • cardiovascular disease and, S64, S65

  • continuous glucose monitoring impacts, S75

  • evaluation of, S36, S39, S61–S63

  • glucose assessment, S62–S63

  • hospital care, S174–S175

  • intercurrent illness and, S68

  • management algorithm, S35

  • moderate vs. tight control, S174–S175

  • nonpregnant adults, S66

  • physical activity and, S52

  • in pregnancy, S166–S167, S169

  • preprandial, S67

  • revisions summary, S5

G6PD deficiency, S4, S14, S15

HAPO study, S21, S167

Harmony Outcomes trial, S116

hearing impairment evaluation, S41

hemodialysis, S15

hemoglobinopathies, S14, S15

hepatitis B vaccine, S36, S38–S39, S127

herbal supplements, S49, S51

Hispanics. see Latinos

HIV evaluation, S41

homelessness, S10

honey, S51

hospital care, S173–S179

  • admission considerations, S173–S174

  • admission/readmission prevention, S179

  • antihyperglycemics, S175–S176

  • bedside blood glucose monitoring, S175

  • continuous glucose monitoring, S175

  • delivery standards, S173–S174

  • diabetes care providers in, S174

  • diabetic ketoacidosis, S178

  • discharge planning, S178–S179

  • enteral/parenteral feedings, S177

  • glucocorticoid therapy, S177

  • glucose abnormalities definitions, S174

  • glycemic targets, S174–S175

  • hyperglycemia management, S24

  • hyperosmolar hyperglycemic state, S178

  • hypoglycemia, S176–S177

  • insulin, IV to subcutaneous transition, S176

  • insulin therapy, S174–S176

  • medical nutrition therapy, S177

  • noninsulin therapies, S176

  • perioperative care, S177–S178

  • physician order entry, S174

  • quality assurance standards in, S174

  • revisions summary, S6

  • self-monitoring of blood glucose, S177

  • stroke, S174

  • type 1 diabetes, S176

HOT trial, S105

HPS2-THRIVE trial, S112

Human NPH, S97

human regular insulin, S97

hydralzine, S106

hyperbaric oxygen therapy, S134–S135

hyperglycemia

  • ARV-associated, S41

  • defined, S174

  • evaluation of, S40

  • exercise-induced, S149–S150

  • maternal, S22

  • postprandial as predictive, S66

  • posttransplant, S23

  • risk factors, S10

hyperosmolar hyperglycemic state, S178

hypertension, S104–S113

  • antihypertensives, S104, S106–S108

  • bedtime dosing, S107

  • blood pressure targets, S104

  • children and adolescents, S153

  • chronic kidney disease and, S124, S128–S129

  • defined, S104

  • hyperkalemia/acute kidney injury, S107–S108

  • lipid management, S109–S113

  • meta-analyses of trials, S106

  • multiple-drug therapy, S107, S108

  • in older adults, S141

  • pharmacologic interventions, S107–S113

  • in pregnancy, S104, S106

  • randomized clinical trials, S104–S106

  • resistant, S108, S109

  • screening/diagnosis, S104

  • treatment algorithm, S108

  • treatment goals, S104

  • treatment strategies, S107–S113

  • treatment targets individualization, S106

hypertriglyceridemia, S112

hypoglycemia, S66–S68

  • A1C testing and, S62

  • anxiety disorders and, S42

  • cardiovascular disease and, S65

  • continuous glucose monitoring impacts, S75, S76

  • definitions, S67

  • exercise-induced, S53, S149–S150

  • hospital care, S176–S177

  • insulin therapy and, S91

  • moderate vs. tight glycemic control, S174–S175

  • in older adults, S67, S140, S145

  • postprandial, post-RYGB, S86

  • predictors of, S176

  • prevention, S68, S176–S177

  • pumps and, S73

  • recommendations, S66–S67

  • risk, evaluation of, S39, S40

  • risk factors, S10, S64

  • symptoms of, S67

  • treatment of, S67–S68

  • triggering events, S176

hypoglycemia unawareness, S42, S66–S68

IADPSG criteria, S22–S23

idiopathic type 1 diabetes, S16

IFG, S17

immune-mediated diabetes, S16

immunizations, S36–S39

IMPROVE-IT trial, S111

improvement. see quality of care

incretin-based therapies, S143. see also DPP-4 inhibitors; GLP-1 receptor agonists

Indian Diabetes Prevention Programme (IDPP-1), S31

influenza vaccine, S36, S38

inhaled insulin, S91, S97, S99

injection-related anxiety, S42

insulin pumps, S72–S73, S76, S91

insulin resistance, S18

insulin secretagogues, S143. see also sulfonylureas

insulin syringes/pens, S71–S72

insulin therapy

  • automated delivery, S77

  • basal insulin, S98–S99

  • carbohydrates and, S49, S50

  • children and adolescents, S156, S157

  • concentrated products, S97, S99

  • costs, S97–S99

  • critical care setting, S175

  • delivery technology, S71–S73

  • gestational diabetes mellitus, S167, S168

  • hospital care, S174–S176

  • hypoglycemia and, S91

  • indications, considerations, S93, S96–S97

  • inhaled insulin, S91, S97, S99

  • injection technique, S91

  • intravenous to subcutaneous transition, S176

  • noncritical care setting, S175–S176

  • older adults, S142–S143, S145

  • prandial insulin, S99

  • premixed insulin, S97, S99

  • type 1 diabetes, S90–S92

  • type 2 diabetes, S96, S98–S99

insurance, S47, S77

intermediate-acting insulin analogs, S97

intermittently scanned CGM, S76–S77

Internet-based DSMES, S47

islet transplantation, S92

JDRF CGM trial, S75, S76

ketoacidosis. see diabetic ketoacidosis

kidney disease. see chronic kidney disease

Kumamoto Study, S64

labetalol, S106

language, S10, S35–S36

laropiprant, S112

Latinos

  • A1C variability in, S62

  • exercise targets in, S52

  • food insecurity in, S10

  • risk-based screening, S17, S18

LEADER trial, S116–S118, S127, S128

legacy effect, S66

lifestyle management, S46–S55

  • cardiovascular disease, S115

  • children and adolescents, S156

  • cost effectiveness, S31

  • DSMES, S9, S10, S31–S32, S46–S47, S54

  • gestational diabetes mellitus, S167

  • hypertension, S107

  • medical nutrition therapy. see medical nutrition therapy

  • older adults, S141–S142

  • revisions summary, S4–S5

  • technology-assisted interventions, S31

  • type 2 diabetes prevention/delay, S29–S31

  • weight loss, S48–S51

linagliptin, S96

lipid management, S109–S113

  • children and adolescents, S153–S154, S159

  • combination treatment, S110–S112

  • HDL cholesterol, S109, S112, S159

  • LDL cholesterol, S109, S113, S159

  • lifestyle modification, S109

  • lipid profile/panel, S109

  • statins, S109–S113

  • triglycerides, S109, S112, S159

lipohypertrophy, S91

liraglutide, S85, S95, S97, S98, S116, S128

Lispro 50/50, S97

Lispro 75/25, S97

Lispro, Lispro biosimilar, S97

lixisenatide, S97, S116

long-term care facilities, S144, S145

Look AHEAD trial, S41, S82–S83

Lorcaserin, Lorcaserin XR, S84

loss of protective sensation (LOPS), S131, S134

low-carbohydrate diets, S30, S48, S50

macular edema, S129, S131

MAO inhibitors, S83

mature minor rule, S150–S151

meal planning, S5, S48, S49

medical evaluation, S36–S39

  • components of, S36–S38

  • immunizations, S36–S39

  • recommendations, S36

  • referrals, S40, S55

medical nutrition therapy, S47–S51. see also nutrition

  • alcohol, S49, S51

  • carbohydrates, S49, S50

  • children and adolescents, S149, S156

  • eating patterns, S48–S50

  • fats (dietary), S49–S51

  • gestational diabetes mellitus, S167–S168

  • goals of, S48

  • herbal supplements, S49, S51

  • hospital care, S177

  • macronutrient distribution, S48–S50

  • meal planning, S5, S48, S49

  • micronutrients, S49, S51

  • nonnutritive sweeteners, S5, S49, S51

  • protein, S49, S50

  • recommendations, S49

  • sodium, S49, S51

  • weight management, S48–S51

Medicare, S47, S77

medication adherence, S9

medication reconciliation, S178

Mediterranean diet, S30, S40, S48, S50, S51, S109

meglitinides, S96

mental health

  • children and adolescents, S150–S151, S159–S160

  • diabetes distress, S54–S55

  • evaluation of, S41–S42, S54–S55

  • homelessness, S10

  • illness, serious, S43, S55

  • issues, post-surgery, S86–S87

  • referrals, S40, S55

metabolic memory, S66

metabolic surgery

  • adverse effects, S86

  • benefits of, S86

  • children and adolescents, S158

  • indications, S86

  • obesity management, S85–S87

  • outcomes, S86

  • recommendations, S85–S86

  • referrals, S55

metformin

  • cardiovascular disease, S114, S116–S118

  • children and adolescents, S156–S158

  • in chronic kidney disease, S127

  • costs, S96

  • gestational diabetes mellitus, S167, S168

  • indications, considerations, S93

  • initial therapy, S92–S97

  • older patients, S143

  • type 1 diabetes, S92

  • type 2 diabetes, S92

  • type 2 diabetes prevention/delay, S31

  • vitamin B12 deficiency and, S51, S92

methyldopa, S106

metoclopramide, S133

micronutrients, S49, S51

microvascular complications, S5, S63–S65, S124–S135. see also specific conditions

miglitol, S95

MiG TOFU study, S168

mineralocorticoid receptor antagonists, S109, S129

MODY, S13, S25

monogenic diabetes syndromes, S13, S24–S25

multiple daily injections (MDI), S72–S73, S76, S91

naltrexone/bupropion ER, S84

nateglinide, S96

neonatal diabetes, S24, S25

nephropathy. see chronic kidney disease

neuropathy, S131–S133. see also autonomic neuropathy; peripheral neuropathy

  • characterization, S131

  • children and adolescents, S155, S158

  • diagnosis, S131–S132

  • distal symmetric polyneuropathy, S131

  • erectile dysfunction, S133

  • foot care, S133–S135

  • gastrointestinal, S132

  • gastroparesis, S133

  • neuropathic pain, S132, S133

  • orthostatic hypotension, S133

  • pharmacology, S132–S133

  • recommendations, S131

  • screening, S131

  • treatment, S131, S132

niacin, S112

NICE-SUGAR study, S174

nifedipine, S106

NODAT, S23

nonalcoholic fatty liver disease (NAFDL), S4, S6, S40, S158–S159

non-Hispanic whites. see Caucasians

nonnutritive sweeteners, S5, S49, S51

nonproliferative diabetic retinopathy, S53

NPH/Regular 70/30, S97, S99, S175

nucleoside reverse transcriptase inhibitors (NRTIs), S41

nutrition. see also medical nutrition therapy

  • medical evaluation of, S40

  • micronutrients, S49

  • obesity management, S82–S83

  • revisions summary, S4

  • type 2 diabetes prevention/delay, S30

obesity management, S81–S87

  • antihyperglycemics, S83

  • approved medications, S83–S85

  • assessment, S81–S82

  • behavioral therapy, S82–S83

  • benefits of, S81

  • cardiovascular disease and, S82

  • children and adolescents, S150, S155, S156

  • concomitant medications, S83

  • hypertension, S107

  • lipohypertrophy, S91

  • medical devices, S85

  • medical nutrition therapy, S48–S51

  • metabolic surgery, S85–S87

  • nutrition, S82–S83

  • pharmacolotherapy, S83–S84

  • physical activity, S82–S83

  • pregnancy, S169

  • revisions summary, S5

  • treatment options, S82

  • type 2 diabetes, S82–S83

  • weight loss, S48–S51

obstructive sleep apnea, S41, S158, S159

olanzapine, S83

older adults, S139–S146

  • A1C in, S141, S142

  • aspirin and, S113–S114

  • complications, reduced functionality, S64, S141

  • DSMES, S141

  • frailty in, S141–S142

  • healthy, good functional status, S141, S142

  • hypertension in, S141

  • hypoglycemia in, S67, S140, S145

  • hypoglycemic admissions prevention, S179

  • insulin therapy, S142–S143, S145

  • lifestyle management, S141–S142

  • long-term care facilities, S144, S145

  • neurocognitive function, S140

  • palliative/end-of-life care, S141, S144, S146

  • pharmacology, S94, S96–S97, S142–S145

  • physical activity recommendations, S51

  • recommendations, S139

  • revisions summary, S6

  • screening, S139–S140

  • skilled nursing facilities, S144, S145

  • stroke in, S139, S142

  • treatment goals, S140–S142

  • treatment simplification/deintensification/deprescribing, S144

one-step strategy, GDM, S21–S22

oral glucose tolerance test (OGTT), S14, S20, S22

orlistat, S84

orthostatic hypotension, S133

oxygen in meter accuracy, S74

palliative/end-of-life care, S141, S144, S146

pancreas transplantation, S92

pancreatitis, S13, S40, S112, S116

parenteral/enteral feedings, S177

patient-centered care

  • collaborative model of, S34–S36

  • pharmacology, S92, S93

  • population health, S7–S8

PCSK9 inhibitors, S111, S113

pediatrics. see children and adolescents

periodontal disease screening, S41

peripheral arterial disease, S133, S134

peripheral neuropathy

  • characterization, S131

  • diagnosis, S131–S132

  • micronutrients/supplements, S51

  • pharmacology, S31

  • physical activity and, S53

  • pre-exercise evaluation, S52–S53

  • treatment, S131

pharmacology, S90–S99. see also specific medications, medication classes

  • cardiovascular disease, S115–S119

  • cardiovascular disease outcomes, S98

  • children and adolescents, S156–S158

  • combination injectable, S99

  • combination therapy, S93–S94, S97–S98

  • costs, S96, S98

  • dual therapy, S92

  • gestational diabetes mellitus, S168

  • hypertension, S107–S113

  • initial therapy, S92–S97

  • injectables, S5, S97–S98

  • medication adherence, S9

  • medications as risk factor, S20

  • obesity management, S83–S84

  • older adults, S94, S96–S97, S142–S145

  • patient-centered care, S92, S93

  • patient factors, S5

  • revisions summary, S5

  • type 1 diabetes, S90–S92

  • type 2 diabetes, S92–S98

  • type 2 diabetes prevention/delay, S31

phentermine, S84

phentermine/topiramate ER, S84

photocoagulation therapy, S129–S131

physical activity, S51–S53

  • autonomic neuropathy and (see autonomic neuropathy)

  • benefits, S52

  • children and adolescents, S51, S52, S149–S150, S156

  • DPP goals, S30

  • frequency/type of, S52

  • glycemic control and, S52

  • hypoglycemia and, S53

  • kidney disease, S50, S53

  • obesity management, S82–S83

  • peripheral neuropathy and (see peripheral neuropathy)

  • pre-exercise evaluation, S52–S53

  • recommendations, S51

  • retinopathy and, S53

  • revisions summary, S5

  • type 2 diabetes prevention/delay, S30–S31

physician order entry, S174

pioglitazone, S96

pneumococcal pneumonia vaccine, S36, S38

point-of-care meters, S175

polycystic ovary syndrome, S159, S167, S168

population health

  • care delivery systems, S8

  • community screening, S20

  • defined, S7

  • patient-centered care, S7–S8

  • recommendations, S7

posttransplantation diabetes mellitus, S23–S24

pramlintide, S92, S96

preconception counseling

  • children and adolescents, S150, S151

  • contraception, S170

  • pregnancy, S165–S166

prediabetes

  • diagnosis, S17–S20

  • gestational diabetes mellitus, S170

  • HIV and, S41

  • physical activity recommendations, S51

  • serious mental illness and, S43

  • type 2 diabetes prevention/delay, S30–S32

pregabalin, S132

pregnancy, S165–S170

  • A1C values in, S14, S15, S166, S167

  • antihypertensives and, S106

  • contraception, S170

  • diabetes, preexisting, S168–S169

  • diabetes risks in, S165

  • diabetic ketoacidosis, S169

  • drugs contraindicated, S106, S169

  • gestational diabetes mellitus, S6, S13, S20–S23, S76, S167–S170

  • glucose monitoring in, S166–S167

  • glycemic targets in, S166–S167, S169

  • hypertension in, S104, S106

  • insulin physiology in, S166

  • low-carbohydrate diets, S30, S48, S50

  • medical nutrition therapy, S48, S51

  • obesity management, S169

  • OGTT values in, S22, S169

  • postpartum care, S169–S170

  • preconception care, S166

  • preconception counseling, S165–S166

  • preeclampsia, S106, S167–S169

  • real-time CGM in, S76

  • retinopathy and, S129, S130

  • revisions summary, S6

premixed insulin products, S97, S99, S175

progestins, S83

proliferative diabetic retinopathy, S53

protease inhibitors (PIs), S41

protein, S49, S50

psychosocial/emotional disorders evaluation, S41–S42, S54–S55

P2Y12 inhibitors, S113, S114

pump. see insulin pump

quality of care

  • evaluation of, S9

  • hospital care delivery standards, S173–S174

  • quality assurance standards in, S174

  • scientific evidence-grading system, S2

  • system-level improvement strategies, S8

ranibizumab, S129, S130

rapid-acting insulin analogs, S97

real-time CGM, S75–S76

referrals, S40, S55, S129

repaglinide, S96

resistance exercise, S52

retinal photography, S130

retinal screening, S5

retinopathy, S129–S131

  • adjunctive therapy, S131

  • anti-VEGF, S129–S131

  • children and adolescents, S154–S155, S158–S159

  • epidemiology, S129–S130

  • macular edema, S129, S131

  • photocoagulation therapy, S129–S131

  • physical activity and, S53

  • pregnancy and, S129, S130, S166

  • proliferative, S130

  • recommendations, S129

  • screening, S129, S130

  • treatment, S129–S131

  • type 1 diabetes, S129, S130

  • type 2 diabetes, S129, S130

Risk Estimator Plus, S104

risperidone, S83

rosiglitazone, S96

rosuvastatin, S111

Roux-en-Y gastric bypass, S86

SAVOR-TIMI trial, S117, S118

saxagliptin, S96

schizophrenia, S43

school/child care, S150

scientific evidence-grading system, S2

scientific reviews, S2

SEARCH study, S154

self-monitoring of blood glucose (SMBG), S73–S74

  • accuracy, S74, S75

  • A1C testing and, S62

  • basal insulin/oral agents, S73–S74

  • glucose assessment by, S62–S63

  • hospital care, S177

  • intensive insulin regimens, S73

  • optimization, S73

  • recommendations, S73

semaglutide, S96, S98, S116

SGLT2 inhibitors

  • cardiovascular disease and, S65, S92, S98, S114–S116

  • in chronic kidney disease, S127, S128

  • in combination therapy, S93–S94, S97–S98

  • contraindications, S176

  • costs, S96

  • heart failure, S119

  • hospital care, S176

  • indications, considerations, S93

  • low-carbohydrate eating plans and, S50

  • older patients, S145

  • stroke and, S115–S116

  • type 1 diabetes, S92

shoes, S134

short-acting insulin analogs, S97

sickle cell disease, S14

simvastatin, S111

sitagliptin, S96

skilled nursing facilities, S144, S145

sleep

  • hypoglycemia prevention, S68, S170

  • obstructive sleep apnea, S41, S158, S159

  • pattern/duration assessment, S36

  • pregnancy and, S170

  • quality effects, S36

smoking, S31, S53–S54, S154

social determinants of health, S9–S10

sodium, S49, S51

sodium consumption, S5

sotagliflozin, S92

spironolactone, S106, S129

SPRINT trial, S105–S106

SSRIs, S83, S84

statins

  • cognition, effects on, S40

  • cognitive function and, S113

  • in combination treatment, S111, S112

  • diabetes with, S112–S113

  • dosing strategies, S111

  • patients <40 years, S111–S112

  • primary prevention, S110

  • randomized trials, S110–S113

  • recommendations, S109–S110

  • risk-based therapy, S110

  • secondary prevention, S111

  • type 1 diabetes, S111–S112

  • type 2 diabetes, S110

stroke

  • in children and adolescents, S158

  • combination therapy and, S112

  • CVD outcomes trials, S115–S117

  • GLP-1 receptor agonists and, S116

  • hospital care, S174

  • hypertension treatment and, S105–S106

  • ischemic, S112, S114

  • in older adults, S139, S142

  • risk reduction, S65, S105–S106, S111, S113

  • screening, S114

  • SGLT2 inhibitors and, S115–S116

structured discharge communication, S178–S179

sulfonylureas

  • in combination therapy, S93–S94, S97–S98

  • costs, S96

  • gestational diabetes mellitus, S168

  • indications, considerations, S93

  • older patients, S143

SUSTAIN-6 trial, S116–S118, S127

sweeteners, S5

tai chi, S51

tapentadol, S132–S133

TCAs, S83

technology. see also continuous glucose monitoring (CGM); self-monitoring of blood glucose (SMBG)

  • definitions, S71

  • in diabetes management, S71–S77

  • in diabetes prevention, S29, S31

  • insulin pumps, S72–S73, S76, S91

  • point-of-care meters, S175

TECOS trial, S117, S118

telemedicine, S4, S5, S8–S9, S31, S129

temperature in meter accuracy, S74

testosterone level evaluation, S41

thiazolidinediones

  • in combination therapy, S93–S94, S97–S98

  • costs, S96

  • heart failure, S118

  • indications, considerations, S93

  • older patients, S143

  • in renal transplant recipients, S24

  • type 2 diabetes prevention/delay, S31

thought disorders, S43

thyroid disease, S152

tobacco use, S31, S53–S54, S154

TODAY study, S157–S158, S160

2-h plasma glucose (2-h PG), S14, S15

two-step strategy, GDM, S21, S22

type 1 diabetes

  • albuminuria in, S127

  • autoimmune conditions in, S152

  • autoimmune diseases evaluation, S39

  • cardiovascular disease and, S65

  • celiac disease, S152–S153

  • CGM in, S76

  • in children and adolescents, S13–S14, S148–S155

  • classification, S13–S14

  • diagnosis, S15, S16–S17

  • eating patterns, S48

  • hospital care, S176

  • idiopathic, S16

  • noninsulin treatments, S91–S92

  • pathophysiology, S14

  • pharmacology, S90–S92

  • physical activity benefits, S52

  • preconception care, S166

  • pregnancy, S168–S169

  • recommendations, S16

  • retinopathy, S129, S130

  • risk screening, S16–S17

  • staging, S14

  • statins, S111–S112

  • surgical treatment, S92

  • thyroid disease, S152

type 2 diabetes

  • cancer evaluation, S39

  • cardiovascular disease and, S65

  • CGM in, S76

  • children and adolescents, S17, S18, S155–S160

  • chronic kidney disease and, S128

  • classification, S13–S14

  • combination therapy, S93–S94, S97–S98

  • diagnosis, S17–S20, S155–S156

  • DKA in, S18

  • dyslipidemia in, S112

  • insulin therapy, S95, S98–S99

  • Internet-based DSMES, S47

  • obesity management, S82–S83

  • pathophysiology, S18

  • pharmacology, S92–S98

  • pharmacology, algorithm, S94

  • pregnancy, S168–S169

  • prevention/delay, S29–S32, S52

  • retinopathy, S129, S130

  • risk factors, S18, S20, S30

  • screening/testing, S17–S20, S155

  • statins, S110

U-500 Human Regular insulin, S97

UK Prospective Diabetes Study (UKPDS), S64, S66, S115

vaccinations, S36–S39

VADT study, S64, S65

vitamin B12 deficiency, S31, S92

vitamin C, S51

vitamin E, S51

water intake, S5

weight loss. see obesity management

whites. see Caucasians

yoga, S51

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