James J. Chamberlain, MD; Kacie Doyle-Delgado, RN, ARNP; Lacie Peterson, MS, RDN, CDE; Neil Skolnik, MD
Note: The complete Standards of Medical Care in Diabetes—2019 was developed by the ADA's Professional Practice Committee: Joshua J. Neumiller, PharmD, CDE (Chair); Christopher Cannon, MD; Ian de Boer, MD, MS; Jill Crandall, MD; David D'Alessio, MD; Mary de Groot, PhD; Judith Fradkin, MD; Kathryn Kreider, DNP, APRN, FNP-BC, BC-ADM; David Maahs, MD, PhD; Nisa Maruthur, MD, MHS; Melinda Maryniuk, Med, RD, CDE; Medha N. Munshi, MD; Maria Jose Redondo, MD, PhD, MPH; Guillermo E. Umpierrez, MD, CDE; and Jennifer Wyckoff, MD. Staff support at the ADA includes Erika Berg, PhD; William T. Cefalu, MD; Matt Petersen; Shamera Robinson; Mindy Saraco, MHA; and Sacha Uelmen, RDN, CDE.
Acknowledgment: The authors thank Sarah Bradley; Jennifer Wyckoff, MD; and Mindy Saraco, MHA, for their invaluable assistance in reviewing and editing this manuscript.
Disclosures: Dr. Chamberlain reports other support from Janssen, Merck, Novo Nordisk, Sanofi, and Dexcom outside the submitted work. Ms. Doyle-Delgado reports that she is a stockholder of Dexcom and Tandem Diabetes Care outside the submitted work. Dr. Skolnik reports personal fees and nonfinancial support from AstraZeneca, Boehringer Ingelheim, and Sanofi and personal fees from Teva, Lilly, Janssen, Intarcia, Mylan, GSK, and Merck outside the submitted work. Authors not named here have disclosed no conflicts of interest. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-1638.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Catharine B. Stack, PhD, MS, Deputy Editor, Statistics, reports that she has stock holdings in Pfizer, Johnson & Johnson, and Colgate-Palmolive. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
Corresponding Author: James J. Chamberlain, MD, St. Mark's Hospital and St. Mark's Diabetes Center, Internal Medicine at St. Mark's, 1160 East 3900 South, Suite 1200, Salt Lake City, UT 84124; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Chamberlain and Ms. Doyle-Delgado: St. Mark's Hospital and St. Mark's Diabetes Center, Internal Medicine at St. Mark's, 1160 East 3900 South, Suite 1200, Salt Lake City, UT 84124.
Ms. Peterson: Utah State University, 920 West Levoy Drive, Taylorsville, UT 84123.
Dr. Skolnik: Abington Family Medicine, 500 Old York Road, Suite 108, Jenkintown, PA 19046.
Author Contributions: Conception and design: J.J. Chamberlain, L. Peterson, N. Skolnik.
Analysis and interpretation of the data: J.J. Chamberlain.
Drafting of the article: J.J. Chamberlain, K. Doyle-Delgado, L. Peterson, N. Skolnik.
Critical revision of the article for important intellectual content: J.J. Chamberlain, L. Peterson, N. Skolnik.
Final approval of the article: J.J. Chamberlain, K. Doyle-Delgado, L. Peterson, N. Skolnik.
Administrative, technical, or logistic support: J.J. Chamberlain.
Collection and assembly of data: J.J. Chamberlain.
The American Diabetes Association (ADA) annually updates its Standards of Medical Care in Diabetes to provide clinicians, patients, researchers, payers, and other interested parties with evidence-based recommendations for the diagnosis and management of patients with diabetes.
The ADA Professional Practice Committee comprises physicians, adult and pediatric endocrinologists, diabetes educators, registered dietitians, epidemiologists, pharmacists, and public health experts. To develop the 2019 standards, the committee continuously searched MEDLINE through November 2018 to consider and review studies, particularly high-quality trials including persons with diabetes, for potential incorporation into recommendations. It also solicited feedback from the larger clinical community.
This synopsis focuses on selected guidance relating to use of diabetes technology in adults with diabetes. Recommendations address self-monitoring of blood glucose, continuous glucose monitors, and automated insulin delivery systems.
Chamberlain JJ, Doyle-Delgado K, Peterson L, Skolnik N. Diabetes Technology: Review of the 2019 American Diabetes Association Standards of Medical Care in Diabetes. Ann Intern Med. [Epub ahead of print 13 August 2019]:. doi: 10.7326/M19-1638
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Published: Ann Intern Med. 2019.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Guidelines.
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