American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for Developing a Diabetes Mellitus Comprehensive Care Plan

American Association Of Clinical Endocrinologists And American College Of Endocrinology 2016 Outpatient Glucose Monitoring Consensus Statement

“…GM is one of the essential elements of effective T1DM management (68,69). The Type 1 Diabetes Exchange Clinic Registry (2013) found a systematic, statistically significant decrease in A1C levels in relation to increased frequency of daily BGM in children, adolescents, and adults ( Fig.…”

“…Current guidelines advise patients to check their blood glucose frequently; recommendations range from at least 4 to 6 to 10 or more times per day. All guidelines emphasize the need for individualization for each patient, with more or less frequent monitoring before meals, postprandially, at bedtime, before exercise, and when undertaking potentially hazardous tasks (e.g., driving) (2,68,69). Patients with T1DM should also monitor their blood glucose before driving and should not drive if their glucose level is <90 mg/dL (5.0 mmol/L).…”

“…BGM provides patients with important information regarding treatment efficacy (68,69). BGM can also facilitate appropriate modifications to the therapeutic regimen, providing critical information that clinicians need to adjust dosage and/or timing of basal and bolus insulins, as well as reflecting the impact of food intake and physical activity (2,68,73).…”

American Association of Clinical Endocrinologists and American College of Endocrinology – Clinical Practice Guidelines for Developing A Diabetes Mellitus Comprehensive Care Plan – 2015 — Executive Summary

“…The AACE Board of Directors mandated an update of the 2011 AACE DM CPG (1 [EL 4; NE]), which expired in 2014. Selection of the cochairs, primary writers, and reviewers, as well as the logistics for creating this evidence-based CPG were conducted in strict adherence with the AACE Protocol for Standardized Production of Clinical Practice Guidelines—2010 and 2014 Updates (2 [EL 4; CPG NE; see Fig.…”

“…These 2015 clinical practice guidelines (CPGs) for developing a diabetes mellitus (DM) comprehensive care plan are an update of the 2011 American Association of Clinical Endocrinologists (AACE) Medical Guidelines for Clinical Practice for Developing a Diabetes Mellitus Comprehensive Care Plan (1 [EL 4; NE]). The mandate for this CPG is to provide a practical guide for comprehensive care that incorporates an integrated consideration of micro- and macrovascular risk (including cardiovascular risk factors such as lipids, hypertension, and coagulation) rather than an isolated approach focusing merely on glycemic control.…”