Health
CGM Use, GLP-1, and the Key to the Drinking Water 2025 ADA Standard
The American Diabetes Association (ADA) Standards of Care – 2025 includes the widespread use of continuous glucose monitoring (CGM), the use of glucagon-like peptide-1 receptor agonists (GLP-1 RA) beyond weight loss, and new developments in metabolic management. We provide guidance. In addition to dysfunction-associated liver disease (MAFLD), there is also strong support for things like drinking water.
of Standards of care β 2025 Published on December 9th as a supplement to. diabetes care. The standards “incorporate the latest information from clinical trial data and diabetes management knowledge into a comprehensive guideline document to help physicians manage patients with diabetes in their practices,” said ADA Director of Medicine and Science. said Mandeep Bajaj, MBBS. Medscape Medical News.
In an interview, Bajaj highlighted some of this year's most important clinical updates. This includes:
- A review of the use of continuous glucose monitoring devices in adults with type 2 diabetes (T2D) who do not use insulin. Medicare and many other payers currently only cover CGM for people who use insulin or are at risk for hypoglycemia. However, some CGMs are now available over the counter, Bajaj noted.
- What to do in case of drug shortages. The ADA released guidance on this in the case of GLP-1 RAs on December 2nd. Essentially, the ADA recommended substituting another GLP-1 RA if possible. Unapproved products are not recommended, but guidance is provided for those who choose to use them.
- Use of GLP-1 RA for heart and kidney health. Emerging data on patients with established or increased risk for atherosclerotic cardiovascular disease, heart failure with preserved ejection fraction, and chronic kidney disease guide the selection of pharmacotherapy for patients with T2D. Recommendations have been revised to provide clearer advice.
- Treatment of MAFLD with moderate or progressive liver fibrosis. New recommendations for the use of thyroid hormone receptor beta agonists are based on resmetirom trial data. Bajaj further said, “We have adopted a new nomenclature. Earlier it was NAFLD and NASH, now it is MAFLD and MASH.” [metabolic-associated steatohepatitis]β
- Advice on continuing your weight management therapy beyond achieving your weight loss goals. This is based on a growing body of evidence that “discontinuing these treatments leads to weight regain and increased cardiovascular risk,” Bajaj said, adding that the recommendation was made in collaboration with the Obesity Society. Ta.
- Antibody-based screening for presymptomatic T1D in family members of T2D patients and others who may be at risk. “People who test positive for autoantibodies are at risk of developing diabetes, symptoms of diabetes, [diabetic ketoacidosis] “Referral to a specialized center should be considered for further evaluation and/or consideration of clinical trials and approved treatments, as this may delay the onset of diabetes,” the document states. .
- Screening for psychosocial problems. People with diabetes should be screened for concerns such as diabetic distress, depression, anxiety, fear of hypoglycemia, and disordered eating behaviors. “While people taking insulin or sulfonylureas may fear hypoglycemia, the pain of diabetes can happen to anyone with diabetes,” Bajaj noted. The document advises that carers and family members should also be tested.
- Drink water instead of soda. In the nutrition section, new recommendations strongly recommend drinking water instead of nutritious or non-nutritive sweetened beverages. “This is an important recommendation. So if a patient asks what is the best thing to drink, our answer is to drink water, not Coca-Cola or Diet Coke,” Bajaj said. . But what about people with diabetes who can't kick their diet soda habit? “We said that non-nutritive sweeteners are preferable to sugar sweeteners in moderation and for short periods of time, but the best Itβs water.β
Bajaj receives grant support from ADA. He did not reveal any further information.
Miriam E. Tucker is a freelance journalist based in the Washington, DC area. She is a regular contributor to Medscape Medical News, as well as to the Washington Post, NPR's Shots blog, and Diatribe. She belongs to X @MiriamETucker.
Sources 2/ https://www.medscape.com/viewarticle/cgm-use-glp-1s-drinking-water-key-2025-ada-standards-2024a1000muy The mention sources can contact us to remove/changing this article |
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