01/11/2010 - News

American Diabetes Association Issues Revised Guidelines

By: June Chen, MD


The American Diabetes Association (ADA) has issued revised clinical practice recommendations for diabetes diagnosis which promote hemoglobin A1c as a faster, easier test that could potentially reduce the number of patients with undiagnosed diabetes or prediabetes. These new recommendations were published December 29, 2009 in the January 2010 supplement of Diabetes Care.

Hemoglobin A1c is a test which measures average blood glucose levels for a period of up to 3 months. In the past, A1c was used only to evaluate blood sugar control in people with diabetes. Now, the ADA is recommending use of A1c as a diagnostic test for diabetes and prediabetes. Because, unlike blood glucose, A1c does not require fasting, more people may be encouraged to get tested for diabetes. According to the new guidelines, an A1c score of 5.7 to 6.4 percent indicates prediabetes and an A1c level of 6.5 percent or higher is diagnostic of diabetes.

Extensive revisions have also been made to other sections of the ADA’s 2010 Clinical Practice Recommendations for diabetes; in particular, the sections on Diabetes Self-Management Education and Strategies for Improving Diabetes Care.



Diabetes Care. December 29, 2009; January 2010 Supplement.


Created on: 01/11/2010
Reviewed on: 01/11/2010

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