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The American Diabetes Association Releases the Standards of Care in Diabetes–2024

New guidelines include updates to recommendations around new class of obesity drugs, new screening practices, diabetes technology, and the use of teplizumab.

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ARLINGTON, Va.  /PRNewswire/ — Today, the American Diabetes Association® (ADA) released the Standards of Care in Diabetes—2024 (Standards of Care), a set of comprehensive and evidence-based guidelines for managing type 1, type 2, gestational diabetes, and prediabetes based on the latest scientific research and clinical trials. It includes strategies for diagnosing and treating diabetes in both youth and adults, methods to prevent or delay type 2 diabetes and its associated comorbidities like cardiovascular disease (CVD) and obesity, and therapeutic approaches aimed at minimizing complications and enhancing health outcomes.



“The latest ADA guidelines present pivotal updates for health care professionals, ensuring comprehensive, evidence-based care for diabetes management. These changes reflect our ongoing commitment to optimizing patient outcomes through informed, adaptable, and patient-centered health care practices,” said Robert Gabbay, MD, PhD, the ADA’s chief scientific and medical officer. “The ADA’s Standards of Care ensures health care professionals, especially our primary care workforce, provide the best possible care to those living with diabetes.”

Notable updates to the Standards of Care in Diabetes─2024 include:

  • New updates in managing obesity in people with diabetes, including approaches to reduce therapeutic inertiasupport more personalization, and incorporate additional obesity measurements beyond body mass index (i.e., waist circumference, waist-to-hip ratio, and/or waist-to-height ratio).
  • New screening recommendations for heart failure in people with diabetes.
  • Updated recommendations for peripheral arterial disease (PAD) screening in people with diabetes.
  • Guidance on screening and the use of teplizumab, approved to delay the onset of type 1 diabetes.
  • More guidance on the use of new obesity medications, glucagon-like peptide 1 (GLP-1) agonists or dual glucose-dependent insulinotropic polypeptide (GIP) receptor agonists, to reach sustained weight management goals.
2024 SOC Image
Explore new updates now available in the Standards of Care in Diabetes—2024.
  • Updates in guidance on the diagnosis and classification of diabetes.
  • A focus on hypoglycemia prevention and management.
  • Emphasis on screening people with diabetes for nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis at primary care and diabetes clinics.
  • New emphasis on the evaluation and treatment of bone health and added attention to diabetes-specific risk factors for fracture.
  • A focus on screening and management of people with diabetes and disability.
  • Emphasis on enabling health care providers to master diabetes technology, using artificial intelligence for retinal screenings with necessary referrals, and embracing telehealth and digital tools for diabetes self-management education.
  • New information on the possible association between COVID-19 infections and new onset of type 1 diabetes.

“As the ADA’s chair of professional practice committee, I’m excited to share our latest updates to advance diabetes care through new scientific insights and technological innovation, all aimed at enhancing experience for people with diabetes and health care professionals in managing this complex condition,” said Nuha A. El Sayed, MD, MM Sc, the ADA’s senior vice president of health care improvement.

Other noteworthy changes to the 2024 Standards of Care include:

  • Updated immunization guidance to include newly approved RSV vaccines in adults over 60 years of age with diabetes.
  • New emphasis on cultural sensitivity in diabetes self-management education, with considerations for changing reimbursement policies.
  • More detail and emphasis on psychosocial screening protocols to better identify diabetes distress.
  • The importance of diabetes technology, with an emphasis on continuous glucose monitors (CGMs) and automated insulin delivery (AID) systems.
  • Continued emphasis on inclusion and person-centered care.

“At the ADA, we are focused on improving the quality of care for anyone who lives with diabetes, prediabetes, or who is at risk of developing diabetes. The Standards of Care are critical to ensuring the improved treatment of diabetes, a chronic disease that requires continuous care through a well-informed and coordinated health care team. These standards equip health care professionals with the gold standard in diabetes care, ensuring the highest level of service and knowledge in the field,” said Chuck Henderson, the ADA’s chief executive officer.

The ADA annually updates its Standards of Care through the efforts of its Professional Practice Committee (PPC). Comprising 21 global experts from diverse professional backgrounds, the PPC includes physicians, nurse practitioners, certified diabetes care and education specialists, registered dietitians, pharmacists, and methodologists. Its members hold expertise in areas like adult and pediatric endocrinology, epidemiology, public health, cardiovascular risk management, kidney disease, microvascular complications, preconception and pregnancy care, weight management, diabetes prevention, behavioral and mental health, inpatient care, and technology in diabetes management. Additionally, the committee collaborates with 19 specialized content experts. The 2024 Standards of Care has garnered endorsements from the American College of Cardiology (Section 10), the American Society of Bone and Mineral Research (Bone section in Section 4), and the Obesity Society (Section 8).

Today, the Standards of Care in Diabetes—2024 is available online and is published as a supplement to the January 2024 issue of Diabetes Care®. A shortened version of the guidelines, known as the Abridged Standards of Care, will be made available for primary care providers in the journal Clinical Diabetes®, along with a convenient Standards of Care app as well as a Standards of Care pocket chart. The online version will be annotated in real-time with necessary updates if new evidence or regulatory changes merit immediate incorporation through the “living” Standards of Care process. Other Standards of Care resources, including a webcast with continuing education (CE) credit and a full slide deck, can be found on the ADA’s professional website, DiabetesPro®.

About the American Diabetes Association
The American Diabetes Association (ADA) is the nation’s leading voluntary health organization fighting to bend the curve on the diabetes epidemic and help people living with diabetes thrive. For 83 years, the ADA has driven discovery and research to treat, manage, and prevent diabetes while working relentlessly for a cure. Through advocacy, program development, and education we aim to improve the quality of life for the over 133 million Americans living with diabetes or prediabetes. Diabetes has brought us together, what we do next will make us Connected for Life®. To learn more or to get involved, visit us at diabetes.org or call 1-800-DIABETES (1-800-342-2383). Join the fight with us on Facebook (American Diabetes Association), Spanish Facebook (Asociación Americana de la Diabetes), LinkedIn (American Diabetes Association), Twitter (@AmDiabetesAssn), and Instagram (@AmDiabetesAssn). 

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SOURCE American Diabetes Association

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Diana Gregory Receives Lifetime Achievement Award from AmeriCorps on Behalf of President Biden

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Diana Gregory
L to R -Bryan C. Matthews, Medical Center Director for Phoenix Veterans Affairs Health Care System, David Peters – local leadership of the Order of St. George, Diana Gregory, Dr. Josephine Pete, Educator, and Jim Lawrence – local leadership of the Order of St. George. Image: D Gregory

Honoring Diana Gregory

In a moment that truly embodies the essence of service and community care, Diana Gregory, the visionary founder of Diana Gregory Outreach Services, has been honored with the esteemed Lifetime Achievement Award from AmeriCorps. This award, presented on behalf of President Joe Biden, took place during a heartfelt ceremony at the VA Health Care System in Phoenix, Arizona, organized by the dedicated leadership of The Order of St. George.

Diana’s selection for this distinguished accolade highlights her extraordinary commitment to fostering positive change and improving the lives of those in her community. Over the past decade, she has passionately addressed critical issues like food insecurity and health awareness, focusing on supporting seniors and veterans. Through her organization, Diana Gregory Outreach Services, she has distributed fresh, nutritious produce to thousands, ensuring that those in need have access to healthy food options.

But Diana’s contributions extend far beyond food distribution; she has also implemented vital health education programs that empower individuals and families, helping them to embrace wellness and make informed choices about their health. This holistic approach has created a transformative impact on underserved communities, reinforcing the importance of access to both nutrition and education.

The Lifetime Achievement Award is an honorable recognition reserved for individuals who have dedicated over 4,000 hours of volunteer service. This milestone is a testament to Diana’s proactive engagement and relentless advocacy for those she serves. Her award serves not only as recognition of her achievements but also as an inspiration for others to follow in her footsteps and contribute to their communities.

The Order of St. George, a respected non-profit organization dedicated to providing humanitarian assistance to refugees, veterans, and the Boy Scouts of America, proudly presented the award. Their involvement signifies the collaborative spirit of various organizations working together to uplift and empower individuals in need, underscoring how interconnected our communities truly are.

As we celebrate Diana Gregory’s well-deserved honor, we recognize the countless lives she has touched and the paths she has paved for a brighter, healthier future. Her remarkable efforts highlight the immense power of community service and the difference every individual can make when they dedicate their time and passion to helping others.

To learn more about Diana Gregory Outreach Services and how you can get involved in her inspiring mission, please visit dianagregory.com. Together, let’s continue the legacy of compassion and service that Diana has so beautifully embodied.

Congratulations, Diana Gregory, on this remarkable achievement! Your dedication is a shining example of what it means to be a true leader and advocate for community well-being. Your work inspires us all to be better, do better, and serve better.

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To learn more about Diana Gregory, visit https://dianagregory.com/

Related Link (Origina Press Release):

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The Bridge is a section of the STM Daily News Blog meant for diversity, offering real news stories about bona fide community efforts to perpetuate a greater good. The purpose of The Bridge is to connect the divides that separate us, fostering understanding and empathy among different groups. By highlighting positive initiatives and inspirational actions, The Bridge aims to create a sense of unity and shared purpose. This section brings to light stories of individuals and organizations working tirelessly to promote inclusivity, equality, and mutual respect. Through these narratives, readers are encouraged to appreciate the richness of diverse perspectives and to participate actively in building stronger, more cohesive communities.

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Create Meaningful Impact This Holiday Season

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Holiday Season

(Family Features) The holidays are a time of celebration, cheer and reflection; though for some, they are overshadowed by conflict and emergencies worldwide. From the Middle East to Haiti, Sudan and beyond, children are facing unparalleled crises.

You can make an impact through your holiday traditions and festivities, and create a life-changing difference in the lives of children around the world with meaningful gifts from UNICEF USA and its partners.

Say “Happy Holidays” and support children around the world with UNICEF holiday boxed cards. Choose from charming designs featuring everything from cute critters to messages of peace, joy and friendship. Find these cards at participating IKEA US and Hallmark Gold Crown stores and online at market.unicefusa.org, hallmark.com/unicef and amazon.com.

For those who spend the holidays traveling, Marriott Bonvoy will match five points for each point donated by members to philanthropic partners from Dec. 3-10. Points donated to UNICEF will go toward its mission to ensure every child is healthy, educated, protected and respected. For year-long travelers, Marriott Bonvoy members who earn 50 or 75 qualifying nights in a calendar year are eligible to select UNICEF to benefit from their Annual Choice Benefit with a $100 donation. Learn more about the program, donate points and select your Annual Choice Benefit online through giving.marriott.com.

Give the gift of holiday radiance with The Serum by Clé de Peau Beauté. Whether you are treating yourself or a loved one, this gift is sure to spread some cheer. Since 2019, Clé de Peau Beauté has proudly donated $11.6 million total to UNICEF to support the education and empowerment of girls around the world. Ring in the new year with a self-care routine that also cares for the children of the world. Find out how you can help unlock the power of girls at cledepeaubeaute.com.

Support education worldwide with a donation of 1,000 pencils to UNICEF by purchasing a handcrafted black and white woven pouch that’s stylish and versatile for carrying travel essentials or art supplies. Showcasing the unique Pattu pattern by the Desert Weavers of India, this pouch lets you provide crucial tools for children while delivering hope for a brighter future.

Send five warm blankets to children in crisis and gift your loved ones or yourself with five exclusive handmade UNICEF Snowbaby Wool Ornaments. Crafted by Indian artisan Renu Rani, the ornaments feature four babies in vibrant snowsuits for a touch of holiday cheer.

Create meaningful impact for children fighting to shape their own futures around the world this holiday season by purchasing beautiful, hand-crafted artisan gifts that give back and send lifesaving supplies in the name of your friends and family from market.unicefusa.org.

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The Bridge is a section of the STM Daily News Blog meant for diversity, offering real news stories about bona fide community efforts to perpetuate a greater good. The purpose of The Bridge is to connect the divides that separate us, fostering understanding and empathy among different groups. By highlighting positive initiatives and inspirational actions, The Bridge aims to create a sense of unity and shared purpose. This section brings to light stories of individuals and organizations working tirelessly to promote inclusivity, equality, and mutual respect. Through these narratives, readers are encouraged to appreciate the richness of diverse perspectives and to participate actively in building stronger, more cohesive communities.

https://stmdailynews.com/the-bridge


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An upward spiral – how small acts of kindness and connection really can change the world, according to psychology research

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Strengthening relationships strengthens communities, which influences societies. Charles Gullung/The Image Bank via Getty Images

Liza M. Hinchey, Wayne State University

Political chasms, wars, oppression … it’s easy to feel hopeless and helpless watching these dark forces play out. Could any of us ever really make a meaningful difference in the face of so much devastation?

Given the scale of the world’s problems, it might feel like the small acts of human connection and solidarity that you do have control over are like putting Band-Aids on bullet wounds. It can feel naive to imagine that small acts could make any global difference.

As a psychologist, human connection researcher and audience member, I was inspired to hear musician Hozier offer a counterpoint at a performance this year. “The little acts of love and solidarity that we offer each other can have powerful impact … ” he told the crowd. “I believe the core of people on the whole is good – I genuinely do. I’ll die on that hill.”

I’m happy to report that the science agrees with him.

Research shows that individual acts of kindness and connection can have a real impact on global change when these acts are collective. This is true at multiple levels: between individuals, between people and institutions, and between cultures.

This relational micro-activism is a powerful force for change – and serves as an antidote to hopelessness because unlike global-scale issues, these small acts are within individuals’ control.

two young men in conversation, seated at a table
A personal connection makes you more willing to find common ground. Hinterhaus Productions/DigitalVision via Getty Images

Abstract becomes real through relationships

Theoretically, the idea that small, interpersonal acts have large-scale impact is explained by what psychologists call cognitive dissonance: the discomfort you feel when your actions and beliefs don’t line up.

For example, imagine two people who like each other. One believes that fighting climate change is crucial, and the other believes that climate change is a political ruse. Cognitive dissonance occurs: They like each other, but they disagree. People crave cognitive balance, so the more these two like each other, the more motivated they will be to hear each other out.

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According to this model, then, the more you strengthen your relationships through acts of connection, the more likely you’ll be to empathize with those other individual perspectives. When these efforts are collective, they can increase understanding, compassion and community in society at large. Issues like war and oppression can feel overwhelming and abstract, but the abstract becomes real when you connect to someone you care about.

So, does this theory hold up when it comes to real-world data?

Small acts of connection shift attitudes

Numerous studies support the power of individual acts of connection to drive larger-scale change.

For instance, researchers studying the political divide in the U.S. found that participants self-identifying as Democrats or Republicans “didn’t like” people in the other group largely due to negative assumptions about the other person’s morals. People also said they valued morals like fairness, respect, loyalty and a desire to prevent harm to others.

I’m intentionally leaving out which political group preferred which traits – they all sound like positive attributes, don’t they? Even though participants thought they didn’t like each other based on politics, they also all valued traits that benefit relationships.

One interpretation of these findings is that the more people demonstrate to each other, act by act, that they are loyal friends and community members who want to prevent harm to others, the more they might soften large-scale social and political disagreements.

Even more convincingly, another study found that Hungarian and Romanian students – people from ethnic groups with a history of social tensions – who said they had strong friendships with each other also reported improved attitudes toward the other group. Having a rocky friendship with someone from the other group actually damaged attitudes toward the other ethnic group as a whole. Again, nurturing the quality of relationships, even on an objectively small scale, had powerful implications for reducing large-scale tensions.

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In another study, researchers examined prejudice toward what psychologists call an out-group: a group that you don’t belong to, whether based on ethnicity, political affiliation or just preference for dogs versus cats.

They asked participants to reflect on the positive qualities of someone they knew, or on their own positive characteristics. When participants wrote about the positive qualities of someone else, rather than themselves, they later reported lower levels of prejudice toward an out-group – even if the person they wrote about had no connection to that out-group. Here, moving toward appreciation of the other, rather than away from prejudice, was an effective way to transform preconceived beliefs.

So, small acts of connection can shift personal attitudes. But can they really affect societies?

From one-on-one to society-wide

Every human being is embedded in their own network with the people and world around them, what psychologists call their social ecology. Compassionate change at any level of someone’s social ecology – internally, interpersonally or structurally – can affect all the other levels, in a kind of positive feedback loop, or upward spiral.

For instance, both system-level anti-discrimination programming in schools and interpersonal support between students act reciprocally to shape school environments for students from historically marginalized groups. Again, individual acts play a key role in these positive domino effects.

a chain of colorful dominos falling one by one
Small positive steps can build off each other in a chain reaction. bee32/iStock via Getty Images Plus

Even as a human connection researcher, I’ve been surprised by how much I and others have progressed toward mutual understanding by simply caring about each other. But what are small acts of connection, after all, but acts of strengthening relationships, which strengthen communities, which influence societies?

In much of my clinical work, I use a model called social practice — or “intentional community-building” – as a form of therapy for people recovering from serious mental illnesses, like schizophrenia. And if intentional community-building can address some of the most debilitating states of the human psyche, I believe it follows that, writ large, it could help address the most debilitating states of human societies as well.

Simply put, science supports the idea that moving toward each other in small ways can be transformational. I’ll die on that hill too.

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Liza M. Hinchey, Postdoctoral Research Fellow in Psychology, Wayne State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

The Bridge is a section of the STM Daily News Blog meant for diversity, offering real news stories about bona fide community efforts to perpetuate a greater good. The purpose of The Bridge is to connect the divides that separate us, fostering understanding and empathy among different groups. By highlighting positive initiatives and inspirational actions, The Bridge aims to create a sense of unity and shared purpose. This section brings to light stories of individuals and organizations working tirelessly to promote inclusivity, equality, and mutual respect. Through these narratives, readers are encouraged to appreciate the richness of diverse perspectives and to participate actively in building stronger, more cohesive communities.

https://stmdailynews.com/the-bridge


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