Community
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.
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 inertia, support 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.
- 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).
SOURCE American Diabetes Association
News
Unity and Support: Baltimore’s Response to the Key Bridge Collapse
“Baltimore’s Orioles and Ravens unite, donating $10M to Key Bridge Fund after tragic collapse. Community stands strong in the face of adversity.”
In a display of unity and generosity, Baltimore’s major league franchises, the Orioles and the Ravens, have joined forces to donate $10 million towards the recovery efforts following the tragic collapse of the Francis Scott Key Bridge on March 26. The donation will be channeled through the Baltimore Community Foundation’s “Maryland Tough Baltimore Strong Key Bridge Fund,” aiming to provide financial assistance to the families of victims, port workers, first responders, and others impacted by this devastating event.
New Orioles owner, David M. Rubenstein, emphasized the city’s resilience in the face of adversity, noting that the donation reflects a commitment to supporting those who play pivotal roles in maintaining the city’s operations. Ravens owner, Steve Bisciotti, expressed heartfelt condolences to the victims and their families, acknowledging the bravery and dedication of the first responders involved in the rescue efforts.
The collapse, triggered by a container ship losing control and striking a pier, resulted in the tragic loss of six construction workers with two individuals fortunate to be rescued from the river. This catastrophe has undoubtedly shaken the community, but the response from the Orioles, Ravens, and the wider Baltimore community speaks volumes about their solidarity and determination to stand together during times of crisis.
As the city mourns the lives lost and works towards recovery, the support from these sports franchises serves as a beacon of hope and solidarity. The resilience and strength displayed by Baltimore and Maryland in the wake of this tragedy are a testament to the unwavering spirit of its people. Through collaboration and compassion, the community is coming together to heal and rebuild, showcasing the true essence of unity in the face of adversity.
About the Key Bridge Collapse
Key Bridge collapsed on March 26, 2024, at 01:27 EDT (05:27 UTC) due to a collision with a Singapore-registered container ship named MV Dali. The ship lost power and hit the southwest supporting pier of the main truss section. The National Transportation Safety Board (NTSB) reported that the bridge was built before the use of redundant support structures, which are now commonly used in modern bridges. The NTSB stated that these structures would have prevented the collapse.
During sonar exploration, it was discovered that several vehicles were submerged underwater, and two individuals were rescued alive from the river. Maryland Governor Wes Moore declared a state of emergency, acknowledging that the situation could have been much worse. However, the actions of the ship’s crew, who sent a distress signal, and the workers on the bridge, who prevented other vehicles from crossing the bridge moments before the collapse, helped to save many lives. Following the incident, insurers are expected to face multi-billion dollar losses due to damages, business disruptions, and liability claims.
An eight-worker repair crew was working on a bridge when a collision occurred. It is believed that the crew members are the only victims of the disaster. During the search and rescue operation, two of the victims were found inside a red pickup truck, submerged under 25 feet of Patapsco River water, near the mid-span of the collapsed bridge. Due to the unfavorable water conditions, further search operations have been suspended. (Wikipedia)
https://en.wikipedia.org/wiki/Francis_Scott_Key_Bridge_(Baltimore)
small business
National Mom and Pop Business Owners Day: Celebrating Small Business Excellence in 2024
“March 29 is National Mom and Pop Business Owners Day! Let’s celebrate the small businesses that make our communities thrive. #SupportLocal”
March 29th is a day dedicated to appreciating the hardworking small business owners who contribute to the growth and vitality of our economy, “Mom and Pop Business Owners.” On this special day, we acknowledge the more than 27 million small businesses in the country and shine a spotlight on their remarkable efforts.
National Mom and Pop Business Owners Day was established by Rick and Margie Segel in honor of their parents and the success of their clothing shop that started from humble beginnings. It’s a time to recognize the long hours, dedication, and hard work it takes to run a small business.
So, how can we celebrate this important day?
- Shop Local: Support the small businesses in your community by seeking them out and becoming a regular customer. Whether it’s a local bookstore, bakery, or boutique, make it a point to visit them frequently. If you hear about an interesting spot, go on an adventure to discover it and then share your recommendations with friends.
- Use Social Media: Most small businesses are grateful for any extra attention they can get. Show your support by following your favorite mom and pop shops on social media platforms, and whenever possible, promote and share their posts. A simple like or comment can go a long way in helping them reach a wider audience.
- Write a “Thank You” Note: Take a moment to express your gratitude to the mom and pop shop owners and employees who have made a difference in your life. Let them know how much you appreciate their hard work and dedication. A heartfelt note can mean the world to someone who puts their heart and soul into their business.
Now let’s delve into why we love mom and pop businesses:
- Personalized Shopping Experience: Mom and pop businesses take pride in providing personalized service to their customers. They take the time to get to know you, understand your needs, and make your shopping experience memorable. Unlike large retail chains, they genuinely care about their customers and strive to create a unique and enjoyable experience with superior customer service.
- Community Support: Small businesses play a crucial role in supporting the local community. They create job opportunities, hire locally, and recycle the money they earn back into the neighborhood. By choosing to spend your dollars at mom and pop establishments, you contribute to the growth and sustainability of your community.
- Unique Discoveries: In a world where big-box stores dominate, mom and pop shops bring a breath of fresh air and unique products to the marketplace. They often showcase goods that are different from what you’ll find in every chain store. Discovering something special and undiscovered is quite the delight, and supporting these businesses encourages innovation and diversity.
National Mom and Pop Business Owners Day is a reminder of the remarkable contributions made by small businesses. They are the backbone of our economy, providing jobs, personalized service, and unique experiences for customers. So, on March 29th, let’s show our appreciation for these hardworking individuals and make a conscious effort to support and celebrate the mom and pop shops in our communities.
News
Judge Dismisses Lawsuit Challenging Dual Language Programs in Arizona Schools
Judge Cooper dismissed Arizona’s school chief’s lawsuit challenging dual language programs for non-English speakers, affirming State Board of Education’s authority in approving language models. This reinforces adherence to approved educational standards.
In a recent legal development that has garnered attention, a judge has dismissed a lawsuit brought forward by Arizona’s Superintendent of Public Instruction, Tom Horne, challenging dual language programs used in certain school districts to educate non-English speaking students. The dispute stemmed from the argument that these programs, which split a student’s day between English and another language, violated a 2000 voter-approved law mandating English-only instruction.
Maricopa County Superior Court Judge Katherine Cooper’s ruling on Tuesday was a significant turning point in this legal battle. She determined that Horne lacked the legal authority and standing to initiate the lawsuit and failed to present valid legal claims against Governor Katie Hobbs, Attorney General Kris Mayes, and the 10 school districts involved.
Judge Cooper’s decision highlighted the state Board of Education’s role in approving language immersion models, emphasizing that the school districts in question were following approved models. She clarified that the responsibility for developing and sanctioning immersion models lies with the State Board, not individual districts. As per her ruling, all public and charter schools must adhere to models endorsed by the State Board.
This ruling not only resolves the immediate legal dispute but also underscores the importance of adhering to established educational guidelines and processes. It reaffirms the regulatory role of the State Board of Education in approving language instruction models, providing clarity on the standards that schools must follow.
The outcome of this lawsuit marks a pivotal moment in the ongoing discourse surrounding language education in Arizona. It serves as a reminder of the legal framework that governs educational practices and the significance of compliance with state-approved guidelines. Ultimately, this decision underscores the need for a clear, standardized approach to language education that aligns with the broader educational objectives of the state.
https://stmdailynews.com/category/the-bridge/
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