اخبار هامه جدا من أمريكا خاصه بمرض السكري ADA new statements for patients with diabetes Jan 2015 Diabetes care 2015 1- use is statins: a-Less than 40 years — No statins for those with no CVD risk factors other than diabetes, moderate-intensity or high-intensity statin doses for those with additional CVD risk factors (baseline LDL cholesterol 100 or greater, high blood pressure, smoking, and overweight/obesity), and high-intensity statin doses for those with overt CVD (including previous CV events or acute coronary syndrome). b- 40 to 75 years — Moderate-intensity statins for those with no additional risk factors and high-intensity statins for those with either CVD risk factors or overt CVD. c- Over 75 years — Moderate-intensity statins for those with no additional risk factors, moderate- or high-intensity statins for those with CVD risk factors and high-intensity for those with overt CVD. 2- As for the risk calculator, the ADA document notes that while it may be a useful tool to estimate 10-year atherosclerotic CVD, it has limited use for assessing risk in people with diabetes. 3- The premeal glucose targets of 70 to 130 mg/dL was changed to 80 to 130 to better reflect new data that compared average glucose levels with HbA1c targets. 4- The goal for diastolic blood pressure was raised to 90 mm Hg from 80 mm Hg to better reflect data from randomized clinical trials. 5- With regard to physical activity, the document now advises limiting the time spent sitting to no longer than 90 minutes. 6- In a new statement, the ADA states that it does not support e-cigarettes as alternatives to smoking or to facilitate smoking cessation. 7- Immunization against pneumococcal disease was added as a recommendation. 8- A new HbA1c target of less than 7.5% for children, first released in June 2014, is now included in the 2015 standards.
Posted on: Mon, 29 Dec 2014 21:02:23 +0000
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