Summary
The American Diabetes Association has released the Standards of Care in Diabetes—2025, which provides updated evidence-based guidelines for the screening, diagnosis, and management of acute and chronic diabetes.1-3
Key recommendation updates include:
- A heightened emphasis on autoantibody-based screening for pre-symptomatic type 1 diabetes in individuals with a family history or genetic risk.
- Consideration of continuous glucose monitors for adults with type 2 diabetes who are using non-insulin glucose-lowering agents. There is also potential to expand this use to both adults and youth on any type of insulin, regardless of how frequently it is administered.
- Strategies for managing medication shortages.
- An expanded recommendation for the use of GLP-1-based therapy, particularly for heart failure with preserved ejection fraction, chronic kidney disease, and metabolic liver disease.
- Guidance on avoiding all recreational cannabis for individuals with type 1 diabetes and those at risk for diabetic ketoacidosis.
- An emphasis on encouraging water intake over sweetened beverages, along with the moderate use of non-nutritive sweeteners.
- A focus on meeting resistance training guidelines for individuals undergoing weight management pharmacotherapy or after metabolic surgery.
- Updated guidance for managing diabetic ketoacidosis and hyperglycemic hyperosmolar state, in both outpatient and inpatient care.
- New recommendations to consider holding GLP-1 and dual GIP/GLP-1 receptor agonist in the perioperative setting.
Sources
1. American Diabetes Association. The American Diabetes Association Releases Standards of Care in Diabetes—2025. https://diabetes.org/newsroom/press-releases/american-diabetes-association-releases-standards-care-diabetes-2025 Published December 9, 2024. Accessed January 20, 2025.
2. American Diabetes Association. Diabetes Day by Day: ADA's Standards of Care in Diabetes—2025: Key Points and Updates. https://www.youtube.com/watch?v=EgXgTxO_zbk&t. Published January 15, 2025. Accessed January 20, 2025.
3. American Diabetes Association Professional Practice Committee. Summary of revisions: Standards of Care in Diabetes—2025. Diabetes Care. 2025;48(Supplement_1):S6–S13. doi:10.2337/dc25-SREV.
This summary was created with assistance from generative artificial intelligence (ChatGPT, 2025)