Guidelines and Recommendations
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Overview
Here are the key international diabetes guidelines, clinical recommendations and position statements (2020–2025) for managing Type 1 & 2 diabetes, paediatric care, pregnancy, nutrition and exercise from the most important diabetes organizations:
- American Diabetes Association (ADA)
- International Diabetes Federation (IDF)
- the European Association for the Study of Diabetes (EASD)
- ISPAD (International Society for Paediatric and Adolescent Diabetes)
- National Institute for Health and Care Excellence (NICE).
Adult Type 1 & Type 2 Diabetes – ADA Standards of Care
- American Diabetes Association – Standards of Medical Care in Diabetes 2025
- Type 1 Diabetes Through the Life Span: A Position Statement of the American Diabetes Association
Paediatric Diabetes – ISPAD (International Society for Pediatric and Adolescent Diabetes)
- 2024 ISPAD Clinical Practice Consensus Guidelines
Covers classification, glycaemic targets, insulin regimens, exercise, DKA, psychosocial care, technology, and sick-day management in youth.
Nutritional & Exercise Guidance – EASD DNSG & ADA
- EASD Diabetes Nutrition Study Group (DNSG) 2023
Recommends Mediterranean, Nordic, plant-rich eating patterns, and weight-loss targets — endorsed by ADA/EASD.
- ADA Nutrition & Exercise Updates (2025)
Emphasizes resistance training 2–3× per week, water over sugary drinks, and CGM-informed activity planning.
Diabetes in Pregnancy & Gestational Diabetes
- ADA Standards of Care Section – Diabetes in Pregnancy (2025)
Covers glycaemic targets, CGM use, medication safety, and telehealth in pregnancy.
journals.lww.com - IADPSG/WHO/ADA Consensus – Gestational Diabetes (ongoing)
Defines 75 g OGTT thresholds (fasting ≥ 5.1, 1-hr ≥ 10.0, 2-hr ≥ 8.5 mmol/L); lifestyle-first approach then medication/insulin.
(Standard global reference — widely cited.)
IDF (International Diabetes Federation)
- IDF Position Statement (March 2024) – 1-hour OGTT
Recommends using 1-hour plasma glucose test (≥155 mg/dL) for earlier detection of prediabetes/Type 2 diabetes.
