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Viewing Ambulatory Adult Management of Type 2 Diabetes Mellitus Guideline

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Authors: Caroline R Richardson, MD (Lead), Jeffrey R Borgeson, MD, R Van Harrison, PhD, Jennifer A Wyckoff, MD, Anne S Yoo, PharmD. Consultants: James E Aikens, PhD, Dina H Griauzde, MD , Monica A Tincopa, MD, MSc. Guidelines Oversight: R. Van Harrison, PhD, April L. Proudlock, RN, and Karl T. Rew, MD. Patient population. Adults with, or at risk for Type 2 Diabetes Objectives. To reduce morbidity and mortality by improving adherence to important recommendations for preventing, detecting, and managing diabetic complications. Key points Prevention. Type 2 diabetes may be delayed or prevented through diet, exercise, and pharmacologic interventions. [IA] Screening. Consider screening every 3 years, beginning at age 45, or annually at any age if BMI ≥25 kg/m2 [IID], history of hypertension [IIB], gestational diabetes [IC], or other risk factors. Diagnosis. Diagnosis is made by (1) an A1c ≥6.5%, (2) a fasting glucose ≥126 mg/dL, (3) a 2h post 75 gm glucose load glucose of ≥200 mg/dL, or (4)

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