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. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: JAMA Intern Med. 2016 Nov 1;176(11):1714–1716. doi: 10.1001/jamainternmed.2016.5046

Table 1.

Clinical Practice Guidelines for Patients With Diabetes

Guideline Author, Year Country
American Diabetes Association, 2016 United States
American Association of Clinical Endocrinologist and
American College of Endocrinology, 2016
United States
National Institute for Health Excellence, 2015 United Kingdom
American Diabetes Association and the European
Association for the Study of Diabetes, 2015
United States and
Europe
Royal Australian College of General Practitioners and
Diabetes Australia, 2014–2015
Australia
Health Technology Assessment Section Medical
Development Division Ministry of Health Malaysia,
2015
Malaysia
Joslin Diabetes Center Guidelines, 2014 United States
Institute for Clinical Systems Improvement Guidelines,
2014
United States
Canadian Diabetes Association, 2013 Canada
Association Latinoamericana de Diabetes, 2013 Multiples countries
(approximately 30)
Health Improvement Scotland, SIGN Scotland
The Japan Diabetes Society, 2013 Japan
International Diabetes Federation, 2012 160 Countries
Society for Endocrinology, Metabolism and Diabetes
of South Africa, 2012
South Africa
Society of Endocrinology, Metabolism and Diabetes
in South Africa, 2012
South Africa
University of Michigan Health System, 2012 United States
Kidney Disease Outcomes Quality Initiative United States
Veterans Affairs Guideline and Department of Defense,
2010
United States
a

All of the guidelines include a recommendation on hypoglycemia. Most guidelines state that a less stringent glucose goal should be considered (hemoglobin A1c, 7%–8% [to convert to proportion of hemoglobin, multiply by 0.01]) in patients with a history of severe hypoglycemia, limited life expectancy, advanced renal disease or macrovascular complications, extensive comorbid conditions, or long-standing diabetes mellitus in which the hemoglobin A1c goal has been difficult to attain despite intensive efforts as long as the patient remains free of polydipsia, polyuria, polyphagia, and other hyperglycemia-associated symptoms.