The Canadian Diabetes Association has become Diabetes Canada*
Quick Reference Guide
ABCDES of Diabetes Care
| GUIDELINE TARGET (or personalized goal) | ||
| A | A1C targets | A1C ≤7% If on insulin or insulin secretagogue, assess for hypoglycemia and ensure driving safety |
| B | BP targets | BP <130/80 mmHg If on treatment, assess for risk of falls |
| C | Cholesterol targets | LDL-C <2.0 mmol/L |
| D | Drugs for CVD risk reduction | ACEi/ARB (if CVD, age ≥55 with risk factors, OR diabetes complications) Statin (if CVD, age ≥40 for Type 2, OR diabetes complications) ASA (if CVD) SLGT2i/GLP1ra with demonstrated CV benefit (if have type 2 DM with CVD and A1C not at target) |
| E | Exercise goals and healthy Eating | 150 minutes of moderate to vigorous aerobic activity/ week and resistance exercises 2-3 times/week Follow healthy dietary pattern (i.e. Mediterranean diet, low glycemic index) |
| S | Screening for complications | Cardiac: ECG every 3-5 years if age >40 OR diabetes complications Foot: Monofilament/Vibration yearly or more if abnormal Kidney: Test eGFR and ACR yearly, or more if abnormal Retinopathy: yearly dilated retinal exam |
| S | Smoking cessation | If smoker: Ask permission to give advice, arrange therapy and provide support |
| S | Self-management, stress, other barriers | Set personalized goals (see “individualized Goal Setting” panel) Assess for stress, mental health, and financial or other concerns that might be barriers to achieving goals |
Quick Reference Guide:Download PDF
Vascular Protection Algorithm:Download PDF
Vascular Protection Medication Assessment Tool:Interactive Tool
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For more information, please see terms of use.
*The Canadian Diabetes Association is the registered owner of the name Diabetes Canada. All content on guidelines.diabetes.ca, CPG Apps and in our online store remains exactly the same. For questions, contact communications@diabetes.ca.