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  1. Consider referring patients with relatives with type 1 diabetes for islet autoantibody testing in the context of clinical research trials.

  2. Consider prescribing metformin for patients with prediabetes, particularly for patients with a body mass index 35 kg/m2 or greater, patients younger than 60 years, and women with a history of gestational diabetes.

  3. For patients with type 2 diabetes with established cardiovascular disease or who are considered at high risk, with chronic kidney disease, or with heart failure, prescribe a glucagon-like peptide 1 (GLP-1) receptor agonist or a sodium-dependent glucose cotransporter 2 (SGLT2) inhibitor as part of the drug regimen.

  4. Consider use of an insulin pump for the management of type 1 diabetes in adults, adolescents, and children who are able to safely manage the device.

  5. Consider use of an automated insulin delivery system for the management of type 1 diabetes in adults who have the skills to use such a system.

Resources

  1. Strength of Evidence: SORT A

    Source: American Diabetes Association, reference 2

  2. Website: https://care.diabetesjournals.org/content/43/Supplement_1/S14

  3. Strength of Evidence: SORT A

    Source: American Diabetes Association, reference 14

  4. Website: https://clinical.diabetesjournals.org/content/38/1/10

  5. Strength of Evidence: SORT A

    Source: American Diabetes Association, reference 10

  6. Website: https://care.diabetesjournals.org/content/43/Supplement_1/S98

  7. Strength of Evidence: SORT A

    Source: American Diabetes Association, reference 104

  8. Website: https://care.diabetesjournals.org/content/43/Supplement_1/S77

  9. Strength of Evidence: SORT A

    Source: American Diabetes Association, reference 104

  10. Website: https://care.diabetesjournals.org/content/43/Supplement_1/S77

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