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American Diabetes Association 2017 Guidelines …

7 Khan SA. ADA 2017 Guidelines -What s New Physicians Academy January 2017 vol 11 no 1 American Diabetes Association 2017 Guidelines -What's New Sarosh Ahmed Khan, MBBS; MD; FACP The American Diabetes Association 2017 Guidelines are already out. There are some important changes which need to be highlighted. 1. The Guidelines will now be called Standards of Care although the document is still named Standards of Medical Care in Diabetes -2017 (1). 2. Use of Metformin: a) Metformin use has been encouraged in patients with DM even in those who have mild to moderate decrease in eGFR (upto 30ml/min). That is in view of observation by USFDA that lactic acidosis is very rare in patients on Metformin. b) Supplements of vitamin B12 have been advised to be used in patients on long term Metformin use. Periodic checking of vitamin B12 levels and supplementation in case of deficiency has been advised.

7 Khan SA. ADA 2017 Guidelines-What’s New www.physicians-academy.com Physicians Academy January 2017 vol 11 no 1

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