AACE/ACE Clinical Practice Guidelines for Developing a Diabetes Mellitus Comprehensive Care Plan - © 2015

These 2015 clinical practice guidelines (CPGs) for developing a diabetes mellitus (DM) comprehensive care plan are an update of the 2011 American Association of Clinical Endocrinologists (AACE) Medical Guidelines for Clinical Practice for Developing a Diabetes Mellitus Comprehensive Care Plan (1 [EL 4; NE]). The mandate for this CPG is to provide a practical guide for comprehensive care that incorporates an integrated consideration of micro- and macrovascular risk (including cardiovascular risk factors such as lipids, hypertension, and coagulation) rather than an isolated approach focusing merely on glycemic control. In addition to topics covered in the 2011 CPG, this update offers new and expanded information on vaccinations; cancer risk; and management of obesity, sleep disorders, and depression among persons with DM, as well as medical management of commercial vehicle operators and others with occupations that put them at increased risks of obesity and DM or in which hypoglycemia might endanger other individuals. In addition, discussions of hypertension management, nephropathy management, hypoglycemia, and antihyperglycemic therapy have been substantially revised and updated. The 2015 treatment goals emphasize individualized targets for weight loss, glucose, lipid, and hypertension management. In addition, the 2015 Guidelines promote personalized management plans with a special focus on safety beyond efficacy.