American Diabetes Association · USA
ADA Standards of Care in Diabetes
Annual standards for diagnosis, glycaemic targets, pharmacologic sequencing and complication screening.
2025Version 2025Endocrinology
Key recommendations
- BStrong
HbA1c ≥ 6.5% on two occasions confirms diabetes in the absence of unequivocal hyperglycaemia.
- AStrong
Metformin remains first-line for most adults with type 2 diabetes without ASCVD/CKD/HF indications.
- AStrong
Use SGLT2 inhibitor or GLP-1 receptor agonist with proven benefit when ASCVD, HF or CKD is present.
Applies to
Demo content. Educational decision support only. Verify every dose, citation and recommendation against your national formulary and the primary source before clinical use.