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ADA Recommendations for Cardiovascular Risk Factor Screening

Type of Assessment

Population

Initial

Follow-up

Lipid Assessment

Adults

(Type 2 diabetes)

Adults low-risk lipid values

(LDL <100 mg/dL, HDL >50 mg/dL, and TG <150 mg/dL

 

 

Children >2 years

 

 

¨ Type 1 diabetes

 

 

 

 

¨ Type 2 diabetes

At diagnosis

 

 

 

 

 

Initial assessment after diagnosis and when glucose control has been established


Begin prior to puberty, if positive family history of CVD, and at puberty, if family history is known and is negative

 

Begin at diagnosis, regardless of pubertal status

Annual testing, more often if needed to achieve goals

Repeat lipid assessments every 2 years

 

 

 

 

 

 

If lipid values are considered low risk, repeat lipid profile every 2-5 years based on CVD risk status

Blood Pressure Assessment

Adults and children

At diagnosis

Each routine diabetes visit


American Diabetes Association. Standards of medical care in diabetes−2006. Diabetes Care. 2006;29(suppl 1):S4-S42.
 



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