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The management of type 1 diabetes in adults. The updated 2026 consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

Year: 2026
Type: article
Abstract: This 2026 consensus report from the European Association for the Study of Diabetes (EASD) and the American Diabetes Association (ADA) builds on the 2021 consensus report to provide guidance for managing type 1 diabetes in adults. Reflecting the rapid advances in the field, this update places particular emphasis on the integration of new technologies, while all sections have been revised to incorporate new evidence, advances in clinical practice and novel therapies, including interventions to delay the onset of stage 3 type 1 diabetes. It also broadens its scope to screening for long-term diabetes complications, and the management of obesity and cardiovascular risk factors. Psychosocial care and diabetes self-management education and support (DSMES) remain key elements. The report was developed using the Accurate Consensus Reporting Document (ACCORD) framework. The guidance aligns with the current ADA 'Standards of Care in Diabetes' (Standards of Care) and relevant EASD and ADA documents and aims to support clinicians globally in delivering high-quality, personalised care for adults with type 1 diabetes, with recommendations that can be adapted across diverse healthcare systems and resource settings.
Source: Diabetologia
DOI: 10.1007/s00125-026-06833-z
Authors: Richard I. G. Holt, J. Hans DeVries, Amy Hess-Fischl, Irl B. Hirsch, M. Sue Kirkman, Tomasz Klupa, Barbara Ludwig, Kirsten Nørgaard, Jeremy Pettus, Eric Renard, Jay S. Skyler, Frank J. Snoek, Ruth S. Weinstock, Anne L. Peters
Institutions: University Hospital Southampton NHS Foundation Trust, NIHR Southampton Biomedical Research Centre, University of Southampton, Amsterdam University Medical Centers, Profil Institute for Metabolic Research, University of Amsterdam, University of Chicago, University of Chicago Medical Center, University of Washington, University of North Carolina at Chapel Hill, Jagiellonian University, University Hospital Carl Gustav Carus, Technische Universität Dresden, University of Copenhagen, Steno Diabetes Center Copenhagen, University of California San Diego, Centre National de la Recherche Scientifique, Inserm, Université de Montpellier, Centre Hospitalier Universitaire de Montpellier, Institut de Génomique Fonctionnelle, University of Miami, Vrije Universiteit Amsterdam, SUNY Upstate Medical University, University of Southern California
Language: English
Field: Medicine
Open Access status: hybrid
Estimated APC paid: $3,490
OpenAlex ID: W7213309958
FWCI:
Cites: 376
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Related to: 10