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Scope and Target Population

This guideline provides a comprehensive approach to the diagnosis and management of T2DM in adults ages 18 and older.  Management recommendations will include nutrition therapy, physical activity, self-management approaches and pharmacologic therapy, as well as the prevention and diagnosis of diabetes-associated complications and risk factors.

The management of gestational diabetes and T2DM in patients who are pregnant is excluded from the scope of this guideline.  Oral agents do not have Food and Drug Administration approval for use in pregnancy. Additionally, the glycemia goals used are different in pregnancy and require more aggressive treatment.  Please refer to the ICSI Routine Prenatal Care guideline for information relating to gestational diabetes and T2DM in patients who are pregnant.

The diagnosis and management of type 1 diabetes is not included in this guideline.