Holistic Management of Diabetes Mellitus: Key Points for Better Understanding and Adherence to the Consensus Guidelines of the American Diabetes Association Diabetes 2025: A Review Article

Abstract

Diabetes mellitus (DM) is a chronic and multi-organ disease that affects a large population worldwide, and its incidence is increasing despite the preventive measures taken globally. Despite effective guidelines for managing DM, healthcare professionals and patients/caregivers often struggle to understand and follow these recommendations. Therefore, this study presents a comprehensive approach to diabetes management based on the American Diabetes Association's latest guidelines, aiming to facilitate the process of adherence to these guidelines within the Iranian population. The study's focus encompassed recommendations pertaining to patient communication, structured patient education and support, psychosocial factors, social determinants of health, avoidance of therapeutic inertia, individualized patient pathophysiology, continuous and effective management and care organization, mitigation of hypoglycemia risk, continuous monitoring and surveillance, modification of health-affecting behaviors, screening, ongoing management and care for diabetes-related complications, shared decision-making, and the components of the disease care. The most recent updates to the American Diabetes Association guidelines for diabetes management were also briefly explained. © 2025 Iranian Journal of Diabetes and Metabolism and Tehran University of Medical Sciences. Published by Tehran University of Medical Sciences. 183.