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Clinical Practice Guideline Update

Evidence-based Clinical Practice Guidelines (CPGs) are available on a range of subjects, including preventive care, diabetes, asthma, depression, tobacco cessation and attention-deficit / hyperactivity disorder (ADHD).

All CPGs are developed with input from practitioners in Quartz’s provider network.  New and existing CPGs are reviewed and adopted at least every two years.  To view the complete list of guidelines, visit QuartzBenefits.com/clinicalguidelines.

Summary of Revisions to the 2017 Diabetes Clinical Practice Recommendations –

Highlighted revisions include:

  • In asymptomatic adults, if results are normal, do not repeat testing more frequently than every three years.  The adult risk factor in the shaded box to the right was updated. 
  • The physical activity recommendation for most adults was updated to engaging in at least 150 minutes per week of moderate to vigorous intensity physical activity. This activity must occur three days / week with no more than two consecutive dates without exercise.
  • Blood pressure targets were updated for adults and pregnant women.
  • For metformin therapy, long term metformin use (≥ 5 years) may be associated with vitamin B12 deficiency; therefore, periodic measurements should be considered.Insulin is the preferred treatment for hyperglycemia in gestational diabetes.
  • Lipid screening should occur –
    • at first diagnosis,
    • at the initial medical evaluation and
    • every five years after that or more frequently if indicated. ​

Diabetes CPG