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Peer-reviewedCC BYDiabetologia

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)

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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.

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BibTeX
@article{holt2026management,
  title = {{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)}},
  author = {Richard Holt and J. Hans Devries and Amy Hess-Fischl and Irl Hirsch and M. Sue Kirkman and Tomasz Klupa and Barbara Ludwig and Kirsten Nørgaard and Jeremy Pettus and Eric Renard and Jay Skyler and Frank Snoek and Ruth Weinstock and Anne Peters},
  journal = {Diabetologia},
  year = {2026},
  month = sep,
  doi = {10.1007/s00125-026-06833-z},
  url = {https://hal.science/hal-05762766v1},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - 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)
AU  - Richard Holt
AU  - J. Hans Devries
AU  - Amy Hess-Fischl
AU  - Irl Hirsch
AU  - M. Sue Kirkman
AU  - Tomasz Klupa
AU  - Barbara Ludwig
AU  - Kirsten Nørgaard
AU  - Jeremy Pettus
AU  - Eric Renard
AU  - Jay Skyler
AU  - Frank Snoek
AU  - Ruth Weinstock
AU  - Anne Peters
PY  - 2026
DA  - 2026/09/24
JO  - Diabetologia
DO  - 10.1007/s00125-026-06833-z
UR  - https://hal.science/hal-05762766v1
AB  - 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.
SN  - 0012-186X
SN  - 1432-0428
ER  -