, Volume 52, Issue 8, pp 1696-1697
Date: 10 Jun 2009

Consensus algorithm of the American Diabetes Association and the European Association for the Study of Diabetes: some concerns

This is an excerpt from the content

To the Editor: The recent algorithm connected with the American Diabetes Association (ADA) and the European Association for the Study of Diabetes, published simultaneously in Diabetologia [1] and Diabetes Care [2], in my opinion, raises several concerns that require some consideration. The first concern is that it is still defined as the ‘ADA–EASD algorithm’, as neither the ADA nor the EASD has ever, even in the past, endorsed it.

In the article it is clearly stated that it only represents the opinion of the authors. This means that the algorithm is just the opinion of several experts and should not be further defined as an ‘ADA–EASD algorithm’.

Second, the authors also refer to the consensus as guidelines. This is difficult to understand, as the process for the development of guidelines is usually more comprehensively defined [3]. Third, the authors divide the proposed therapies into ‘well-validated core therapies’ and ‘less well-validated therapies’. It is not clear how the authors ass