The ADA closed its 86th Scientific Sessions on June 8 with a formal revision to its Standards of Care that elevates cardiovascular and kidney risk reduction to a co-primary treatment goal alongside glycemic control, ending decades of practice in which HbA1c stood as the dominant benchmark. The shift formalizes a redefinition of diabetes care around the cardio-renal-metabolic axis that GLP-1, SGLT2, and finerenone evidence has driven, and pushes earlier GLP-1 and SGLT2 use from diabetes diagnosis.
On Saturday June 6, the Obesity Association (a division of the ADA) released the first stand-alone ADA Standards of Care in Overweight and Obesity: 34 new recommendations across seven sections, with a new pharmacologic-treatment section and a target of sustained body-weight reduction of at least 5%. The standards push obesity drugs from off-label discretion into anchored clinical-appropriateness criteria, the framework health systems and payers will use to write coverage policy.
The EASO 2026 Nature Medicine framework published May 14, presented at ECO 2026 — formally privileging semaglutide and tirzepatide as first-line therapy across most obesity complications with differentiated complication-specific recommendations — has generated initial reception coverage. The Endocrine Society and American Diabetes Association haven't yet issued formal endorsement or counter-response statements as of May 16, though informal commentary from US endocrinologists has been broadly favorable. The framework's main US-specific gap is its silence on cost and insurance access — the algorithm assumes prescribers can choose between semaglutide and tirzepatide based on clinical indication, but US patients without diabetes face the Medicare Part D weight-loss-only exclusion. The Medicare GLP-1 Bridge launching July 1, 2026 partly addresses that gap; broader integration awaits CMS rulemaking. ADA 2026 Scientific Sessions in New Orleans June 5-8 will be the next inflection point for guideline alignment between US and EASO positions.
The American Diabetes Association published new pharmacologic obesity treatment standards in its journal Diabetes, Obesity, and Cardiometabolic Care, calling on clinicians and policymakers to eliminate weight stigma. Over 40% of people with class II obesity report weight-based discrimination that impedes treatment access.