The American Diabetes Association (ADA) now recommends that people with diabetes undergo a yearly screening to detect for early heart failure, even if they do not currently have any symptoms. The American College of Cardiology endorsed the new guidance, which calls for testing to detect elevated B-type natriuretic peptide levels and/or unusual levels of high-sensitivity cardiac troponin, which are known biomarkers of advanced stage heart failure in individuals with diabetes who are asymptomatic.