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Table 176-5

Guidelines for Ongoing, Comprehensive Medical Care for Pts with Diabetes

  • Individualized glycemic goal and therapeutic plan
  • Self-monitoring of blood glucose (individualized frequency)
  • HbA1c testing (2-4 times/year)
  • Lifestyle management in the care of diabetes, including:
    • Diabetes-self-management education and support
    • Nutrition therapy
    • Physical activity
    • Psychosocial care, including evaluation for depression, anxiety
  • Detection, prevention, or management of diabetes-related complications, including:
    • Diabetes-related eye examination (annual or biannual)
    • Diabetes-related foot examination (1-2 times/year by provider; daily by pt)
    • Diabetes-related neuropathy examination (annual)
    • Diabetes-related kidney disease testing (annual)
  • Manage or treat diabetes-relevant conditions, including:
    • Blood pressure (assess quarterly)
    • Lipids (annual)
    • Consider antiplatelet therapy
    • Influenza/pneumococcal/hepatitis B immunizations

Abbreviation: HbA1c, hemoglobin A1c.