- 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
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