Standards of Practice for Care of Clients with Diabetes

Standards of Practice Overview

Overview of the standards of practice and their development

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Standards of Practice for Care of Clients with Diabetes

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Standards of Practice Reviewed Sources

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Standard of Practice 1: Knowing and Managing Your “Numbers”
Elements of  Practice  for  Knowing  and  Managing  Your  “Numbers”

1. A1C tested and reviewed with doctor at least twice annually at least three months apart or as otherwise prescribed

   1a. Adherence to prescribed changes in care regimen as needed

2. Blood pressure tested at least quarterly or as prescribed by doctor and discussed with client

   2a. Adherence to prescribed changes in care regimen as needed

3. Lipids tested and reviewed annually with doctor or as otherwise prescribed

   3a. Adherence to prescribed changes in care regimen as needed

4. Microalbumin level in urine tested and reviewed annually with doctor or as otherwise prescribed

   4a. Adherence to prescribed changes in care regimen as needed

5. Weight goal identified by appropriate professional and discussed with client (weight loss, gain or maintenance)

   5a. Appropriate follow-up to ensure progress toward weight goal

 

Standard of Practice 2: Appropriate Medication Management
Elements of Practice for Appropriate Medication Management

1. Glycemic control with glucose monitor (if prescribed) - glucose level tested as prescribed by doctor

    1a. Adherence to prescribed changes in care regimen as needed

2. Annual medication review by doctor, nurse or pharmacist

  • Medication review with each change in medication regimen (addition or subtraction of medication, dosage adjustment)
  • Medication review with any significant change in health status   

    2a. Medication regimen adjustment by doctor(s) as needed  

    2b. Adherence to prescribed medication regimen

3. Medication Understanding Assessment by NORC program nurse every 6 months

    3a. Education and Follow up as needed

 

Standard of Practice 3: Health Care Maintenance
Elements of Practice for Health Care Maintenance

1. Full foot examination at least annually by trained health care provider

  • Foot inspection at each primary care visit
  • Self-examination daily

2. Dilated eye examination annually

    2a. Follow-up vision care as appropriate

3. Flu vaccination annually
4. Pneumonia vaccination one time after age 65 or as otherwise indicated
5. Smoking cessation services and ongoing support offered if client smokes

 

Standard of Practice 4: Diet & Physical Activity
Elements of Practice for Diet & Physical Activity

1. Individualized diet plan provided by appropriate professional

    1a.  Adherence to prescribed diet

2. Physical activity as prescribed

 

Standard of Practice 5: Education and Information
Elements of Practice for Education and Information

1. Diabetes education provided by diabetes educator or appropriate health care professional as needed

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