Lifestyle modification underlies all therapy eg weight control physical activity sleep etc 2. The recommendations are based on an extensive review of the clinical diabetes literature.
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Diabetes is a complex chronic illness requiring continuous medical care with multifactorial risk reduction strategies beyond glycemic control.
Diabetes algorithm. 12 align approaches to diabetes management with the chronic care model ccm. The blood glucose management algorithm for type 2 diabetes outlines the risks benefits and costs of available therapies and provides an approach for how to incorporate older and newer agents. It focuses on patient education dietary advice managing cardiovascular risk managing blood glucose levels and identifying and managing long term complications.
Optimal a1c is 65 or as close to normal as is safe and achievable 6. This model emphasizes person centered team care integrated long term treatment approaches to diabetes and. A selection of case studies have been created to.
Significant evidence exists that supports a range of interventions to improve diabetes outcomes. 11 ensure treatment decisions are timely rely on evidence based guidelines and are made collaboratively with patients based on individual preferences prognoses and comorbiditiesb. This guideline covers the care and management of type 2 diabetes in adults aged 18 and over.
The adas standards ofmedical. Individualize all glycemic targets a1c fpg ppg 5. Treatment needs to be individualised for the person with diabetes.
Use the treatment plan. Diabetes education services offers education and training to diabetes educators in the areas of both type 1 and type 2 diabetes for the novice to the established professional. Avoid weight gain 4.
Ongoing patient self management education and support are critical to preventing acute complications and reducing the risk of long term complications. The diabetes treatment algorithms were developed to provide clinicians with a quick reference to treatment algorithms based on national guidelines and the standards of care and clinical practice recommendations. The 2020 standards of medical care in diabetes includes all of adas current clinical practice recommendations and is intended to provide clinicians patients researchers payers and others with the components of diabetes care general treatment goals and tools to evaluate the quality of care.
Type 2 diabetesthe algorithms are a collaborative effort between indian health system professionals and have been reviewed by the ihs division of diabetes. Guidelines for diabetes care. Type 2 diabetes management algorithm 1.
Ada standards statements reports and reviews the ada has been actively involved in the development and dissemination of diabetes care clinical practice recom mendations and related documents for 30 years. This algorithm for the comprehensive management of persons with type 2 diabetes t2d was developed to provide clinicians with a practical guide that considers the whole patient his or her spectrum of risks and complications and evidence based approaches to treatment.
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