Overview
The Diabetes Program was the second state-wide disease management program developed by the Community Care networks.
The program provides resources for clinicians as they follow evidence based clinical practice guidelines in the diagnosis and treatment of patients with Diabetes. The 2006 American Diabetes Association Clinical Practice Recommendations are used as the basis of the program.
In addition, case managers can work intensively with high risk diabetic patients to promote self management and focus on the importance of dietary changes, exercise, adherence to prescribed medications, and recognition of warning signs of worsening symptoms.
Tools
Guidelines for a Healthy Weight
Guidelines for a Healthy Weight -Spanish
Guidelines for a Healthy Weight for Young Children
Guidelines for a Healthy Weight for Young Children-Spanish
Wake Med Diabetes Medical Referral Form
Wake Med T2D Risk Screen
Measures
As part of the Continuous Quality Improvement activities, measures are tracked to guide network and practice level priorities and resources. These include:
- Diabetic Flow Sheet in use on the medical record
- Continued care visits at least 2 x year
- Blood pressure at every continuing care visit
- Referral for dilated eye / retinal exam every year
- Foot exam every year
- Monofilament / sensory exam every year
- Glycosylated Hemoglobin (HgbA1c) at least 2 in 12 months
- Annual Lipid profile
- Annual Flu Vaccine
- Pneumococcal vaccine done once (repeat IF first dose was given at <65 yrs. old AND pt. is now >65 AND first dose was given > 5 yrs ago)
Current Network Level Data
Network Diabetes Data
