Management of Type 2 Diabetes Mellitus

[See Glycemic Control algorithm]

[See Blood Pressure Control algorithm]

[See Ongoing Management algorithm ]

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Source: Institute for Clinical Systems Improvement (ICSI). Management of type 2 diabetes mellitus. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Nov. 81 p. Management of Type 2 Diabetes Mellitus Diagnostic testing for diabetes or prediabetes (impaired glucose tolerance [IGT] or impaired fasting glucose [IFG]). A A = Annotation Evaluation of patients with elevated glucose. A Diagnosis type 2 diabetes. A Diagnosis of prediabetes (IGT or IFG). A Treatment of prediabetes (IGT/IFG). A Inpatient diabetes management. A Is this patient hospitalized? A Needs stabilization? A Initial stabilization for outpatients requiring immediate insulin treatment. A Recommend self-management program: A. Nutrition therapy. B. Physical activity. C. Education for self-management. D. Foot care. E. Community resources. A Set individualized treatment goals: A. A1C less than 7% and blood surgars at goal. B. Start or intensify statin dose. C. Blood pressure control BP less than 130 / 80 mm Hg. D. ASA / antiplatelet medication unless contraindicated. E. Tobacco cessation if indicated. A Are treatment goals met? A Treatment goals not met: A. Modify treatment based on appropriate related guideline. B. See Glycemic Control and Blood Pressure Control algorithms and / or C.  Consider referral to diabetes health team or specialists. D. Assess patient adherence. E. Evaluate for depression. A See Ongoing Management algorithm All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.