Early identification, management, and ongoing comprehensive diabetes care can prevent or control acute diabetes complications such as hypoglycemia and hyperglycemia as well as chronic diabetes microvascular and macrovascular complications. Comprehensive care includes management of blood glucose, blood pressure, lipids, and comorbidities. With proper medical management, education, self-care, and attention to behavioral, social, and environmental factors, people with type 1 and type 2 diabetes can live long, active, and productive lives. The health care team needs to work in partnership with the patient, discussing options and individualized goals, to create a specific, personalized diabetes management plan.
Clinical Information Systems – for Diabetes Management
Electronic health record offerings
Buyer Zone: search for EHR and compare free electronic medical record price quotes.
EHR Outlook, an online resource.
How EHR templating helps me provide better diabetes care
Electronic health records, American College of Physicians:
EMRConsultant, a comprehensive EMR/EHR matching system.
Fierce EMR, a free EMR weekly newsletter.
HealthITBuzz, Office of the National Coordinator for Health Information Technology (ONC).
MedlinePlus Connect, a free service that allows health organizations and health IT providers to link patient portals and electronic health record systems to MedlinePlus, an authoritative up-to-date health information resource for patients, families, and health care providers (National Library of Medicine).
Community Resources – for Diabetes Management
Diabetes Disorder Resource Center – National Association of Managed Care Physicians: www.namcp.org/_vti_bin/shtml.dll/diabetes/diabetes_PD.html
Helping the Student with Diabetes Succeed: A Guide for School Personnel , National Diabetes Education Program
Toolkit for Preferred Provider Organizations (PPOs) – Talking with payers, providers and patients about diabetes: Helps PPOs of any business model talk with key stakeholders about the importance of diabetes and identify resources for each audience to improve care quality.
Reducing disparities in diabetes, University of Michigan DRTC.
Decision Support – for Diabetes Management
Management of hyperglycemia in type 2 diabetes: with a table for the initiation and adjustment of therapy for hyperglycemia (2012), American Diabetes Association and the European Association for the Study of Diabetes.
Clinical practice guideline for the management of diabetes mellitus (2010), Veterans Administration / Department of Defense.
Glycemic control in type 2 diabetes (2009), American Association of Clinical Endocrinologists/American College of Endocrinology.
Oral pharmacologic treatment of type 2 diabetes mellitus: a clinical practice guideline (2012), American College of Physicians.
AIDA On-Line: Simulate the effects of changes in insulin and diet on the blood glucose profiles of various example 'virtual diabetic patients'. Simulations can be run without charge with all results being displayed in your Web browser window.
Diabetes Care Guide – American College of Physicians: (requires online registration or membership)
Support Behavior Change – How to motivate your patients, National Diabetes Education Program.
Diabetes Forum – for people with diabetes and the health care team.
Online physician communities – search the internet to find more
Guidelines for developing a comprehensive diabetes care plan (2011), American Association of Clinical Endocrinologists.
Evidence-based practice reports, Agency for Healthcare Research and Quality.
Clinical practice recommendations: position statements, technical reviews, committee reports & consensus statements, positions statements, and standards and review criteria (January each year), American Diabetes Association.
Guiding Principles for Diabetes Care , National Diabetes Education Program
Guideline search, National Guidelines Clearinghouse: www.guideline.gov/search/search.aspx?term=diabetes
Clinical practice guideline for the management of diabetes mellitus (2010) Veterans Administration /Department of Defense: www.healthquality.va.gov/diabetes/DM2010_FUL-v4e.pdf
- PHQ 9 downloadable at www.cqaimh.org/tool_depscreen.html
- Algorithm to guide depression treatment based on changes in PHQ score www.mainehealth.org/workfiles/depression/PHQdxtxguideline042910.pdf
Glomerular Filtration Rate Calculators, National Kidney Disease Education Program
Slide Presentations, various diabetes-related topics, National Diabetes Education Program
Risk calculators for diabetes
Video news reports based on new clinical research from Annals of Internal Medicine, American College of Physicians.
Video series topic search, AmericanAcademy of Family Physicians.
Patient Self-management Support – for Diabetes Management
Applications (Apps) (costs may apply)
Diabetes apps – 2012 http://forecast.diabetes.org/magazine/features/2012-diabetes-software-apps
Mayo clinic blog: Managing diabetes with diabetes apps: www.mayoclinic.com/health/diabetes-apps/MY01863
Diabetes HealthSense – National Diabetes Education Program: many resources to help patients with or at risk for diabetes live well and meet goals.
Diabetes Forum – for people with diabetes and the health care team www.diabetesforum.com/
Videos and Podcasts
ACP self-care videos: www.acpfoundation.org/materials-and-guides/video/
Hispanics and diabetes in English or Spanish, American College of Physicians Foundation: www.acpfoundation.org/materials-and-guides/video/
Video HEALTH TiPS: Six diabetes-related videos for patients covering insulin use, hypoglycemia, foot care, taking blood pressure, and preparing for a visit to the doctor, American College of Physicians Foundation and Abington Memorial Hospital
Podcasts, National Diabetes Education Program: http://ndep.nih.gov/resources/podcasts/
Videos for patients, National Diabetes Education Program: http://ndep.nih.gov/resources/index.aspx?ToolType=17
Practice Redesign – for Diabetes Management
Forms for patient or practice management
Checkup questionnaire, Diabetes registry sample spreadsheet, Encounter form, Flow sheet; Patient-physician partnership agreement, and Reminder letter for diabetes checkup (AAFP Family Practice Toolkit): www.aafp.org/online/en/home/publications/journals/fpm/fpmtoolbox.html#Parsys9810
Diabetes portal – American College of Physicians http://diabetes.acponline.org/index.html
Canadian Family Physician Improving diabetes care in my practice www.cfp.ca/content/53/11/1897.full
Diabetes Care Improving Diabetes Care in Practice Findings from the TRANSLATE trial, 2008 care.diabetesjournals.org/content/31/12/2238.full.pdf
Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis. JAMA. 2006 Jul 26;296(4):427-40.
Measuring program impact
Improving diabetes prevention and management http://nyshealthfoundation.org/priority-areas/improving-diabetes-prevention-and-management
Survey instruments for diabetes patients and health professionals www.med.umich.edu/mdrtc/profs/survey.html
Patient satisfaction survey (PACIC) www.improvingchroniccare.org/index.php?p=Survey_Instruments&s=165
TEAM care www.teamcarehealth.org/Home.aspx
Team Care Guide – How to develop or expand your team, National Diabetes Education Program
Transitions from Pediatric to Adult Health Care , National Diabetes Education Program