AIM Diabetes Care Resources

· NY DOH one page summary for standards of DM care

· Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy (Nathan et al Diabetes Care 29:1963-1972, 2006) Proposed algorithm on initial pharmacologic management Table on insulin titration algorithm (modified by A Montero)

· Patient Handouts from the ADA (click on box to download and print PDF file)

Take Home FSGlucose Log	Taking Care of your Diabetes	All about Blood Glucose	Managing your Medicines	All about Physical Activities
(in Spanish)	(in Spanish)	(in Spanish)	(in Spanish)	(in Spanish)

· Diabetes Device/Supplies Overview (with how to write Rxs instructions)

· AIM Diabetes Retinal Program

· Standards of Medical Care in Diabetes—2007 Position Paper from American Diabetes Association (click for link to full text paper)

AIM DM Teaching and Management Clinic

This is an on-site clinic where residents will work alongside Evelyn Thompson, our diabetic educator, under the supervision of an attending to provide for DM follow up care for patients of their colleagues. Patients who have not met their goal for DM control should be referred to this clinic. No referral paperwork is necessary; one just needs to write “refer to AIM DM clinic” on the bottom of your clinic notes. The PFA will schedule the patients through the EPIC systems. Please be sure your patient has updated med lists, A1c values, on your electronic WebCIS notes. Please also offer specific instructions if there are particular things you want the team to follow up on or act on. Patients will start their first session at a daily group “DM Teaching Session.” Following this, they will be recruited into the individual counseling and management program. To date, this program has already accomplished at least an average of two point A1c decrease for some of our most difficult-to-manage patients with diabetes.

Situations or patients to consider for this new service include:

• Diabetic and prediabetic patients who will benefit from DM teaching classes
• Diabetic patients who are not meeting the ADA goals of therapy.
• Patients who need additional counseling on medications regimen and other DM related treatments.
• Newly diagnosed diabetic patients.
• Patients who need one to one counseling on self management measures, such as glucometer use, or insulin injection.
• Providers who may be temporarily unavailable in clinic, may refer to this DM team to provide closer follow up and advancement of diabetes care.