Diagnosis and Management of Type 2 Diabetes Mellitus in Adults. Ongoing Management Algorithm.

[See Glycemic Control algorithm]

[See Blood Pressure Control algorithm]

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of type 2 diabetes mellitus in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 March. 88 p. Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Ongoing Management Algorithm Ongoing management and follow-up of people with diabetes. A Maintain treatment goals: *Nutrition. *Exercise. *Monitor A1c every 3-6 months. -Review blood sugars at each visit. -Ask about hypoglycemia. *Monitor lipid profile yearly. *Monitor BP each visit. *Ask about aspirin use. *Ask about alcohol and tobacco use. A Annual assessment of complications: *Targeted annual history and physical exam. *Specialist dilated eye exam. *Renal assessment. *Comprehensive foot exam with risk assessment. *Cardiovascular and cerebrovascular complication assessment. *Special considerations. A *Treatment and referral for complications: *Nephropathy. *Neuropathy. *Retinopathy. *Cardiovascular and cerebrovascular disease. *Peripheral vascular disease. A Are goals continuing to be met? A Treatment goals not met: *Modify treatment based on appropriate guidelines and / or *See Glycemic Control and Blood Pressure Control algorithms, and / or *Consider referral to diabetes health team or specialists. *Assess patient adherence. *Evaluate for depression. A A = Annotation All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.