Toolkit for Implementing the Chronic Care Model in an Academic Environment
Glycemic Control Algorithm 1
The Planned Visit Notebook includes a step-by-step description for a diabetes planned visit. The Glycemic Control Algorithm is a flowchart that takes a health professional through the steps for one part of the diabetes planned visit.
Text Description
| Algor Assess A1c result Note: A1c result should be no older than 3 months |
| Recheck in 3 months |
| Planned Visit—complete assessment of glycemic control program (see Module 4 Podcast) —Advise relevant lifestyle changes |
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Group 1: Control goal attainable by dosage changes within current regime (generally A1c 8.0 or less) NP with endocrinologist/staff oversight adjust doses makes HGM recommendations Contact patient in 1 week (visit or otherwise to assess effectiveness of changes), then no less often than monthly. Change as necessary with staff oversight. Recheck A1c in 3 months |
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Group 2: Control goal is not attainable by dosage changes within current regime (generally A1c >8.0) Contact endocrinologist for change in regimen or arrange a team meeting. Initiate a regime as soon as possible, including that day. Contact patient in 1 week (visit or otherwise to assess effectiveness of changes) and make further recommendations with staff oversight. Recheck A1c in 3 months |
A note at the bottom of the algorithm reads:
Note: Team Meetings option at any point for scope of changes necessary, lack of progress not limited to adherence issues, or nurse practitioner wishes. Team meeting optional at any point for lack progress—as determined by nurse practitioner.
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