DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
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Version 4.0<br />
<strong>VA</strong>/<strong>DoD</strong> <strong>Clinical</strong> <strong>Practice</strong> <strong>Guideline</strong><br />
for the Management of Diabetes Mellitus<br />
Page 2<br />
Continue from<br />
page 1<br />
13<br />
Consider aspirin therapy<br />
[ H ]<br />
Screen for use of tobacco and<br />
If patient is using tobacco advise to quit<br />
Provide influenza vaccination (in season)<br />
14<br />
Review all the following and set priorities [ I ]<br />
If : Go to :<br />
Individualized HbA1c not at target? Glycemic Control Module G<br />
SBP> 140 or DBP > 80 mmHg?<br />
Hypertension<br />
<strong>VA</strong>/<strong>DoD</strong> HTN <strong>Guideline</strong><br />
No lipids evaluation within one year?<br />
Elevated cholesterol or lipids?<br />
Lipid Control<br />
<strong>VA</strong>/<strong>DoD</strong> Lipid <strong>Guideline</strong><br />
No kidney evaluation within one year?<br />
Microalbuminuria or elevated creatinine?<br />
Kidney Disease<br />
<strong>VA</strong>/<strong>DoD</strong> CKD <strong>Guideline</strong><br />
No eye evaluation within two years? or<br />
Symptoms or high risk for visual loss? or<br />
History of retinopathy?<br />
No foot risk assessment within one year ?<br />
or Risk factors present or active lesion?<br />
Eye Care<br />
Foot Care<br />
Module E<br />
Module F<br />
Need additional nutritional or<br />
lifestyle education?<br />
Self-Management<br />
and Education<br />
Module M<br />
15<br />
Follow up as indicated<br />
Module D: Core Page 12
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