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Diabetes - Boston Health Care for the Homeless

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clients. <strong>Diabetes</strong> management is difficult evenunder <strong>the</strong> best of situations, and <strong>for</strong> <strong>the</strong> homelessdiabetic, broad support and access to appropriateservices is extremely difficult. This model of careresults in an evidence-based prioritization of actionsby both <strong>the</strong> patient and <strong>the</strong> clinician. <strong>Care</strong> movesfrom an approach characterized by more episodic,reactive visits with little patient involvement toa model that includes <strong>the</strong> patient and results inimprovements that will hopefully reduce morbidityand mortality in <strong>the</strong> future. EReferencesAmerican <strong>Diabetes</strong> Association. Insulin administration. <strong>Diabetes</strong> <strong>Care</strong> 2002;25:S112-115.Brehove T, Bloominger MJ, Gillis L, et al. Adapting Your Practice: Treatment and Recommendations <strong>for</strong> <strong>Homeless</strong> Peoplewith <strong>Diabetes</strong> Mellitus. Nashville: <strong>Health</strong> <strong>Care</strong> <strong>for</strong> <strong>the</strong> <strong>Homeless</strong> Clinicians’ Network; 2002.Ridolfo AJ, Proffitt BJ. <strong>Diabetes</strong> and <strong>Homeless</strong>: Overcoming Barriers to <strong>Care</strong>. Nashville: <strong>Health</strong> <strong>Care</strong> <strong>for</strong> <strong>the</strong> <strong>Homeless</strong>Clinicians’ Network; 2002.Uphold CR, Graham MV. <strong>Diabetes</strong> Mellitus: Clinical Guidelines in Family Practice. Gainesville, Fla.: Barmarrae Books;2002:140-155.Web sites:American <strong>Diabetes</strong> Association www.diabetes.org<strong>Health</strong> Disparities Collaboratives www.healthdisparities.netNational Guidelines Clearinghouse www.guideline.gov256 The <strong>Health</strong> <strong>Care</strong> of <strong>Homeless</strong> Persons - Part IV - <strong>Diabetes</strong>

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