Wwwicsiorg

Exchange Lists for Meal Planning Pamphlet American Diabetes Assoc. & American Dietetic Assoc. http www.diabetes.org nutrition-and-recipes nutrition exchangelist.jsp 1-800-232-6733 Exchanges for All Occasions -Pocket Edition Book http www.idcpublishing.com IDC 2058-EAOP Fast Food Facts - Pocket Edition Book http www.idcpublishing.com IDC 2058-853 http www.idcpublishing.com IDC 2058-802 2058-25 (English) 2058-823 (Spanish) 2058-814 (English) 2058-821 (Spanish) First Step in Meal Planning...

Renal Assessment

See Annotation Appendix B, Treatment of Diabetic Nephropathy. Urinary albumin excretion should be tested annually by a microalbuminuria method. If albuminuria is above normal, serum creatinine should be measured. Some factors can artificially increase the levels of albumin in the urine and should be avoided at the time of the urine collection these factors include blood in the urine, prolonged heavy exercise, fever, congestive heart failure, uncontrolled diabetes, severe hypertension, UTI and...

Management of Type Diabetes Mellitus

Released in November for Tenth Edition. The next scheduled revision will occur within 12 months. References cited are available to ICSI participating member groups on request from the ICSI office. Please fill out the reference request sheet included with your guideline and send it to ICSI.

Supporting evidence is of class R

Retinopathy - Prevalence of retinopathy is related to the duration of diabetes mellitus. After 20 years of diabetes mellitus more than 60 of patients with type 2 diabetes mellitus have some degree of retinopathy. Diabetic retinopathy is estimated to be the most frequent cause of new cases of blindness among adults ages 20 to 74 years. Up to 21 of patients with type 2 diabetes mellitus are found to have retinopathy at the time of diagnosis of diabetes mellitus. Generally retinopathy...

Figure Using a Semmes Weinstein Monofilament to Screen the Diabetic Foot For Peripheral Sensory Neuropathy

Foot Monofilament

1 Show the monofilament to the patient and touch it to his her arm to demonstrate that it does not hurt. 2 Use the Semmes-Weinstein 5.07 10 gram monofilament to test sensation at the indicated sites on each foot . Avoid applying the monofilament to calluses, ulcers, or scars. 3 Hold the monofilament perpendicular to the skin and touch it to the skin using a smooth motion with sufficient force to cause the filament to bend. The test should take about 1-1 2 seconds at each site. 4 Ask the patient...

Glycemic Control Algorithm Annotations Glycemic Control Algorithm

Medical nutrition therapy may be all that is required to treat diabetes, especially for the patient with early mild symptomatic disease. Medical nutrition therapy should be maintained throughout the course of the disease, even as pharmacologic agents are used. Oral agent medications are generally used if medical nutrition therapy alone does not succeed in obtaining patients' goals within a reasonable time frame, usually no longer than 2-3 months. At the time of diagnosis, if patients have...

The results of the monofilament testing should be documented in the medical record Patients Who Cannot Feel The

Testing at the first and fifth metatarsal heads is sufficient. This combination of sites has been shown to detect the insensate foot with reasonable sensitivity 80 and specificity 86 . Testing the great toes may be of added benefit. Chart documentation is required for the American Diabetes Association - Provider Recognition Program. An annual diabetic foot examination is also one of the eight diabetes quality improvement project DQIP measures adopted by the National Committee for Quality...

Start or Intensify Statin Dose

The LDL goal for people with diabetes mellitus without coronary artery disease CAD is less than 100 mg dL. The goal with CAD is less than 70 mg dL. Start a statin even if LDL is less than 100 mg dL. Intensify statin or lipid-lowering medications to LDL goal less than 100 mg dL with CAD or less than 70 mg dL with CAD. Recent evidence Colhoun, 2004 Heart Protection Study Group, 2002 and ATPIII consensus guidelines Grundy, 2004 suggest that statins are beneficial for high-risk patients with a...