Management of Type Diabetes Mellitus

Institute for Clinical Systems Improvement

Tenth Edition November 2005

Work Group Leader

JoAnn Sperl-Hillen, MD Internal Medicine, HealthPartners Medical Group

Work Group Members Endocrinology

Richard Bergenstal, MD International Diabetes Center Steve Smith, MD Mayo Clinic Family Medicine Patrick O'Connor, MD HealthPartners Medical Group

Internal Medicine

James Brosseau, MD Altru Health System Eugene Ollila, MD Allina Medical Clinic Pharmacy Vyvy Vo, PharmD HealthPartners Medical Group Nursing

Bev Wiehoff, RN, CDE


Health Education

Julie Roberts, MS, RD, CDE HealthPartners Medical Group

Measurement Advisor

Amy Murphy, MHHA ICSI

Evidence Analyst

Brent Metfessel, MD, MPH ICSI


Ann-Marie Evenson, BS,



These clinical guidelines are designed to assist clinicians by providing an analytical framework for the evaluation and treatment of patients, and are not intended either to replace a clinician's judgment or to establish a protocol for all patients with a particular condition. A guideline will rarely establish the only approach to a problem.

Are goals met?

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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