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?

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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