The Diabetes Management Program provides enhanced diabetes care to improve health outcomes through provision of a structured plan of care and case management approach using the skills of an interdisciplinary team including led by a nurse clinician working in partnership with family physicians, FHT pharmacist and dietitian as needed.
Program Objectives include:
- To promote patient self-management of diabetes symptoms and associated risk factors including blood sugar, weight, blood pressure and lipids;
- To provide regular monitoring health status of diabetic patients of diabetes in accordance with the Canadian Diabetes Association Clinical Practice Guidelines.
Program services provided with leadership by a nurse clinician include:
- Comprehensive clinical assessment
- Patient education
- Development of a self-management care plan
- Case management and health monitoring
- Clinical Pharmacist consultation to maximize pharmacologic therapy
- Dietitian consultation to promote healthy nutrition