Diabetes Education and Behavioural Support

Diabetes education and support through services and specialized referral resources.




Approach to Care                                     

Team Care: Diabetes is best managed by a team including medical specialists and diabetes educators. The patient needs to be informed of the roles of  the various team members. If access to a team is not possible within the office practice, identify community resources. Clear communication between all providers is critical to ensure patients’ needs are being met.


Patient-Centric: Diabetes is a condition that requires self-management. A collaborative counseling model (where the patient is involved in decisions and goal setting) helps promote behavior change. Whenever appropriate, with the patient’s consent, involve family members and caregivers in medical visits and education


Individualized Treatment Plan: Develop a treatment plan based on a thorough assessment which includes an understanding of not only the patient’s medical needs, but all the factors that may affect the development of a treatment plan, including social history, race, cultural issues, ethnicity, education needs (including literacy and numeracy), and barriers to care. The plan identifies medical treatment, educational interventions, and follow-up. patients are assisted and referred to set and meet individual goals that contribute to a significant improvement in their HbA1c levels.



Diagnosis: An A1C* level of 6.5% or higher on 2 separate days is acceptable for diagnosis of diabetes. [1B]. However, some individuals may have an A1C < 6.5% with diabetes diagnosed by previously established blood glucose criteria. Those with an A1C of 5.7-6.4% are at increased risk for diabetes and should be treated with lifestyle changes and followed more frequently.* The A1C should be performed in a laboratory using a method that is National Glycohemoglobin Standardization Program (NGSP) certified and standardized to the Diabetes Control and Complications Trial (DCCT) assay.


Diabetes Education Program: Poorly controlled Diabetes Mellitus is associated with increased morbidity, mortality, and medical costs. One key to controlling Diabetes Mellitus is diabetes education. Landmark studies such as the Diabetes Control and Complications Trial (DCCT), the United Kingdom Prospective Study (UKPDS), and the Diabetes Prevention Program (DPP) reveal the value of diabetes education, indicating that it provides patients with the information they need to manage their disease.

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