360 degree diabetes management will require control and response to changing needs and

traversing every stage of diabetes treatment

Blood Glucose Testing

Device to keep a daily log and help the healthcare provider assess patients diabetes treatment plan
A1C and eAG test monitor can provide an overall picture of how well the patient is managing diabetes
Ketones monitor can provide a warning sign that the diabetes is getting out of control

Medication
Insulin-Almost every diabetic patient is prescribed insulin. Insulins differ in how they are made, functionality, and cost
Insulin pumps are small computerized devices that deliver insulin in two ways:
In a steady measured and continuous dose (the "basal" insulin)
As a surge ("bolus") dose, as per direction, around mealtime
Oral medication is being used that lowers blood glucose levels (sulfonylureas)
Bariatric surgery- for adults with a body mass index (BMI) above 35 andtype 2 diabetes, especially if the diabetes is difficult to control with
lifestyle changes and medicines
Herbs, Supplements and Alternative Medicines- The National Health Interview Survey found that 22% of people with diabetes used some type of
herbal therapy, while another study found that 31% used dietary supplements

Doctors

Help build a team with the help of patient's primary diabetes doctor for easy access to the care they need
Mobile prescription therapy (MPT) products Connect between the patient and healthcare team
Helps to take control of daily management of type 2 diabetes
Gives immediate guidance and advice on smartphone, iPad, or computer

Women

Gestational diabetes- Gestational diabetes and type 2 diabetes both involveinsulin resistance. Many women who have gestational diabetes go
on to develop type 2 diabetes years later. Treatment includesspecial meal plans and scheduled physical activity, also dailyblood
glucosetesting andinsulininjections
Polycystic Ovarian Syndrome (PCOS) causes high glucose levels, increasing risk for gestational diabetes. Treatment includes Progestins,
insulin-sensitizing medications and ovarian drilling
Pregnancy- key to a healthy pregnancy for a woman with diabetes is keepingblood glucosein thetarget range, both before pregnancy and
during her pregnancy
Before pregnancy- A1Cless than 7%, achieving a healthy body weight, improving diet and exercise, and having a pre-pregnancy exam
Delivery- To determine the safest time and method to deliver requires examination of various factors: bloodglucosecontrol, blood pressure,
kidney function, any diabetes complication
Prenatal- Checking blood glucose, insulin, diabetes pill, proper diet and exercise

Confirmed Diabetes
Complication
screening

Eye screening
Regular eye screening is
the best way to detect
diabetic retinopathy
Treatment is effective at
reducing or preventing
damage to the sight if
the condition is caught
early
Feet screening
Through use of a
validated diabetes foot
screening tool
Inspection
Sensory testing
Palpation of foot pulses
Foot deformity and
callus
History of foot
ulceration
Cardio-vascular screening
Lipid profile
Blood pressure
Body weight
Renal screening
Serum creatinine
Protein-to-creatinine

Glycaemic Monitoring

HbA1c
Average plasma glucose
concentration
Frequency: at least once
every 3 months
Self monitoring of blood
glucose (SMBG)
Establish a profile of
blood glucose levels
Establish a response to
nutrition and
pharmacotherapy
Insights about the
effects of diet on
glycaemic excursions

Glycaemic Management

Diet and medical nutrition

therapy (MNT)
A1C and serum lipid
levels
Dietary intake
Nutrition monitoring
and evaluation

Pharmacotherapy
Oral antihyperglycaemic agents
Insulin