RE

FER

TO D

IAB

ETE

S SELF-M

AN

AG

EM

EN

T ED

UC

ATIO

N A

ND

SUP

PO

RT P

RO

GR

AM

S

13

TOOL: THE ALGORITHM OF CAREADA, AADE, AND ACADEMY OF NUTRITION AND DIETETICS

ADA

Sta

ndar

ds o

f Med

ical

Car

e in

Dia

bete

s re

com

men

ds a

ll pa

tient

s be

ass

esse

d an

d re

ferr

ed fo

r:

Diab

etes

Sel

f-Man

agem

ent E

duca

tion

and

Supp

ort f

or A

dults

with

Typ

e 2

Diab

etes

: A

LGO

RIT

HM

of

CARE

EDU

CATI

ON

D

iabe

tes

self-

man

agem

ent

educ

atio

n an

d su

ppor

t

NU

TRIT

ION

Re

giste

red

diet

itian

for m

edic

al

nutri

tion

ther

apy

EMO

TIO

NA

L H

EALT

H

Men

tal h

ealth

pro

fess

iona

l if

need

ed

* N

ewly

dia

gnos

ed. A

ll ne

wly

dia

gnos

ed

indi

vidu

als

with

type

2 d

iabe

tes

shou

ld

rece

ive

DSM

E/S

* En

sure

that

bot

h nu

tritio

n an

d em

otio

nal

heal

th a

re a

ppro

pria

tely

add

ress

ed in

ed

ucat

ion

or m

ake

sepa

rate

refe

rrals

* N

eeds

revi

ew o

f kno

wle

dge,

ski

lls,

and

beha

vior

s*

Long

-stan

ding

dia

bete

s w

ith li

mite

d

prio

r edu

catio

n*

Cha

nge

in m

edic

atio

n, a

ctiv

ity, o

r nu

tritio

nal i

ntak

e*

HbA

1c o

ut o

f tar

get

* M

aint

ain

posit

ive

heal

th o

utco

mes

* U

nexp

lain

ed h

ypog

lyce

mia

or

hype

rgly

cem

ia*

Pla

nnin

g pr

egna

ncy

or p

regn

ant

* Fo

r sup

port

to a

ttain

or s

usta

in

beha

vior

cha

nge(

s)*

Wei

ght o

r oth

er n

utrit

ion

conc

erns

* N

ew li

fe s

ituat

ions

and

com

petin

g de

man

ds

CH

AN

GE

IN:

* H

ealth

con

ditio

ns s

uch

as re

nal

dise

ase

and

strok

e, n

eed

for s

tero

id o

r co

mpl

icat

ed m

edic

atio

n re

gim

en*

Phy

sical

lim

itatio

ns s

uch

as v

isual

im

pairm

ent,

dext

erity

issu

es, m

ovem

ent

restr

ictio

ns*

Em

otio

nal f

acto

rs s

uch

as a

nxie

ty a

nd

clin

ical

dep

ress

ion

* B

asic

livi

ng n

eeds

suc

h as

acc

ess

to

food

, fina

ncia

l lim

itatio

ns

CH

AN

GE

IN:

* Li

ving

situ

atio

n su

ch a

s in

patie

nt o

r ou

tpat

ient

reha

bilit

atio

n or

now

livi

ng

alon

e*

Med

ical

car

e te

am*

Insu

ranc

e co

vera

ge th

at re

sults

in

treat

men

t cha

nge

* A

ge-re

late

d ch

ange

s af

fect

ing

cogn

ition

, sel

f-car

e, e

tc.

FOU

R C

RIT

ICA

L TI

MES

TO

ASS

ESS,

PRO

VID

E, A

ND

AD

JUST

DIA

BET

ES S

ELF-

MA

NA

GEM

ENT

EDU

CA

TIO

N A

ND

SU

PPO

RT

WH

EN P

RIM

ARY

CA

RE

PRO

VID

ER O

R S

PECIA

LIST

SH

OU

LD C

ON

SID

ER R

EFER

RA

L:

AT

DIA

GN

OSI

S

AN

NU

AL

ASS

ESSM

ENT

OF

EDU

CAT

ION

, N

UTR

ITIO

N, A

ND

EM

OTI

ON

AL

NEE

DS

WH

EN N

EW

COM

PLIC

ATI

NG

FA

CTO

RS

INFL

UEN

CE

SELF

-MA

NAG

EMEN

T

WH

EN

TRA

NSI

TIO

NS

IN

CA

RE O

CC

UR

12

34

Pow

ers

MA

, Bar

dsle

y J,

Cyp

ress

M, D

uker

P, F

unne

ll M

M, F

isch

l AH

, Mar

yniu

k M

D, S

imin

erio

L, V

ivia

n E.

Dia

bete

s Se

lf-m

anag

emen

t Edu

catio

n an

d Su

ppor

t in

Type

2 D

iabe

tes:

A Jo

int P

ositi

on S

tate

men

t of t

he A

mer

ican

Dia

bete

s A

ssoc

iatio

n, th

e A

mer

ican

Ass

ocia

tion

of D

iabe

tes

Educ

ator

s, a

nd th

e A

cade

my

of N

utrit

ion

and

Die

tetic

s. D

iabe

tes

Car

e 20

15; 3

8:13

72-1

382;

The

Dia

bete

s Ed

ucat

or 2

015;

41:4

17-4

30; J

ourn

al

of th

e A

cade

my

of N

utrit

ion

and

Die

tetic

s 20

15;1

15:1

323-

1334

. (A

dapt

ed A

ugus

t 201

6)

Co

urte

sy o

f A

MG

A’s

To

get

her

2 G

oal

® C

amp

aig

n N

atio

nal P

artn

ers,

Am

eric

an D

iab

etes

Ass

oci

atio

n

and

Am

eric

an A

sso

ciat

ion

of

Dia

bet

es E

duc

ato

rs.

CAMPAIGNTOOLKIT

INSIGHT: WEIGHT LOSS AND MANAGEMENT OF TYPE 2 DIABETES

AMGA ANALYTICS

RE

FER

TO D

IAB

ETE

S SELF-M

AN

AG

EM

EN

T ED

UC

ATIO

N A

ND

SUP

PO

RT P

RO

GR

AM

S

15

AMGA ANALYTICS

INSIGHT: WEIGHT LOSS AND MANAGEMENT OF TYPE 2 DIABETES (CONTINUED)

CAMPAIGNTOOLKIT

AMGA ANALYTICS

INSIGHT: WEIGHT LOSS AND MANAGEMENT OF TYPE 2 DIABETES (CONTINUED)

Developed in partnership with Optum, AMGA’s Distinguished Data & Analytics Corporate Collaborator