The NYDC “Tools for Better Diabetes Care” Tool Kit
|
|
Guidelines for Adult Diabetes Care
A one page guideline developed from the evidence-based clinical recommendations of the American Diabetes Association (ADA). The guideline was developed to send a clear, consistent message about the minimum treatment protocols for managing the care for persons with diabetes. The guidelines are updated as necessary to maintain accordance with ADA recommendations.
Click here to order materials |
 |
Diabetes Mellitus Flow Sheet
A one page chart tracking tool which allows practitioners to record test values and treatment that follow the minimum practice recommendations. The flow sheet makes it easier for the practitioner to see a patient’s improving or declining trends, thereby making it easier to assess if a course of treatment requires modification.
Click here to order materials |
|
Eye Examination Report for Diabetes
A two page form intended to increase and improve communication from the eye care specialist to the primary care physician regarding the results of a patient’s dilated eye exam. The primary care physician can give the form to the patient to bring to their next eye exam, be faxed to the eye doctor, or the form can initiate from the eye care provider. The form is approved by the Centers for Medicare and
Medicaid Services and may be used in lieu of a consultant’s letter to the referring physician. The form instructions are provided in both English and Spanish.
Click here to order materials |
|
“Shoes and Socks, Please Take Them Off” poster
A colorful wall poster for the exam room that reminds both patient and health care provider to do a routine foot examination at the point of care.
Click here to order materials |
|
Diabetes Chart Sticker
A useful reminder for the entire staff, these stickers affix to patient charts to remind all
health care professionals that this patient has diabetes and may require updated services and tests. The chart stickers may be downloaded and printed to Avery labels #6572 and #6578 which are for inkjet and laser printers.
|
|
"Manage Your Diabetes for a Healthy Life” Wall Poster
A 17 X 22" waiting room wall poster that includes a checklist for patients
on how to manage their diabetes.
Click here to order materials
|
Patient Education Materials |
|
Personal Diabetes Care Card
This card helps patients keep a record of their diabetes care. It has spaces which allow patients to record test values and exams done at routine or quarterly visits, biannual, and annual exams and tests. The card provides space for important telephone numbers, such as primary care physician, foot specialist, and eye care specialist, and reminds patients that controlling diabetes is a joint effort between patient and doctor.
The card folds up to wallet size.
Click here to order materials |
|
Personal Diabetes Care Card - in spanish
Click here to order materials |
|
“Manage Your Diabetes for a Healthy Life” Brochure
This is a tri-fold brochure that provides current facts about the prevalence of diabetes and its complications. The brochure reminds patients what they should do to manage diabetes, helps patients to set diabetes care goals with their health care professional(s), and provides contact information for other resources.
Click here to order materials |
|
