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 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

Diabetes Referral Form

http://carolinefht.ca/wp-content/uploads/2023/07/Diabetes-Education-Program_Referral-Form-1.pdf