Diabetes Management

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


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