Table 4.2

Assessment and treatment plan*

Assessing risk of diabetes complications
  • ASCVD and heart failure history

  • ASCVD risk factors and 10-year ASCVD risk assessment

  •  • Staging of chronic kidney disease (see Table 11.1)

  •  • Hypoglycemia risk (Table 4.3)

Goal setting
  • Set A1C/blood glucose target

  • If hypertension is present, establish blood pressure target

  • Diabetes self-management goals

Therapeutic treatment plans
  • Lifestyle management

  • Pharmacologic therapy: glucose lowering

  • Pharmacologic therapy: cardiovascular disease risk factors and renal

  • Use of glucose monitoring and insulin delivery devices

  • Referral to diabetes education and medical specialists (as needed)

  • ASCVD, atherosclerotic cardiovascular disease. *Assessment and treatment planning are essential components of initial and all follow-up visits.