PCC education codes should be used to document education.
Nutrition
Education - Meal planning, nutrition
education, and exercise are the primary treatment strategies for Type 2
diabetes. The Indian Health Service Diabetes Program supports the American
Diabetes Association position that all persons with diabetes receive regular
nutrition counseling and are seen by an RD/nutritionist every six months to 1
year. Some people may require more frequent evaluation and counseling.
Diabetes
Education - All patients with diabetes
and their families should have diabetes self-care information. The National
Standards for Diabetes Care and Patient Education
provide guidelines for education program development with criteria
specific for AI/AN health care facilities.
Every facility should work towards providing systematic mechanisms to
make culturally relevant self-care information available for patients.
Exercise
Education - Exercise is associated
with improvement in both short- and long-term metabolic control. Exercise
counseling should be provided to all persons with diabetes. The appropriate type
of activity, including frequency, duration, and intensity, should be
individualized for each patient.
Education and Glycemic
Control
!
Self monitoring results should be
discussed with the patient at each visit.
!
A1C results should be discussed
with the patient within 2 weeks of the test, preferably at the patient
visit.
Self-Blood
Glucose Monitoring (SBGM) - The
purpose of SBGM is to determine the pattern of blood glucose throughout the day.
This pattern provides information for selection and adjustments in therapy.
Frequency of monitoring must be individualized and may vary as day-to-day
circumstances require.