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Clinical Practice Guidelines

Clinical Practice Guideline - Diabetes

Topic: Diabetes Date of Origin: April 1998
Revised/Effective Date: May 2008 Next Review Date: May 2009


Recommendation Summary:

Asuris upports the recommendations from the American Diabetes Association for the treatment and care of members with diabetes.  Also, Asuris participated in the development of  the Oregon Population-Based Guidelines for Diabetes Care.  This set of guidelines augment the guidelines from the American Diabetes Association. These recommendations do not include all the care a person with diabetes may need.  However, they identify procedures that can help prevent diabetes complications.

Web Site Links:

http://care.diabetesjournals.org/content/vol31/Supplement_1/

www.oregon.gov/DHS/ph/diabetes/guidelines.html

Key Points:

The recommendations include several key areas of care, including lowering blood pressure and blood glucose levels, treating high cholesterol, use of aspirin and  aggressive practitioner interventions to help people who smoke find methods to help them quit.

Asuris Resources:

Washington Healthy Options and PEBB members with diabetes are eligible for participation in the diabetes disease management programs.  All other Asuris members please check your benefits to determine eligibility for the disease management programs

Diabetes educational materials are included on the Asuris website:  myasuris.com

Guideline Adoption and Recommended Use: 

This guideline has been adopted based on nationally recognized sources.  This guideline is based on the most recent medical evidence or a consensus on clinical treatment patterns by physicians in the selected field of practice.  Asuris adopts guidelines to help practitioners and members make decisions about appropriate health care for specific medical conditions.  Guidelines are not a substitute for the advice of a physician.

Benefit Determination: 

Benefit determinations should be based in all cases on the applicable contract language.  To the extent that there are any conflicts between these guidelines and the contract language, the contract language will control.

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