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Clinical Practice Guidelines

Clinical Practice Guideline - Diabetes

Topic: Diabetes Date of Origin: April 1998
Revised/Effective Date: June 2009 Next Review Date: June 2010


Recommendation Summary:

Asuris supports the 2009 recommendations from the American Diabetes Association (ADA) 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 ADA. 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:

  • American Diabetes Association Clinical Practice Recommendations 2009. January 2009, Volume 32, Supplement 1

http://care.diabetesjournals.org/content/vol32/Supplement_1/

  • Oregon Population-Based Diabetes Care Guidelines

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

Position Statement:

The ADA guidelines are supported by Asuris because they are based on scientific evidence, and where evidence is lacking, on panel consensus judgment.  The report reflects the current standard of care.

  • The panel members are recognized experts practicing in a variety of professional settings.
  • The guidelines clearly state the strength of the evidence for which recommendations are based. 
  • Methods used to search for and select appropriate scientific literature are not readily apparent.
  • The methods used to critically appraise the evidence supporting guideline recommendations are not transparent. 
  • Financial disclosures/potential conflicts of interest for panel members are included in the evidence report, although sources of funding for the guidelines are not disclosed.

Asuris Resources:

  • Some Asuris members may be eligible for participation in the diabetes disease management program.  Please check benefits for eligibility.
  • 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 conditions.  Guidelines are not a substitute for professional medical advice.

Benefit Determination: 

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

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