Prescribers

1
Prescribers

• More likely to select medications based on
  patient rather than guidelines
• Incorporates treatment of comorbidities with
  relation to medication choices
• Depends on others on the team for support and
  choices

2
Pharmacists

• Involved in Medication Selection
• Drug Utilization Review and Interaction
  Intervention
• Insulin Management
• Alternative Therapy Review
• Adherence and Persistence Evaluation

3
Nurses, CNAs, Home Health Care Givers

• Day to Day Interaction with Patients
• Deliver Medications
• Converse about Health Issues
• Share Patient and Family Concerns with Healthcare
  Team
• Explain Whys of Care when Questioned or Changes
  Made

4
Dentists and Podiatrists

• Treat Conditions Related to Diabetes
• Prevention of Infections and Wounds
• Treatment of Effects of Poor Diabetes Care
• Reduce Stress and Mental Anguish
• Associated With Conditions
• Specialized Footwear for Neuropathic Conditions

5
Dietitians and Diabetes Educators

• Educate Patients and Families on
• Monitoring
• Food Choices
• Medication Persistence
• Insulin Use
• Body Examinations
• Always Including Ethnic, Cultural Socio-economic,
  and Stage of Life Considerations

6
LCSW, Psychologist, Psychiatrist

• Address the Mental Health Issues of Patients and
  Families
• Evaluate and treat for Depression, Stress
• Anxiety
• Advise and council patients, families and
  caregivers on end of life issues and
  compassionate care.

7
LCSW, Psychologist, Psychiatrist

• Depression affects one in four individuals with
  type 2 diabetes mellitus (T2DM).
• Older Patients often focus on disease states and
  exacerbate disease stress
• Techniques for Success
• Face-to-face individual consultations most
  effectively improved depression scores.
• Interventions are most effective when delivered
  four times a month.
• It is essential that groups at risk of or with
  diabetes be screened for depression.

8
Exercise Physiologists and Nutritionists

• Personalized Activity Plans Based on Ability and
  Mobility
• Flexibility and Movement Plans
• Neuropathy
• Vitamin, Mineral and Supplement Evaluation and
  Dosing
• Herbal, Ayurvedic,Homeopathic
• treatments

9
Acupuncturist

• Electro-acupuncture may be beneficial through
  different mechanisms including weight loss,
  anti-inflammatory effects, and improvement of
  lipid metabolism and adipokines.
• Acupuncture is one of the oldest healing
  practices and is recognized by the National
  Institute of Health and the World Health
  Organization.

10
Motivational Interviewing

• Motivational Interviewing is a method that works
  on facilitating and engaging intrinsic motivation
  within the client in order to change behavior. MI
  is a goal-oriented, client-centered counseling
  style for eliciting behavior change by helping
  clients to explore and resolve ambivalence.
• Ask open ended questions
• Keep on target but let the patient express
• Ask patient to participate in goals and
  anticipate
• problems
• Suggest solutions and ask for patient
• acceptance
• Decide together when to begin and who to include