Comprehensive Assessment
- Diabetic care plan to include utilization of glucometer/strips, diet and nutrition, medication management and compliance, foot care/skin integrity, signs/symptoms triage to THC, co-morbidity management, and wound management
- Telephonic follow-up between visits to improve clinical outcomes
- Education material
- Care giver education and support
- Reminder of physician follow-up, HBA1c, and yearly dilated eye exam
- MSW for patients requiring resourcing
- Medication Consultation with pharmacist to review compliance, adherence, side effects, symptoms, and other.