Title
Diabetes Management In The Post-Acute And Long-Term Care Setting
Authoring Organizations
Publication Month/Year
October 11, 2024
Last Updated Month/Year
November 13, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
The newly revised Clinical Practice Guideline (CPG) for Diabetes Management in the Post-Acute and Long-Term Care (PALTC) Setting is an extremely useful resource that incorporates new evidence and perspectives related to overall goals in diabetes care. The CPG provides detailed information in usable Tables for how to use and manage the increasing number of medication alternatives for PALTC patients with diabetes. In addition, the CPG addresses the critical roles of all members of the interprofessional team for the optimal management of older adults living with diabetes. The primary goal of care as described in the CPG is to make diabetes management individualized and consistent with the patient's/resident's goals of care, and to optimize quality of life and the ability to live in the least restrictive setting possible. To achieve this, the CPG emphasizes the importance of understanding the patients’ overall health status, what their preferences and values are, their life expectancy, the clinical benefit of tight versus more liberal control of glucose, risk of hypoglycemia, and impact of treatment on quality of life and ability to live in a certain setting of care (e.g., if injectable therapy is possible). As with other PALTmed CPGs, this new CPG takes the team through the process of recognition, assessment, treatment and monitoring. Implementation of the Diabetes Management in PALTC Settings CPG can help those working in these settings ensure that their patients and residents are getting the most appropriate and current evidence-based treatment for this challenging clinical problem.
Target Provider Population
Medical director, physicians, director of nursing, advanced practice clinicians, nursing staff, pharmacists, therapists, social workers, dietitians, and nursing assistants caring for patients in long term care facilities.
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Long term care
Intended Users
Nurse, nurse practitioner, physician, physician assistant, social worker
Scope
Treatment, Management
Keywords
diabetes, diabetes mellitus, long-term care, long term care
Source Citation
Diabetes Management Writing Group. Clinical Practice Guideline for Diabetes Management in the Post-Acute and Long-Term Care Setting. J Am Med Dir Assoc. 2024 Oct 11;25(11):105342. doi: 10.1016/j.jamda.2024.105342. Epub ahead of print. PMID: 39401750.