Diabetes Flow Sheet Analysis

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The flow sheet shown here is based on one developed by Family Health Associates, one of three Family Care Network pilot sites participating in a diabetes quality improvement project.

Diabetes Flow Sheet

Name:

Date of Birth:

HbA1c ≤ 7% (q 4-6 months)

Date:

Result:

Date:

Result:

Blood pressure ≤130/85 mm Hg

Date:

Result:

Date:

Result:

BUN/Creatinine ratio 8-22/0.4-1.1 mg/dL (annual)

Date:

Result:

Urine albumin/Creatinine 0-20 mg/L (annual)

Date:

Result:

Lipids (annual)

Date:

Chol:

Trig:

HDL:

LDL:

Retinal exam (annual)

Doctor:

Date:

Foot screening (annual)

High Risk: Yes No

Date:

Self-management

Date:

Goal:

 Diabetic Education  Dietary Consult  Home Blood Glucose Monitoring  ADA Membership

CAD Status:  Past MI CABG PTCA Current Angina No History

Smoking Status: 
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The flow chart may also serve as a reminder of crucial events of medical care that may effect the overall patients health.

The particular sample of a flow chart I chose would be a great reference for the onset of diabetes, yet I do not feel that the form would be a good reference tool for prolonged diabetic care. If I would have created this flow sheet I would have done it on graph paper or an excel spread sheet to allow for numerous date entries of data across the flow sheet. This way a Physician would be able to see at a glance what progress has been made on the care and control of the patients diabetes. If the chart shows little or no improvement or even a worse scenerio worsening of diabetes and its overall side effect the the Physician will know that either the patients diet and or medication will need to be adjusted

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