Table 4.2.

Assessment and treatment plan^*

Assessing risk of diabetes complications

• ASCVD and heart failure history

• ASCVD risk factors and 10-year ASCVD risk assessment

• Staging of chronic kidney disease (see Table 11.1)

• Hypoglycemia risk (see Table 4.3)

• Assessment for retinopathy

• Assessment for neuropathy

Goal setting

• Set A1C/blood glucose/time-in-range target

• If hypertension is present, establish blood pressure target

• Diabetes self-management goals

Therapeutic treatment plans

• Lifestyle management

• Pharmacologic therapy: glucose lowering

• Pharmacologic therapy: cardiovascular and renal disease risk factors

• Use of glucose monitoring and insulin delivery devices

• Referral to diabetes education and medical specialists (as needed)

ASCVD, atherosclerotic cardiovascular disease.

^*Assessment and treatment planning are essential components of initial and all follow-up visits.