---

In 1995, the Texas Diabetes Council Managed Care Work Group first developed Minimum Standards for Diabetes Care Under Managed Care in Texas. The title was changed in 1999 to Minimum Standards for Diabetes Care in Texas to reflect consensus that these standards should be met under all types of health care plans and delivery systems. They are used to define minimum benefits for health plans regulated by the Texas Department of Insurance.

PDF files require the Adobe Acrobat Reader plug-in. Click here for instructions on viewing PDF files and how to download the Acrobat Reader.

---

The Texas Diabetes Council presents the following treatment algorithms to assist in the delivery of primary care practice. They have been developed by a panel of experts through an open, peer-reviewed process to assure that they are complete, accurate and consistent with the current state of knowledge on diabetes treatment.

Disclaimer: The algorithms and protocols adopted by the Texas Diabetes Council are based on the best information available at the time of adoption and designed to provide information and assist decision-making. They should not be interpreted as prescribing an exclusive course of management. Variations in practice will inevitably and appropriately occur when clinicians consider the needs of the individual patient, available resources and limitations unique to an institution or type of practice. Every professional using these guidelines is responsible for evaluating the appropriateness of applying them in any particular clinical situation.

A1c Goals	Texas Diabetes Council A1c Goals	Approved: 10/29/09 (PDF, 42kb)
	Diabetes Minimum Practice Recommendations	Revised: 10/29/09 (PDF, 102kb)
Prevention	Prevention and Delay of Type 2 Diabetes in Children and Adults with Impaired Fasting Glucose (IFG) and/or Impaired Glucose Tolerance (IGT)	Revised: 01/27/05 Publication Number: E45-11825 (PDF, 36kb)
Weight Loss	Weight Loss Algorithm for Overweight and Obese Adults	Revised: 01/27/05 Publication Number: E45-11694 (PDF, 61kb)
	Weight Management Algorithm for Overweight Children and Adolescents	Approved: 04/28/05 Publication Number: E45-12083 (PDF, 418kb)
Exercise	Exercise Algorithm Type 2 Diabetes Prevention and Therapy	Revised: 01/22/04 Publication Number: E45-11266 (PDF, 168kb)
Nutrition	Diabetes Medical Nutrition Therapy and Prevention Algorithm for Adults	Revised: 07/22/10 Publication Number: E45-10778 (PDF, 129kb)
	Nutrition Recommendations and Interventions for Diabetes (supplement)	Approved: 10/29/09
Glycemic Control	Glycemic Control Algorithm For Type 2 Diabetes Mellitus in Adults	Revised: 07/22/10 Publication Number: E45-11265 (PDF, 90kb)
Cardiovascular Risk Reduction	Hypertension Algorithm for Diabetes in Adults	Revised: 01/26/12 Publication Number: E45-11267 (PDF, 229kb)
	Lipid Algorithm for Type 1 and Type 2 Diabetes Mellitus in Adults	Revised: 04/28/11 Publication Number: E45-10777 (PDF, 33kb)
	Macrovascular Risk Reduction in Diabetes: Antiplatelet Therapy (supplement)	Publication date: 2004 (PDF, 14kb)
Insulin Administration	Insulin Algorithm for Type 1 Diabetes Mellitus in Children and Adults	Revised: 01/27/10 Publication Number: E45-11649 (PDF, 48kb)
	Insulin Algorithm for Type 2 Diabetes Mellitus in Children and Adults	Revised: 10/28/10 Publication Number: E45-11647 (PDF, 126kb)
	Initiation of Once Daily Insulin Therapy for Type 2 Diabetes Mellitus in Children and Adults	Revised: 10/28/10
	Worksheet: Advancing to Intensive/Physiologic Basal: Bolus Insulin Therapy	Revised: 01/27/10
	IV Insulin Infusion Protocol for Critically Ill Adult Patients in the ICU Setting	Revised: 10/25/07 Publication Number: E45-12063 (PDF, 70kb)
	ICU Insulin Orders – IV Insulin Infusion Protocol	Revised: 02/21/08 Publication Number: E45-12614 (PDF, 54kb)
	Orders for Adults with DKA and Hyperglycemic Hyperosmolar State (HHS)	Approved: 07/31/08 (PDF, 101kb)
	Transition Algorithm from I.V. to S.Q. Insulin for Patients with Diabetes or Hyperglycemia	Approved: 07/31/08 (PDF, 80kb)
	Transition from I.V. to S.Q. Insulin Order Set	Approved: 10/27/11 (PDF, 29kb)
	Minimum Standards for the Initiation, Evaluation and Management of Insulin Pump Therapy	Approved:  04/26/12 (PDF, 157kb)
	Insulin Pump Therapy (supplement)
Foot Care	Diabetic Foot Care	Approved: 04/23/04 Publication Number: E45-12000 (PDF, 42kb)
	Diabetic Foot Screen	Approved: 04/23/04
	Diabetic Foot Exam	Approved: 04/23/04
	Diabetic Foot Care/Referral Algorithm	Approved: 04/23/04
	High Risk Scenario and Ulcer Management	Approved: 04/23/04
	Foot Screening Mapping Examples (supplement)
Pain Management	Recommendations for Treatment of Painful Peripheral Diabetic Neuropathy in Adults	Approved: 04/26/07 Publication Number: E45-12613 (PDF, 49kb)
Care of the Elderly	Considerations for Elderly Person with Diabetes (supplement)
	Guidelines for Management of the Elderly with Diabetes in Long-Term Care Facilities (supplement)
	Screening and Management of Hyperglycemia in the Geriatric Population	Approved: 10/23/08 (PDF, 105kb)
Authors	Texas Diabetes Council Authorship – Minimum Practice Recommendations, Algorithms and Reports	Revised: 12/04/08 (PDF, 37kb)

American Diabetes Association Clinical Practice Recommendations

National Diabetes Education Program Materials for Health Care Professionals

Texas Diabetes Council Patient Education Materials

Texas Diabetes Council Diabetes Tool Kit

Yes You Can:  A Clinical Toolkit for Treating Tobacco Dependence
For teens, pregnant women and adult populations