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Contact Information:

Mailing Address:
Texas Diabetes Program / Council
MC 1965
Texas Department of State Health Services
PO Box 149347
Austin, Texas
78714-9347

Physical Address:
1100 West 49th Street
Austin, Texas 78756

Phone: (512) 458-7490
Fax: (512) 458-7408

Minimum Standards for Diabetes Care in Texas

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.

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Texas Diabetes Council Authorship - Minimum Practice Recommendations, Algorithms and Reports (36 kb)
Revised : 08/21/08

Minimum Practice Recommendations Flow Sheet (201 kb)
Revised: 07/27/06

Macrovascular Risk Reduction in Diabetes: Antiplatelet Therapy (14 kb)
Publication date: 2004

Diabetes Treatment Algorithms

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.

1.		Glycemic Control Algorithm for Type 2 Diabetes Mellitus in Children and Adults Publication Number: E45-11265 (279 kb) Revised: 10/25/07
2.		Insulin Algorithm for Type 1 Diabetes Mellitus in Children and Adults Publication Number: E45-11649 (39 kb) Revised: 07/27/06
3.		Insulin Algorithm for Type 2 Diabetes Mellitus in Children and Adults/Initial Insulin Therapy for Type 2 Diabetes Mellitus in Children and Adults: A Simplified Approach Publication Number: E45-11647 (247 kb) Revised: 10/20/05
4.		IV Insulin Infusion Protocol for Critically Ill Adult Patients in the ICU Setting Publication Number: E45-12063 (70 kb) Revised: 10/25/07
5.		ICU Insulin Orders - IV Insulin Infusion Protocol Publication Number: E45-12614 (54 kb) Revised: 02/21/08
6.		Orders for Adults with DKA and Hyperglycemic Hyperosmolar State (HHS) (101 kb) Approved: 07/31/08
7.		Transition Algorithm From I.V. to S.Q. Insulin For Patients With Diabetes or Hyperglycemia (80 kb) Approved: 07/31/08
8.		Exercise Algorithm for IFG/Type 2 Diabetes Prevention & Therapy Publication Number: E45-11266 (168 kb) Revised: 01/22/04
9.		Hypertension Algorithm for Diabetes Mellitus in Adults Publication Number: E45-11267 (229 kb) Revised: 01/26/06
10.		Lipid Treatment Algorithm for Type 1 and Type 2 Diabetes Mellitus in Adults Publication Number: E45-10777 (33 kb) Revised: 01/24/08
11.		Medical Nutrition Algorithm IFG/Type 2 Diabetes Prevention & Therapy Publication Number: E45-10778 (34 kb) Revised: 04/27/06
12.		Weight Management Algorithm for Overweight Children and Adolescents Publication Number: E45-12083 (418 kb) Approved: 04/28/05
13.		Weight Loss Algorithm for Overweight and Obese Adults Publication Number: E45-11694 (61 kb) Revised: 01/27/05
14.		Prevention and Delay of Type 2 Diabetes in Children and Adults with Impaired Fasting Glucose (IFG) and/or Impaired Glucose Tolerance (IGT) Publication Number: E45-11825 (36 kb) Revised: 01/27/05
15.		Diabetic Foot Care / Referral Algorithm Publication Number: E45-12000 (42 kb) Approved: 04/23/04
16.		Recommendations for Treatment of Painful Peripheral Diabetic Neuropathy Publication Number: E45-12613 (49 kb) Approved: 04/26/07

Published Articles Featuring TDC Algorithms

»	Aggressively Managing Type 2 Diabetes Mellitus, Hyperlipidemia, and Bone Loss J Am Osteopath Assoc. 2008;108(suppl 3):S20--26

Other Resources

»	American Diabetes Association Clinical Practice Recommendations 2007
»	National Diabetes Education Program Materials for Health Care Professionals
	HEDIS Measures for Texas: 1999 & 2000 State of Texas vs. US (6 kb)

Last Updated September 4, 2008