Treatment ever more complicated
MORTALITY
BLINDNESS
COMA
DKA
CVA MI
PANCREATITIS
MICROVASCULAR
HYPOGLYCEMIA
CARDIOVASCULAR
TRANSPLANT
OR
DIALYSIS
Rx ACE
MICRO
ALBUMINURIA
FOOT ULCER
FOOT AND
SENSORY EXAM
RETINOPATHY
ANNUAL
RETINAL EXAM
HYPOGLYCEMIA
LDL
TRIGLYCERIDE
ADJUSTMENT
REACTION /
FAM PLANNING
A1C
DIET
EXERCISE
BP
WEIGHT
MD VISITS
DEPRESSION
PREGNANCY
NEUROPATHY
RETINOPATHY
LOW SUGAR
BP
LIPID RELATED
GIT
TYPE I
TYPE II
GESTATIONAL
STRATIFICATION
ORAL MEDS
INSULIN
FBS
BP >
135/85
Rx
ACE
Rx STATIN or
GEMFIBROZIL
UREMIA
LASER Rx
LEVEL
8 - COMPLICATIONS
LEVEL 7 - COMPLICATIONS
LEVEL 6 - COMPLICATIONS
LEVEL 4 - PREVENTION
LEVEL 2 - TREATMENT
LEVEL 1 - DIAGNOSIS and
0 yrs
1 yr
2 yrs
5 yrs
10 yrs
20 yrs
30 yrs
DM ED
DIETICIAN
WEIGHT
REDUCTION
TOBACCO
ETOH
SERVICE
QUALITY
COUNSELING
PSYCH SERV
B CONTROL
PREG
HOME GLU
MONITOR
LEVEL 3 - EDUCATION
HIGH
TRIG
ABD
PAIN
CABG
PTCA
CAD
ASVD
HIGH
BP
DEPRESSION /
COMPLICATED
DELIVERY
DEPRESSION /
HIGH RISK
PREGNANCY
1 yr
LVH
on
EKG
CHF
NEPHROPATHY
SUICIDE /
BIRTH RELATED
MORBIDITY
PREGNANCY
DEPRESSION
PROLIFERATIVE
SEIZURE
ER VISIT
ADMISSION
READMISSION
CELLULITIS
OSTEOMYELITIS
AMPUTATION
KIDNEY
FAILURE
LEVEL 5 - COMPLICATIONS
Larry V. Staker MD
