Diabetes Care Program of Nova Scotia



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The guidelines produced by the Diabetes Care Program of Nova Scotia (DCPNS) have been developed as the result of an identified Nova Scotian need.

	The most current guidelines are listed first and you will note that some are under review/revision.
	The earliest guidelines were primarily aimed at Diabetes Centres to facilitate standardization in diabetes care, education, and complications surveillance and monitoring.
	Guidelines have been developed for special populations to ensure quality care and consistency in approach across the province. These include guidelines for pregnant women with diabetes, children and youth with diabetes, and individuals with a diagnosis of prediabetes. Guidelines have been developed by committee with valued input from tertiary program staff as well as educators and other providers representative of Nova Scotia rural and urban practices. These guidelines are intended to supplement/complement national guidelines. The complete Canadian Diabetes Association Clinical Practice Guidelines, 2008, can be found by linking to http://www.diabetes.ca/for-professionals/resources/2008-cpg/ . Please click below to view specific guidelines.

DCPNS GUIDELINES

DCPNS Prediabetes (PreDM) Screening and Management of High-Risk Individuals (Adults) - 2008.
The intent of these guidelines is to standardize the approach to the identification, management, and education of persons with prediabetes across Nova Scotia. These guidelines include:

	PreDiabetes (Pre DM) Screening and Management of High-Risk Individuals (Adults)
	FAQ (frequently asked questions) about screening for Prediabetes
	Prediabetes: Assessment, Management and Education Guidelines

Guidelines for Dyslipidemia Management and Education through Nova Scotia Diabetes Centres (2007). pdf document 233KB
This guideline document discusses the Diabetes Care Program of Nova Scotia (DCPNS) recommendations to ensure a standard approach reflective of best practice for lipid measuring, recording, reporting, and educational initiatives for persons attending Diabetes Centres in Nova Scotia. These recommendations support the self-management component of chronic disease management and are consistent with national guidelines. The document includes a supporting literature review, 11 key recommendations, rationale for the recommendations, and references.

DCPNS Insulin Dose Adjustment Policies and Guidelines Manual (2005). Currently under revision; release date 2010. pdf document 1.15MB
This manual provides the complete context in which insulin dose adjustment as a delegated medical function (DMF) can be initiated in Nova Scotia's DCs. Policy and procedures for insulin adjustment and certification/recertification are included. Learning objectives are provided for three levels of certification (basic, advanced, and specialty - pumps, pediatrics, and pregnancy).

Guidelines for Blood Pressure Monitoring and Education through Nova Scotia Diabetes Centres (2004). Currently under revision; release date early 2010. pdf document 377KB
This guideline document discusses the Diabetes Care Program of Nova Scotia (DCPNS) recommendations regarding implementation of standard blood pressure measuring, recording, reporting, and educational initiatives for persons attending Diabetes Centres (DCs) in Nova Scotia. These recommendations support the self-management component of chronic disease management and are consistent with national guidelines. This relatively short document includes a supporting literature review, strong chronic disease management and the self-care focuses, 12 key recommendations, rationale for the recommendations, DC action algorithm, and reference list.

DCPNS Triage Guidelines for Initial and Follow-Up Appointments in Nova Scotia Diabetes Centres (2004). pdf document 167KB
Increasing waitlists and workloads are major challenges in Diabetes Centres throughout Nova Scotia. In Nova Scotia, the referral rates of individuals with newly diagnosed diabetes have increased 98% since 1992/93. These guidelines are aimed at ensuring timely access for newly diagnosed individuals and more effective follow-up programming (based on individual need and diabetes status) for ongoing care/education.

Diabetes in Children & Adolescents Management Guidelines Manual, 2nd Edition (2003) – pdf document 14.66MB
A comprehensive guidelines manual for the management and education of children & adolescents with diabetes mellitus and their families. Sections include: diagnosis and initial assessment (including type 2 diabetes), psychosocial considerations, age-appropriate education, adolescent issues, nutrition, exercise, insulin, pump, blood glucose monitoring, monitoring of ketones, hypoglycemia, sick days, DKA, surgery, school and day care, and documentation.

Pregnancy and Diabetes Management Guidelines Manual, 2nd Edition (2000) - includes three revised sections – Insulin, Medical Management, and Screening (2006) - pdf document 13.96MB
A comprehensive guidelines manual for the management of pregnancy complicated by diabetes mellitus (both women with preexisting diabetes and women diagnosed with gestational diabetes [GDM]). Sections include: screening, psychosocial considerations, medical management, nutrition, physical activity, insulin, blood glucose monitoring, ketone monitoring, hypoglycemia, breastfeeding, postpartum care, newborn care, and documentation.

DCPNS Initial Guideline Documents (1992)
The eight initial guideline documents noted below were released by the DCPNS in 1992 as a basis for standardized care and approaches in Nova Scotia's DCs. Programs have been measured against these guidelines in ensuing years as part of evaluative criteria, practice surveys, audits, etc. Data capture from standard forms contributes to the DCPNS Registry. These are not available, but archived within the DCPNS.

	The Implementation of Standardized Documentation and Data Base Collection Forms in Nova Scotia Diabetes Education Centres
	Guidelines for the Implementation of Routine Foot Inspections in Nova Scotia Diabetes Education Centres
	Guidelines for the Implementation of Standardized Blood Tests in Nova Scotia Diabetes Education Centres
	Guidelines for the Implementation of Regular Blood Pressure Measurements in Nova Scotia Diabetes Education Centres
	Guidelines for the Promotion of Group Modular Instruction in Nova Scotia Diabetes Education Centres
	Guidelines for the Promotion and Monitoring of Self-Blood Glucose Monitoring in Nova Scotia Diabetes Education Centres
	The Adoption and Implementation of Strategies to Promote Self-Care Practices in Nova Scotia Diabetes Education Centres
	Guidelines for the Promotion of Trained Mental Health Therapists Involvement in Nova Scotia Diabetes Education Centres