A diabetes treatment algorithm is a tool used by clinicians as a quick reference for treatment. Several algorithms can be found on the U.S. Department of Health and Human Services website. They are based on national guidelines and a collaboration of efforts by the Indian Heal Service (IHS).
A diabetes treatment algorithm provides a clinician with basic information on patient care. It provides a step-by-step management guide for the associated condition, treatment targets and goals, as well as recommended monitoring parameters. Information on dosing and common adverse reactions of medications is also included. The algorithms are updated periodically, but changes in national practices may change more quickly; so, users have to stay informed of the national guidelines as well.
Through the Department of Human Service you can find a diabetes treatment algorithm on each of the following subjects:
- Type 2 Diabetes and Glucose Control
- Type 2 Diabetes and Insulin
- Type 2 Diabetes and Management of Hyperlipidemias
- Type 2 Diabetes and Hypertension
- Type 2 Diabetes and Neuropathy
- Type 2 Diabetes and Chronic Kidney Disease
- Urine Albumin Screening and Monitoring in Type 2 Diabetes
- Foot Care and Type 2 Diabetes
ADA Diabetes Treatment Algorithm
You can also find a treatment algorithm for diabetes created by the American Diabetes Association. The American Diabetes Treatment Algorithm strongly encourages diabetics to optimize lifestyle factors to improve overall health. An active lifestyle, regular exercise, treating obesity, and pursuing good nutrition are all a means of improving your lifestyle.
In this algorithm for diabetes treatment, metformin is the first oral medication given for Type 2 diabetes. It is started as a low dose and is increased gradually. Side effects of the drug are weight loss, as well as nausea, diarrhea, and the like. If metformin is not enough to reach necessary goals, this diabetes treatment algorithm suggests adding sulfonylureas or thizolidinediones (TZDs). These either increase the body’s sensitivity to insulin or increase insulin secretion. TZDs should not be used by those with congestive heart failure. Others drugs may also be added if these are not enough to keep control of blood sugar.
Insulin may be administered right after diagnosis for prompt treatment, or it may be added to your medications later. Insulin is compatible with most medicates. You can receive insulin in different forms such as: quick onset, slow onset, and extended-action or quick onset. One of the major changes in ADA guidelines is that treatment should be based on each individual separately.
