TABLE 46-1. Minimum standards of care for older adults with diabetes mellitus

Initial evaluation

Complete history and physical examination

Geriatric assessment

Laboratory examination: fasting blood glucose, glycosylated hemoglobin, fasting lipid profile, creatinine, urinalysis, electrocardiogram

Ophthalmologic examination

Dietary assessment

Continuing care

Use of treatment as needed to meet target glucose levels: diet, oral agents, or insulin

Assessment of blood glucose levels as frequently as needed to ensure that treatment goals are being met

Annual assessment for diabetes complications

Annual review of geriatric assessment