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Overview

Comprehensive management plan for Type 2 Diabetes patients covering glucose monitoring, lifestyle modification, medication adherence, and complication prevention.

Care Goals
Achieve HbA1c ≤ 7.0% within 90 days
Maintain fasting blood glucose 80–130 mg/dL
Complete 150 min/week moderate exercise
Achieve target BMI reduction of 5%
100% medication adherence per PDC score
Key Interventions
Weekly glucose log review
Monthly A1C lab order
Dietitian referral (initial + quarterly)
Metformin adherence check via pharmacy
Details
CATEGORY
Chronic Disease
DURATION
12 months
LAST MODIFIED
Mar 15, 2026
TIMES USED
142
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  • Chronic Disease — Ongoing condition management
  • Preventive — Wellness and screening plans
  • Transitional — Post-discharge & care transitions
  • Behavioral Health — Mental health integration

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