Skip to site content

Clinical Resources

The IHS Division of Diabetes developed the resources below specifically for clinicians and educators working with American Indian and Alaska Native diabetes patients.

 

Diabetes Standards of Care and Resources for Clinicians and Educators

The Diabetes Standards of Care and Resources for Clinicians and Educators are intended to provide guidance to clinicians and educators as they care for American Indian and Alaska Native people who have or are at risk for type 2 diabetes. Use the Recommendations At-a-Glance as a quick reference. For each diabetes care topic, click on the link below to find regularly-updated recommendations, useful clinical tools and resources, and patient education materials.

Diabetes Care Topics by Group

All Diabetes Care Topics

Diabetes Treatment Algorithms

Featured Algorithm

These algorithms provide clinicians with a quick reference to specific diabetes care recommendations based on national guidelines and the Diabetes Standards of Care and Resources for Clinicians and Educators. These tools are developed with Indian Health Service clinical consultants, pharmacists, and other professionals.

The algorithms provide:

  • Basic information of diabetes-related conditions.
  • Step-by-step management of common clinical problems.
  • Dosing, common adverse reactions, and contraindications for medications on the IHS National Core Formulary.
  • Treatment targets and recommended monitoring parameters.

The Diabetes Treatment Algorithms are intended to serve as a tool for providers who treat patients with type 2 diabetes. They are updated periodically but changes in national practice may occur more quickly—users are advised to stay abreast of current clinical practice recommendations.


Updated Chronic Kidney Disease in Type 2 Diabetes

Download Algorithm [PDF – 258 KB]

Mobile version Front | Back

Glucose Management in Type 2 Diabetes

Download Algorithm [PDF – 180 KB]

Mobile version Front | Back


Hypertension Therapy in Type 2 Diabetes

Download Algorithm [PDF – 145 KB]

Mobile version Front | Back

Insulin Therapy in Type 2 Diabetes

Download Algorithm [PDF – 225 KB]

Mobile version Front | Back


Insulin Concentration

Download Handout [PDF – 44 KB]

Mobile version Front | Back

Lipid and Aspirin Therapy in Type 2 Diabetes

Download Algorithm [PDF – 128 KB]

Mobile version Front | Back

Diabetes Education Lesson Plans

Women holding Diabetes Education Lesson Plans

Looking for lesson plans for your education sessions? They're here and they're free!

Each lesson plan topic includes:
  • A printable PDF lesson plan
  • Educator resources
  • Participant materials and handouts

These lesson plans offer culturally relevant materials that are adaptable for individual or group sessions and can complement existing diabetes education curricula.

Basics of Diabetes

Basics of Diabetes
 

Lesson Plan:

Information About Type 2 Diabetes
[PDF – 421 KB]

Dental Care

Dental Care
 

Lesson Plan:

Keeping Your Teeth and Gums Healthy
[PDF – 422 KB]

Eye Care

Eye Care
 

Lesson Plans:

Taking Care of Your Eyes
[PDF – 432 KB]

Diabetic Eye Disease
[PDF – 398 KB]

Foot Care

Foot Care
 

Lesson Plan:

Keeping Your Feet Healthy
[PDF – 669 KB]

Heart Health

Heart Health
 

Lesson Plan:

Keeping Your Heart Healthy
[PDF – 532 KB]

Kidney Health

Kidney Health
 

Lesson Plan:

Protecting Your Kidneys When You
Have Diabetes

[PDF – 604 KB]

Medications

Medications
 

Lesson Plan:

Taking Diabetes Medicines
[PDF – 589 KB]

Nutrition

Nutrition
 

Lesson Plan:

My Native Plate
[PDF – 459 KB]

Physical Activity

Physical Activity
 

Lesson Plans:

How To Get Started Walking
[PDF – 690 KB]

How To Walk Farther And Faster
[PDF – 676 KB]

Diabetes Educator Tools

Guides for Diabetes Programs

Integrating Case Management Into Your Practice [PDF – 290 KB] – Use this Case Management guide to assist you in meeting the health needs of individuals in your clinic and community diabetes programs.

Integrating Diabetes Self-Management Education and Support Into Your Practice [PDF – 275 KB] – Explore strategies and tools to enhance DSMES in your diabetes program.

The Case Management and Integrated Diabetes Self-Management Education and Support primers stacked on top of each other.

SDPI Toolkits: Diabetes Prevention and Healthy Heart

The successful outcomes of the Special Diabetes Program for Indians (SDPI) Diabetes Prevention and Healthy Heart Programs led to the development of toolkits to share their experiences and lessons learned. It is the hope that communities will use the toolkits to implement their own innovative strategies to reduce diabetes and CVD risk, and create healthier futures for AI/AN people.


Diabetes Prevention Curriculum: Native Lifestyle Balance Online

The online Native Lifestyle Balance is a 16–session curriculum that can be used to help your clients achieve a healthy balance of weight and physical activity. Each session includes a coaching video with participant handouts. Included in the sessions are tools for healthy eating, being active, and coping with stressful and challenging life events. Produced in 2018 by the Shiprock Diabetes Prevention Program and Shiprock Health Promotion Program.

Diabetes Prevention Curriculum: Native Lifestyle Balance Online

Diabetes Program Spotlights

Watch and read uplifting videos and stories of people and programs making a difference in Indian Country. Also, learn about innovative ideas and activities from SDPI grant programs who are improving the lives of their community members.

 

Kidney Health

Kidney graphicLearn the essentials of chronic kidney disease (CKD) and how it can be prevented and treated. This site includes basic information about kidney disease and CKD care for educators and patients. Also find a list of CKD resources and training for clinicians and diabetes educators.

For Educators and Patients

Find links, videos, and handouts about kidney disease risk, screening and monitoring, and management of CKD.

 

An older Native couple.Keeping the kidneys healthy is important for people with diabetes. Maintaining healthy blood pressure, controlling blood sugar and cholesterol levels, and not smoking help reduce your risk of developing CKD.

Resource Description and Source
At Risk for Kidney Disease? Exit Disclaimer: You Are Leaving www.ihs.gov  YouTube video that describes risk factors for kidney disease and what a person can do to keep kidneys healthy.

Source: National Institute of Diabetes and Digestive and Kidney Diseases
Preventing Chronic Kidney Disease Exit Disclaimer: You Are Leaving www.ihs.gov  Website providing tips to help keep kidneys healthy and questions to ask the health care provider during medical visits.

Source: National Institute of Diabetes and Digestive and Kidney Diseases
Kidney Disease Exit Disclaimer: You Are Leaving www.ihs.gov  Website gives information about the basics of kidney disease and what kidneys do. Also provides a video about why testing is important.

Source: National Institute of Diabetes and Digestive and Kidney Diseases
Preventing Diabetes Problems: Diabetic Kidney Disease Exit Disclaimer: You Are Leaving www.ihs.gov  Reference this webpage for information about the link between diabetes and kidney problems.

Source: National Institute of Diabetes and Digestive and Kidney Diseases
Your Kidneys and How They Work Exit Disclaimer: You Are Leaving www.ihs.gov  Printable 4-page handout to better understand how the kidneys work, what they do, causes of kidney failure, stages of chronic kidney disease, and more.

Source: National Institute of Diabetes and Digestive and Kidney Diseases
Your Kidney Test Results Exit Disclaimer: You Are Leaving www.ihs.gov  [PDF] Printable two-page tool to track your kidney test results. An explanation of why each test is important is also listed on this easy-to-use handout.

Source: National Institute of Diabetes and Digestive and Kidney Diseases

A provider talking with a patient.There are five stages of CKD, ranging from mild to severe. Most people will not have any symptoms from CKD, while others may eventually need dialysis.

CKD is complex. Talk to your health care provider about CKD and find out what you can do to take care of your kidneys.

Resource Format
Chronic Kidney Disease: What Does It Mean For Me? [PDF – 948 KB] Printable 14-page booklet to help gain a broad overview of chronic kidney disease.

Source: National Kidney Diabetes Education Program
Keeping Kidneys Safe: Smart Choices about Medicines Exit Disclaimer: You Are Leaving www.ihs.gov  Website about the medicines or supplements that a person may be taking and what they should do to find out if they are safe to use.

Source: National Institute of Diabetes and Digestive and Kidney Diseases
Managing Chronic Kidney Disease Exit Disclaimer: You Are Leaving www.ihs.gov  Website with a wealth of information for those who have been newly diagnosed with chronic kidney disease.

Source: National Institute of Diabetes and Digestive and Kidney Diseases
Eating Right for Chronic Kidney Disease Exit Disclaimer: You Are Leaving www.ihs.gov  Helpful tools and handouts to get quick tips for eating right for kidney health, reading food labels, and nutrients and minerals that make a difference when managing chronic kidney disease.

Source: National Institute of Diabetes and Digestive and Kidney Diseases

For Clinicians and Diabetes Educators

Increase knowledge about kidney disease and CKD prevention. Several resources and trainings for clinicians and educators are available from the listed websites.

The care of people with chronic kidney disease (CKD) presents many challenges. The National Institute of Diabetes and Digestive and Kidney Disease has developed a number of educational resources to enhance knowledge and skills of health care team members. Courses are free, and CME credit may be available through partner organizations.

Available Professional and Continuing Education Exit Disclaimer: You Are Leaving www.ihs.gov  online training includes the following courses:

  • Counseling Patients on NSAID Use to Prevent Kidney Injury
  • Helping Diabetes Educators Care for Patients With Kidney Disease
  • Chronic Kidney Disease Nutrition Management Training Program
  • Chronic Kidney Disease Management for Pharmacists
 
Stay Connected
Stay current on the Clinical Tools, Guidelines, and Trainings from the Division of Diabetes by subscribing to the
IHS Diabetes LISTSERV.