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
- Older Adults and Patients with Multiple Comorbidities
- Oral Care
- Peripheral Arterial Disease
- Physical Activity
- Preconception, Pregnancy, and Postpartum Diabetes Testing and Care
- Sexual Health
- Tobacco and e-cigarette use
- Tuberculosis Screening
- Weight Management, Overweight, and Obesity
- Youth and Type 2 Diabetes
Diabetes Treatment Algorithms
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.
Chronic Kidney Disease in Type 2 Diabetes
Download Algorithm [PDF – 258 KB]
Updated Glucose Management in Type 2 Diabetes
Download Algorithm [PDF – 203 KB]
Updated Hypertension Therapy in Type 2 Diabetes
Download Algorithm [PDF – 99 KB]
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.
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.
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 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.
Learn 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.
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.
IHS Diabetes LISTSERV.