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	James L. Holly, M.D.

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About SETMA - Special Services - Diabetes Treatment Program

Special Services

All of SETMA's healthcare providers will evaluate your diabetes-treatment plan against national standards of quality-care assessment with electronic-based treatment tools built with excellence of care in mind. In addition, you will be given education tools on foot care, on a healthcare-provider report card (so you can know if you are getting the best care available), diet, exercise, sick-day medication use and on many other subjects. In addition, SETMA's Provider Performance auditing tool will be used to evaluate the quality of the care you receive every time you are seen. In the Metabolism Clinic, difficult to treat cases are approached by the metabolism team to help you achieve your health goals.

SETMA has presented its diabetic treatment program to national meetings and to national diabetic centers. SETMA's program has been evaluated by multiple endocrinologists. Also, SETMA has taken the American Diabetes Associations 2005 Guidelines on Comprehensive Diabetic Evaluation and measured our program by that standard. SETMA's goals for your diabetic care are aggressive:

Hemoglobin A1Cs below 6%.
No protein in your urine.
Blood pressure below 110/70.
LDL Cholesterol below 70.

SETMA's standards for the care you receive are high. The following is the report card against which we measure all of your care in the Metabolism and/or Diabetic Clinic:

A glycosylated hemoglobin (HgbA1c) is recommended during an initial assessment and during follow-up assessments.
A Fasting Lipid Profile is recommended during an initial assessment and during follow-up assessments.
A urinalysis, including microalbuminuria and creatinine clearance, is recommended as part of an initial assessment and annually thereafter.
A dilated eye examination is recommended during an initial assessment and at least annually thereafter.
A foot examination --- visual inspection, sensory examination, and pulse examination -- is recommended during an initial assessment and during follow-up assessments.
Influenza immunization is recommended for any person 6 months of age or older who, because of age or underlying medical condition, is at increase risk for influenza-related complications, which includes patients with diabetes mellitus.
A blood pressure determination is recommended during an initial assessment and follow-up assessments.

SETMA's healthcare-provider-diabetes audit, daily determines the following on every patient seen in any clinic with diabetes:

Are you on aspirin; if not, why not.
Did you have a hemoglobin A1c. The standards of measurement are: below 6% is optimal; between 6-6.5% is acceptable; between 6.5-7.0 is marginal and above 7% is unacceptable.
Have you had a dilated eye examination in the past year by an ophthalmologist.
Have you had a flu shot in the past 12 months.
Was your blood pressure checked and is it normal.
Did you have a careful foot examination including sensory evaluation.
Did you have urinalysis.
Have your lipids been checked.
Have you had at least two office visits each year.

Our goals for you are: no kidney failure, no amputations, no blindness, no heart disease and no peripheral vascular disease. SETMA's Metabolism and Diabetic Team will this year be composed of Primary Care, including Internal Medicine, Family Practice and Nurse Practitioners, diabetic educators, nutritionist, nurses, Ophthalmology, Endocrinology, Neurology, Nephrology, Podiatry and Physical Therapy. With you as a member of this team, together, we can work toward achieving those goals for you.

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