OPTIMIZING TRANSITIONS OF CARE
for Patients With Type 2 Diabetes

Discharge planning should begin
at the time of hospital admission, and plans should be adapted as the patient’s needs change. Effective transitions of care, patient education, and patient engagement can help reduce risk at hospital discharge and improve self-management for patients with either type 2 diabetes (T2D) or T2D with other comorbidities.1

Poorly managed care transitions
can impact patient health and contribute to
unnecessary costs. For patients with either T2D on its own, or those with multiple chronic conditions, effective care transitions can help reduce unnecessary readmissions by providing a lifestyle management plan, ensuring appropriate follow-up, and facilitating patient self-management.1,2 Effective care transition programs require coordination across sites of care and a collaborative, multidimensional care team.1-3

LUNCH & LEARN PRESENTATIONS

Understanding Type 2 Diabetes (T2D)
and Multiple Chronic Conditions

The Understanding T2D and Multiple Chronic Conditions (MCC) Lunch & Learn provides staff members with information about some of the chronic conditions that are frequently seen with T2D, along with an understanding of how these conditions can impact treatment and resource utilization.

Facilitating Transitions of Care
for Patients With T2D

The Facilitating Transitions of Care for Patients With T2D Lunch & Learn is for staff members who support the patient transition process. The presentation reviews the importance of care coordination and the positive effects that a smooth discharge process can have on hospital readmissions and patient satisfaction. It also provides an overview of the tools and resources available in this kit.

Improving the Patient Journey—
CONSIDERATIONS FOR HOSPITAL TRANSITIONS
in Patients With or at Risk for T2D

Select a patient
type to get started

Undiagnosed Patient at Risk for T2D
Patient With T2D,
Diabetes-Related Event
Patient With T2D,
Non–Diabetes-Related Event
 
Patient With T2D
EMERGENCY DEPARTMENT PLANNED HOSPITAL
ADMISSION
EMERGENCY
DEPARTMENT
ADMISSION
DISCHARGE
HOME
HCP VISIT
EXTENDED CARE
TEAM
PHARMACY

EMERGENCY DEPARTMENT

Undiagnosed Patient at Risk for T2D

HOSPITAL ADMISSION ACTIONS AND CONSIDERATIONS

  • Perform comprehensive assessment and treat primary emergency
  • Monitor blood glucose1
  • Order A1C test1
  • Diagnose T2D and other conditions when appropriate2
  • Assess for comorbid conditions, including hypertension, cardiovascular disease, and nephropathy
  • Consult with endocrinologist and other specialists as required
  • Begin discharge planning1
  • Provide patient education1,3
  • Engage in shared decision making4
  • Select treatment regimen
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Guidelines Recommend Shared Decision Making in Type 2 Diabetes
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Hyperglycemia - What You Need to Know
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes—A Family Affair
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • What I Need to Know About
    My Blood Sugar

PROVIDER RESOURCES

PATIENT RESOURCES

HOSPITAL DISCHARGE ACTIONS AND CONSIDERATIONS

  • Perform medication reconciliation1
  • Provide patient education2
  • Recommend diabetes care team2
  • Schedule follow-up visits1
  • Communicate discharge summary to HCP2
  • Perform benefit investigation for medication coverage (if new medication prescribed)
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • My Diabetes Numbers
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Charge of Your Health Care
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease: What You Should Know
  • What I Need to Know About
    My Blood Sugar
  • Your Diabetes Healthcare Team and You

PROVIDER RESOURCES

PATIENT RESOURCES

HOME IMPORTANT CONSIDERATIONS

  • Family and caregiver support
  • Schedule doctors’ appointments/follow-ups
  • Take medications as prescribed
  • Blood Glucose Measurement Log
  • Caregiver Fact Sheet
  • Diabetes and Kidney Disease:
    What You Should Know
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Type 2 Diabetes Treatment Tracker
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes

PATIENT RESOURCES

HCP OFFICE VISIT IMPORTANT CONSIDERATIONS

  • Review discharge summary and hospital treatment recommendations2
  • Check for hypertension and other complications2
  • Provide patient education2,3
  • Assess barriers to adherence and medication-taking behavior3
  • Engage in shared decision making2,4
  • Refer to specialists and extended care team2
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Caregiver Fact Sheet
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Type 2 Diabetes Treatment Tracker
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes

PROVIDER RESOURCES

PATIENT RESOURCES

EXTENDED CARE TEAM IMPORTANT CONSIDERATIONS
(cardiologist, endocrinologist, dietitian, certified diabetes educator, nephrologist, etc)

  • Provide patient education3,4
  • Review discharge summary
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Diabetes Care Guide for Healthcare Providers
  • Engaging Patients With Diabetes
  • Engaging Patients With Type 2 Diabetes About Common Comorbidities
  • Helping Patients With T2D Overcome Self-Management Barriers
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Diabetes and Food Choices in the Latino Community
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • Why Your Body Mass Matters

PROVIDER RESOURCES

PATIENT RESOURCES

EMERGENCY
DEPARTMENT
ADMISSION
DISCHARGE
HOME
HCP VISIT
EXTENDED CARE
TEAM
PHARMACY

EMERGENCY DEPARTMENT

Patient With T2D, Diabetes-Related Event

HOSPITAL ADMISSION ACTIONS AND CONSIDERATIONS

  • Monitor blood glucose1
  • Order A1C test1
  • Assess for comorbid conditions, including hypertension, cardiovascular disease, and nephropathy
  • Consult with endocrinologist and other specialists as required
  • Begin discharge planning1,2
  • Provide patient education1,3
  • Engage in shared decision making4
  • Select treatment regimen
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Guidelines Recommend Shared Decision Making in Type 2 Diabetes
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Hypoglycemia and Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Uncontrolled Type 2 Diabetes At Discharge
  • Understanding the Link Between Diabetes and Kidney Disease
  • Diabetes & Diabetic Ketoacidosis
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Hyperglycemia - What You Need to Know
  • Hypoglycemia - What You Need to Know
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • What I Need to Know About
    My Blood Sugar

PROVIDER RESOURCES

PATIENT RESOURCES

HOSPITAL DISCHARGE ACTIONS AND CONSIDERATIONS

  • Perform medication reconciliation1
  • Provide patient education1,3
  • Recommend diabetes care team2,5
  • Schedule follow-up visits1
  • Communicate discharge summary to HCP1
  • Perform benefit investigation for medication coverage (if new medication prescribed)
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Meeting Your Goals
  • My Diabetes Numbers
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Charge of Your Health Care
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • What I Need to Know About
    My Blood Sugar
  • Your Diabetes Healthcare Team and You

PROVIDER RESOURCES

PATIENT RESOURCES

HOME IMPORTANT CONSIDERATIONS

  • Family and caregiver support
  • Schedule doctors’ appointments/follow-ups
  • Take medications as prescribed
  • Blood Glucose Measurement Log
  • Caregiver Fact Sheet
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Type 2 Diabetes Treatment Tracker
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes

PATIENT RESOURCES

HCP OFFICE VISIT IMPORTANT CONSIDERATIONS

  • Review discharge summary and hospital treatment recommendations2
  • Check for hypertension and other complications2
  • Assess barriers to adherence and medication-taking behavior2
  • Provide patient education2,3
  • Engage in shared decision making2,4
  • Perform benefit investigation for medication coverage (if new medication prescribed)
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes & Diabetic Ketoacidosis
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Guidelines Recommend Shared Decision Making in Type 2 Diabetes
  • Hypoglycemia and Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Uncontrolled Type 2 Diabetes At Discharge
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Hyperglycemia - What You Need to Know
  • Hypoglycemia - What You Need to Know
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Type 2 Diabetes Treatment Tracker

PROVIDER RESOURCES

PATIENT RESOURCES

EXTENDED CARE TEAM IMPORTANT CONSIDERATIONS
(Cardiologist, endocrinologist, dietitian, certified diabetes educator, nephrologist, etc)

  • Provide patient education3,4
  • Review discharge summary
  • Assessment of new medication
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Diabetes Care Guide for Healthcare Providers
  • Engaging Patients With Diabetes
  • Helping Patients With T2D Overcome Self-Management Barriers
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Diabetes and Food Choices in the Latino Community
  • Diabetes and Your Body
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • Why Your Body Mass Matters

PROVIDER RESOURCES

PATIENT RESOURCES

EMERGENCY
DEPARTMENT
ED TREATMENT
OR ADMISSION
DISCHARGE
HOME
HCP VISIT
EXTENDED CARE
TEAM
PHARMACY

EMERGENCY DEPARTMENT

Patient With T2D, Non-Diabetes-Related Event

HOSPITAL ADMISSION ACTIONS AND CONSIDERATIONS

  • Treat primary emergency
  • Monitor blood glucose1,2
    • If blood glucose controlled, continue outpatient regimen upon discharge1
    • If blood glucose uncontrolled, consider alternate treatment options1
  • Begin discharge planning1-3
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Type 2 Diabetes About Common Comorbidities
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Diabetes and Your Body
  • Terms for Understanding Your Type 2 Diabetes

PROVIDER RESOURCES

PATIENT RESOURCES

HOSPITAL DISCHARGE ACTIONS AND CONSIDERATIONS

  • Perform medication reconciliation1
  • Provide patient education1,3
  • Recommend diabetes care team2,5
  • Schedule follow-up visits1
  • Communicate discharge summary to HCP1
  • Perform benefit investigation for medication coverage (if new medication prescribed)
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Taking Charge of Your Health Care
  • Taking Good Care of Yourself
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • Your Diabetes Healthcare Team and You

PROVIDER RESOURCES

PATIENT RESOURCES

HOME IMPORTANT CONSIDERATIONS

  • Family and caregiver support
  • Schedule doctors’ appointments/follow-ups
  • Take medications as prescribed
  • Blood Glucose Measurement Log
  • Caregiver Fact Sheet
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Type 2 Diabetes Treatment Tracker
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes

PATIENT RESOURCES

HCP OFFICE VISIT IMPORTANT CONSIDERATIONS

  • Review discharge summary and hospital treatment recommendations2
  • Check for hypertension and other complications2
  • Assess barriers to adherence and medication-taking behavior2
  • Provide patient education2,3
  • Engage in shared decision making2,4
  • Perform benefit investigation for medication coverage (if new medication prescribed)
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes & Diabetic Ketoacidosis
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Guidelines Recommend Shared Decision Making in Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Uncontrolled Type 2 Diabetes At Discharge
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Hyperglycemia - What You Need to Know
  • Hypoglycemia - What You Need to Know
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Type 2 Diabetes Treatment Tracker

PROVIDER RESOURCES

PATIENT RESOURCES

EXTENDED CARE TEAM IMPORTANT CONSIDERATIONS
(Cardiologist, endocrinologist, dietitian, certified diabetes educator, nephrologist, etc)

  • Provide patient education3,4
  • Review discharge summary
  • Assessment of new medication
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Diabetes Care Guide for Healthcare Providers
  • Engaging Patients With Diabetes
  • Helping Patients With T2D Overcome Self-Management Barriers
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Diabetes and Food Choices in the Latino Community
  • Diabetes and Your Body
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • Why Your Body Mass Matters

PROVIDER RESOURCES

PATIENT RESOURCES

PRE-HOSPITAL
WORK-UP
ADMISSION/
PROCEDURE
RECOVERY
DISCHARGE
REHAB
FACILITY
HOME
HCP/
EXTENDED CARE
TEAM OFFICE VISITS
PHARMACY

PLANNED HOSPITAL ADMISSION

Patient With T2D

HOSPITAL RECOVERY ACTIONS AND CONSIDERATIONS

  • Stabilize/monitor blood glucose1,2
    • If blood glucose controlled, continue outpatient regimen upon discharge1
    • If blood glucose uncontrolled, consider alternative treatment options1
  • Begin discharge planning1-3
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease

PROVIDER RESOURCES

HOSPITAL DISCHARGE ACTIONS AND CONSIDERATIONS

  • Perform medication reconciliation1
  • Provide patient education1,3
  • Schedule follow-up visits1
  • Communicate discharge summary to HCP1
  • Perform benefit investigation for medication coverage (if new medication prescribed)
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney
  • Blood Glucose Measurement Log
  • Diabetes and Your Body
  • Taking Charge of Your Health Care
  • Taking Good Care of Yourself
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • Your Diabetes Healthcare Team and You

PROVIDER RESOURCES

PATIENT RESOURCES

REHAB FACILITY ACTIONS AND CONSIDERATIONS

  • Review discharge summary
  • Help maintain prescribed therapy
  • Provide patient education3,4
  • Complete discharge summary when patient returns home
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Taking Charge of Your Health Care
  • Taking Good Care of Yourself
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Your Diabetes Healthcare Team and You

PROVIDER RESOURCES

PATIENT RESOURCES

HOME IMPORTANT CONSIDERATIONS

  • Family and caregiver support
  • Schedule doctors’ appointments/follow-ups
  • Take medications as prescribed
  • Blood Glucose Measurement Log
  • Caregiver Fact Sheet
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Type 2 Diabetes Treatment Tracker
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes

PATIENT RESOURCES

HCP/EXTENDED CARE TEAM IMPORTANT CONSIDERATIONS
(Cardiologist, endocrinologist, dietitian, certified diabetes educator, nephrologist, etc)

  • Review discharge summaries from hospital and rehabilitation facilities
  • Engage in shared decision making5
  • Assess treatment choice
  • Perform benefit investigation for medication coverage (if new medication prescribed)
  • Provide patient education3,4
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes & Diabetic Ketoacidosis
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Guidelines Recommend Shared Decision Making in Type 2 Diabetes
  • Helping Patients With T2D Overcome Self-Management Barriers
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Uncontrolled Type 2 Diabetes At Discharge
  • Understanding the Link Between Diabetes and Kidney Disease
  • Blood Glucose Measurement Log
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Hyperglycemia - What You Need to Know
  • Hypoglycemia - What You Need to Know
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Type 2 Diabetes Treatment Tracker

PROVIDER RESOURCES

PATIENT RESOURCES

TRANSITIONS OF CARE
RESOURCE LIBRARY

Hospital discharge
represents an important step in
care for patients with T2D. This library
contains tools and resources to support
your staff in their interactions with patients,
as well as educational resources
for patients with T2D to take home.

Provider Resources Patient Resources

PROVIDER RESOURCES

  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Care Coordination in Patients With Type 2 Diabetes
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Guidelines Recommend Shared Decision Making in Type 2 Diabetes
  • Hypoglycemia and Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Uncontrolled Type 2 Diabetes At Discharge
  • Understanding the Link Between Diabetes and Kidney Disease
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Diabetes
  • Engaging Patients With Type 2 Diabetes About Common Comorbidities
  • Guidelines Recommend Shared Decision Making in Type 2 Diabetes
  • Helping Patients With T2D Overcome Self-management Barriers
  • Hypoglycemia and Type 2 Diabetes
  • Motivational Interviewing: An Introduction for Providers Treating Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Assessing the Treatment Barriers for Patients With Type 2 Diabetes
  • Case Manager’s Coding Guide for Care Coordination Services
  • Diabetes Care Guide for Healthcare Providers
  • Diabetes Care Primer for Case Managers
  • Diabetes Case Manager Interview Guide
  • Diabetes Lifestyle Modifications
  • Engaging Patients With Type 2 Diabetes About Common Comorbidities
  • Hospital Discharge Medication List for Patients With Type 2 Diabetes
  • Hypoglycemia and Type 2 Diabetes
  • Managing Risk Factors for Cardiovascular Disease in Your Patients With Type 2 Diabetes
  • Motivational Interviewing: Tips for Engaging Patients With Type 2 Diabetes
  • Understanding the Link Between Diabetes and Kidney Disease

Care Planning

Patient Engagement

Tools

PATIENT RESOURCES

  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Charge of Your Health Care
  • Your Diabetes Healthcare Team and You
  • Blood Glucose Measurement Log
  • Caregiver Fact Sheet
  • Diabetes & Diabetic Ketoacidosis
  • Diabetes and Food Choices in the Latino Community
  • Diabetes and Kidney Disease:
    What You Should Know
  • Healthy Feet: Type 2 Diabetes and Caring For Your Feet
  • Hyperglycemia - What You Need to Know
  • Hypoglycemia - What You Need to Know
  • Nutrition Tips for Managing Your Type 2 Diabetes
  • Taking Charge of Your Health Care
  • Taking Good Care of Yourself
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • Type 2 Diabetes—A Family Affair
  • Type 2 Diabetes Treatment Tracker
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • What I Need to Know About
    My Blood Sugar
  • Why Your Body Mass Matters
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes
  • Blood Glucose Measurement Log
  • Caregiver Fact Sheet
  • Diabetes & Diabetic Ketoacidosis
  • Diabetes and Kidney Disease:
    What You Should Know
  • Diabetes and Your Body
  • Hyperglycemia - What You Need to Know
  • Hypoglycemia - What You Need to Know
  • Meeting Your Goals
  • My Diabetes Numbers
  • Taking Charge of Your Health Care
  • Taking Good Care of Yourself
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes—A Family Affair
  • Type 2 Diabetes and Heart Disease:
    What You Should Know
  • What Happens If I Don’t Keep My Blood Sugar in a Healthy Range?
  • What I Need to Know About
    My Blood Sugar
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes
  • Your Diabetes Healthcare Team and You
  • Blood Glucose Measurement Log
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Taking Charge of Your Health Care
  • Terms for Understanding Your Type 2 Diabetes
  • Type 2 Diabetes Treatment Tracker
  • Working With Your Family and Friends:
    A Patient Guide for Those Living With Type 2 Diabetes
  • Your Diabetes Healthcare Team and You

Diabetes
Care Team

Lifestyle/T2D
Management

T2D Basics

T2D Tools

PHARMACY IMPORTANT CONSIDERATIONS

  • Medication counseling4
  • Adherence tips4
  • Patient education4
  • Co-pay or cost support, if available
  • Blood Glucose Measurement Log
  • Questions to Ask Your Doctor and
    Diabetes Care Team
  • Type 2 Diabetes Treatment Tracker
  • Your Diabetes Healthcare Team and You

To learn more about additional affordability resources for patients, please talk to your Janssen Pharmaceuticals, Inc., account director.

The Care4Today® Mobile Health Manager app can help your patients manage their medications.

PATIENT RESOURCES

1. American Diabetes Association. Standards of medical care in diabetes—2018. Diabetes Care. 2018;41(suppl1):S1-S159. 2. Robert Wood Johnson Foundation. September 13, 2012:1-6. 3. Dungan KM. J Diabetes Sci Technol. 2012;6(5):1045-1052.

1. American Diabetes Association. Diabetes care in the hospital. Diabetes Care. 2016;39(suppl 1):S99-S104. 2. American Diabetes Association. Standards of medical care in diabetes—2018. Diabetes Care. 2018;41(suppl1):S1-S159. 3. Shah M, Norwood CA, Farias S, Ibrahim S, Chong PH, Fogelfeld L. Diabetes transitional care from inpatient to outpatient setting: pharmacist discharge counseling. J Pharm Pract. 2013;26(2):120-124. 4. Inzucchi SE, Bergenstal RM, Buse JB, et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach. Update to a position statement of the American Diabetes Association and the European Association for the study of diabetes. Diabetologia. 2015;38(1):429-442.