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
- 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.
Updated Chronic Kidney Disease in Type 2 Diabetes
Download Algorithm [PDF – 614 KB]
New Glucose Management in Type 2 Diabetes
Download Algorithm [PDF – 203 KB]
Updated Glucose Management in Type 2 Diabetes Medications
Download Handout [PDF – 252 KB]
Updated Hypertension Therapy in Type 2 Diabetes
Download Algorithm [PDF – 99 KB]
New Insulin Therapy in Type 2 Diabetes
Download Algorithm [PDF – 302 KB]
New Insulin Therapy in Diabetes Treatment
Download Handout [PDF – 262 KB]
Updated Lipid and Aspirin Therapy in Type 2 Diabetes
Download Algorithm [PDF – 170 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.
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.
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.
Tipping the Motivational Balance for Change
Four-part webinar series on behavior change techniques presented by Darryl Tonemah, PhD.
Education Materials and Resources (Online Catalog)
Are you looking for more? Search for all materials and resources offered by the Division of Diabetes using the Education Materials and Resources (Online Catalog).
- Find culturally relevant and easy-to-use materials for providers, patients, and clients.
- Materials are free to order, or to download and print.
- Search by Audience, Topic, Format or Title/Keyword.
Kidney Health
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.
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? | 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 | 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 | 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 | 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 | 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 [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 |
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 | 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 | 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
|
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 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
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- Education Materials and Resources (Online Catalog) – Culturally relevant and easy-to-use materials for providers, patients, and clients. Materials are free to order or download and print.
- Diabetes Education Lesson Plans – offer culturally relevant materials that are adaptable for individual or group sessions and can complement existing diabetes education curricula.
- Printable Materials – Downloadable full-color articles, posters, and Public Service Announcements that allow for instant and easy distribution.
- Motivational Interviewing: Helping People with Diabetes Make Self Directed Health Decisions - Recorded webinar offering CME/CE.
- Tipping the Motivational Balance for Change - Four-part webinar series on behavior change techniques presented by Darryl Tonemah, PhD.
- IHS Diabetes Care and Outcomes Audit – process to assess care and health outcomes for American Indians and Alaska Natives with diagnosed diabetes. Audit Training and RPMS/DMS Info also available for assessing care and health outcomes for American Indian and Alaska Native people with diagnosed diabetes.
IHS Diabetes LISTSERV.
