The Diabetes Management Program at Marathon Family Health Team (MFHT) was first piloted in April 2009. The goal of this program is to improve glycemic control of patients with diabetes in order to minimize diabetes-related complications.
To achieve this vision, a multidisciplinary team of the Nurse Practitioner (NP) or Registered Nurses (RN) and physicians, in partnership with the Northern Diabetes Education Centre (DEC), provide diabetes education including dietary and other lifestyle modifications, promotion of self-management and pharmacotherapy. Clients are referred to the program for diabetes management by their family physician.
Normally, family physicians follow clients with diabetes every 3 months. With this new program, clients will see the Nurse Practitioner (NP) or Registered Nurse (RN) for routine diabetes care as indicated by the referral.
The NP or RN will consult with the physician when necessary, and the physician will also follow the client by conducting either annual or biannual visits depending upon the patient’s glycemic control.
Referrals may also be made to the DEC for further diabetes education and access to chiropody services, and to other Maratho Family Health Team providers (e.g. dietitian, social worker) as needed.