Optimal care bundle

Diabetes minimum standards of care

Since 1995 the Texas Diabetes Council has developed and continuously reviewed and revised minimum standards of care to be followed when treating patients who have diabetes. The standards are also used to define minimum benefits for health plans regulated by the Texas Department of Insurance. The Council's Medical Professionals Advisory Subcommittee, a panel of medical experts, develops the standards and treatment guidelines for the Council's review and approval.

In recent years, some health care systems have also adopted a "diabetes optimal care bundle" to focus efforts on procedures which have the greatest impact on reducing the risk of macro vascular disease and early death. The diabetes optimal care bundle includes taking the necessary steps to reach these targets:

	HbA1c < 7%
	LDL cholesterol < 100 mg/dL
	Diastolic blood pressure < 80 mmHg, systolic blood pressure < 130 mmHg
	Aspirin prescription for patients age > 40 years
	Non-smoking status

Following are links to diabetes care algorithms developed and endorsed by the Texas Diabetes Council, and which address reaching the goals outlined in the diabetes optimal care bundle.

Tools for achieving diabetes optimal care bundle targets
	Diabetes Type 2 Glycemic Control
	Insulin Algorithm for Type 2 Diabetes Mellitus in Children and Adults
	Lipid Algorithm for Diabetes Mellitus in Adults
	Hypertension Algorithm for Diabetes Mellitus in Adults