Clinical Strategies

Guide to Clinical Preventive Services is the gold standard among clinician guides on preventive patient care. It addresses disease and risk factor screening and counseling about health behaviors. The U.S. Preventive Services Task Force, convened by the U.S. Agency for Healthcare Research and Quality, develops the Guide’s recommendations based on scientific evidence of effectiveness.

Clinical Guide Recommendations for Diabetes Screening

Symptomatic Adults
Screen all adults with hypertension or hyperlipidemia for Type 2 diabetes
Asymptomatic Adults
Evidence is insufficient to recommend for or against routinely screening asymptomatic adults forType 2 diabetes, impaired glucose tolerance, or impaired fasting glucose.



Population Strategies

Guide to Community Preventive Services or “Community Guide” details effective community-based strategies to promote and safeguard health. These might include media campaigns, educational programs, policy changes, or regulatory action. It is being developed by an independent task force convened by the Centers for Disease Control and Prevention.

These tables summarize the Community Guide’s recommendations on diabetes. The Community Guide Web site explains each recommendation in detail.

Healthcare System Level Interventions
Disease management:
1) Identify all those diagnosed with diabetes within the healthcare system.
2) Implement effective care guidelines/performance standards.
3) Track, measure, and manage health outcomes.
Strong Evidence of Effectiveness
Case management:
Assign a case manager to plan and coordinate care for people with diabetes.
Strong Evidence of Effectiveness


Interventions to Educate People About Diabetes Self-Management
In community gathering places (e.g., libraries) for adults with Type 2 diabetes Sufficient Evidence of Effectiveness
In the home for children/adolescents with Type 1 diabetes Sufficient Evidence of Effectiveness