Consider giving all your patients the short list of Diabetes Resources for Patients (diabetes phone-lines, classes, urgent help, routine 1:1 help).
AHS - Misc Documents & Sites
- Consent to Disclose Form
- MyHealth Records Portal for patients to review lab results and other information
- Assess Diabetes Risk/Screening:
- Assess Agenda:
- Assess Safety:
- Assess Targets and Complications:
- See our Diabetes Targets and Priorities page
- Assess if vascular protection medication required- See Diabetes Canada Interactive Tools
- Diabetes care flow sheet and targets (Diabetes Canada)
- Assess Patient Knowledge:
The following are some of the many tools available for determining the carbohydrate content of foods. Not all sources of carbohyrate content may be acccurate (particularly for apps).
CHO Counting Handouts
- Healthy Meal Planning for Diabetes (lists 15g carb choices). See the NFS Online Database in Nutrition Resources below. (AHS)
- Matching Insulin to Carbohydrates Handout under Diabetes -Type 1 heading below. (AHS-DCC)
- Basic Carbohydrate Counting (Diabetes Canada)
Other CHO Info and Resources
- Labels: Subtract grams of fibre from the grams of carbohydrate for the portion on the label.
- Restaurant websites: Many fast food and other restaurants have nutrient analysis posted online for their products.
- Diabetes Canada Educator Resource: Helpful hints for educators using Beyond the Basics
- Ordering Beyond the Basics
- Nutrient Analysis Apps: Through smart phones' app stores or AppCrawlr .
- General carbohydrate estimates. One carbohydrate choice contains 15 grams of carbohydrate (after the fibre is subtracted).A general guideline for the number of carbohydrate choices to eat per meal is 2-4 for most women and 4-6 for most men. For snacks: 0-1 for women and 0-2 carb choices for men.
One Carb Choice (15g) equals:
- 1 slice of bread
- 1/2 cup (125 mL) cooked pasta/potato/other starch
- 1 medium piece of fruit
- 1 cup (250 mL) of milk
- 1 tbsp (15 mL) of sugar, jam or honey.
Nutrient Analysis Websites (we cannot verify accuracy of data):
- Eatwise: Food Search and Recipe Analyzer (Dietitians of Canada)
- Self Nutrition Data
- Calorie King
- Sushi nutrient analysis
- Canadian Nutrient File (downloadable file)
- USDA Nutrient Database (online use)
- Educator BookKing login site
- Alberta Healthy Living ProgramAlberta Healthy Living Program (AHLP) Calgary Zone 403-9-Health (403-943-2584) or patients may register for Calgary AHLP Classes Online.
- Online Diabetes Classes for Patients (flash required)
- Encourage patients to contact their Primary Care Network (PCN) regarding classes. PCN information can be accessed through mypcn.ca
- Client Centred Counseling:Interview Overview - pdf (DCC-AHS)
- A handy guide to motivational interviewing - pdf Diabetes Canada
- See our webpage: Conviction and Confidence: Assessing and Building and consider Diabetes Canada's Decisional Balance tool for those with low conviction.
- Agenda Setting - webpage
- 3 Minute Empowerment - Dr. Jacques Bedard
- Visit your PCN or AHS learning resources
- Additional read: Motivational Interviewing in the Prevention and Management of Chronic Disease: Improving Physical Activity and Exercise in Line with Choice Theory.International Journal of Reality Therapy, 2008: 27(2):26-29.
- Additional read: Welch G, Rose G, Ernst D. Motivational Interviewing and Diabetes: What Is It, How Is It Used, and Does It Work? Diabetes Spectrum January 2006 Vol 19 (1): 5-11
- See heading for Assessment Tools and Safety above
- Staying Healthy with Diabetes - Diabetes Canada handout
- See our Complicatons page
- Continuous Glucose Monitoring (CGM): The Basics (AHS)
- Glucose Sensors: Suggested Practices
- Dexcom Trend Arrows: Preventing High & Low Readings by Adjusting
- Libre Arrows: Scanning Frequency & Adjusting Insulin Using Trend Arrows
- Related pages:
Diabetes Canada Clinical Practice Guidelines
- Diabetes Canada Interactive Tools
- Clinical Practice Guidelines
- PDF Clinical Practice Guidelines 2018 - Diabetes Canada
- PDF Quick Reference Guide 2018 CPGs - Diabetes Canada
- PDF Diabetes Patient Care Flowsheet - Diabetes Canada
Diabetes Services (AHS) - Calgary Zone
- See Diabetes Services Calgary page for referral documents as well as links to rural and indigenous (Siksika, Morley) diabetes services and endocinrologist consults.
General Pregnancy Resources:
- Antenatal resources for healthcare providers (updated July 2019): Alberta Antenatal Pathway
- Resource provided to patients by their primary care team when pregnant or planning pregnancy: Healthy Parents, Healthy Children (healthy weight gain, exercise, etc.)
- Best Beginnings Program: Best Beginnings Referral Form
- Nutrition Guidelines for Pregnancy (Nutrition Services)
Gestational Diabetes (GDM) Resources:
- Patient Handout: Gestational Diabetes (Diabetes Canada)
- Patient Handout: After Gestational Diabetes (Diabetes Canada)
- Patient Handout: Metformin Use in GDM
- Patient audio/visual education"After Gestational Diabetes" in English,Punjabi,Spanish
Diabetes in Pregnancy Resources:
- Website resource for patients with GDM, type 1 or type 2 diabetes in pregnancy: diabetes-pregnancy.ca
- Nutrition Guidelines for Diabetes in Pregnancy (Nutrition Services- updated 2018)
- Forum for Injection Technique (FIT): Guidelines for insulin injection in pregnancy.
- Patient Handout:Pregnancy and Type 1 or Type 2 Diabetes
- Patient Handout:Type 1 and type 2 diabetes After Pregnancy
- Nutrition handouts for diabetes in pregnancy see Nutrition Resources below.
- Education: Type 1 diabetes: the basics (Diabetes Canada) AND Type 1 Diabetes Education Review (Diabetes Canada and AHS documents in one PDF download)
- Basic nutrition guidelines for type 1 diabetes (AHS)
- Activity and type 1 diabetes (AHS)
- How to Manage Illness in Type 1 Diabetes and Prevent DKA (sick days) (AHS)
- Glucagon and diabetes handout (AHS) and Glucagon: Eli Lilly pictorials and instructions
- Matching carbohydrate to insulin
- Low blood sugar: go to heading Hypoglycemia
- Diabetes and Driving (AHS)
- To search AHS Nutrition Database for handouts, see Nutrition Resources below.
- See Glucose Meters heading for logbooks and blank record books.
- See Lipohypertrophy webpage
- Sign up for periodic emails reivewing new meds, gadgets, etc in diabetes (for heathcare providers)
- View archives
- Patient Handout: Diabetes and Driving (AHS)
- Patient Handout: Drive Safe with Diabetes (Diabetes Canada)
- Diabetes Canada Guidelines Chapter on Driving
- Note that Physicians adhere to the CCMTA Drivers Medical Standards [Canadian Council of Motor Transport Administrators]. Any questions about interpretation should be directed to the CCMTA and the Alberta Ministry of Transportation
- See heading for Physical Activity
Health Care Provider Foot Care Assessments and Resources
- See our Foot Care webpage
- Why a Proper Foot Assessment is Important- DON SCN Video
- Foot Care Pathway: Alberta Diabetes Foot Care Clinical Pathway (DON SCN) Assessment Tools and Resources
- Additional reading: The American Podiatric Association's Guidelines
Footcare Handouts and Patient Resources
- myHealth.Alberta (DON SCN patient education)
- Encourage patients to ask their PCN about services. e.g. Mosaic PCN offers those living in their catchment area classes and individual appointments for foot care.
- Alberta Aids to Daily Living may provide therapeutic footwear or orthotics for those who qualify and who are prescribed this by a physician in one of Alberta's High Risk Foot Teams. In Calgary the clinic that can prescribe is the Zivot Limb Preservation Centre at PLC.
- Diabetes Canada Patient Handouts:
- Alberta Foot Care (previously Victoria Order of Nurses)
- College of Podiatric Physicians of Alberta website to find a current list of podiatrists and clinics in Calgary.
- Kerby Centre for Seniors Foot Clinics
- If finances are a concern, suggest patients call local podiatry services and ask if the initial assessment for diabetes is free. e.g. Calgary Foot Clinic: (NW location) Free initial assessment if patient has diabetes.
- The Sheldon Chumir Wound Clinic information.
Fax Referrals to Community Care Access 403-943-1602
Fax both the Foot Risk Assessment Form together with the Wound Clinic referral form.
- Peter Lougheed Centre: Zivot Limb Preservation Centre information.
- Fax number: 403-943-6423.
- Fax both the Foot Risk Assessment Form together with the PLC referral form.
- IMPORTANT: Educators MUST include the name and info of the MD who referred to DCC (GP or Endo). Zivot will send the report back to that physician. You can include your name in the signature as an educator from Diabetes Centre Calgary and add "for Dr. ...(referring doctor)." As per usual charting standards, please inform the referring physician of the action you've taken.
- Patient handout: Gastroparesis (AHS)
- If you suspect your patient may have gastroparesis, you can advise they discuss with their endocrinologist or primary care physician.
- Physicians can consult Specialist Link with patient related gastroenterology questions.
- Patients may be interested in volunteering for a research study involving gastroparesis. See Research Opportunies below.
- Glucose Meters page. Also includes link to the Genteel lancing device.
- Related - See CGM Heading for continuous glucose monitoring
- Health Canada for approved medical devices.
- Diabetes Canada Interactive Tools for tool on glucose monitoring frequency
- Accuracy of blood glucose meters
- Blood Glucose Meter Summary Sheet for Health Educators 2018 (Includes steps to manually access results etc)
- Glooko portal to access professional and personal accounts. (note: the old Diasend portal will be decommissioned by mid 2019). Please ask your education consultant for sample Glooko and Diasend pump reports. Glooko is currently not able to upload Libre (March 2019). Please ask patients to sign onto their personal cloud account through Abbott called Libreview
- Patient Handout: Managing your blood glucose (testing blood sugar, sick days (Diabetes Canada)
- DOWNLOADABLE LOGBOOKS / RECORD SHEETS
- 4 Day Food, Insulin and Blood Sugar Worksheet (AHS)
- Fillable food and glucose record sheet
- Your blood sugar log (AHS)
- Your blood sugar log- Punjabi (AHS)
- Blank glucose record book (AHS)
- Glucose Log Book (Diabetes Canada)
- Pump records: 5 days: Glucose & insulin records for pump and 3 days: Blood glucose and insulin record for pump therapy
- Patient handout: A1c Testing for Adults - handout (AHS)
- Visit our A1c page for why A1c matters (research summaries) and what A1c is
- Diabetes Canada Interactive Tool - Individualizing A1c
- Video: Diabetes Canada's What, When, Why? Understanding A1c
- Glucose Wands (Canadian Orders, see page 72) or (U.S. orders).
Healthcare Provider Education
- Calgary area clients and staff may call 403-943-1920 to inquire about eligibility for homecare services.
- Patient PICTORIAL handouts:
- Patient handout: Hypoglycemia unawareness: When you don't feel your low blood sugar (AHS)
- Patient handout: Glucagon and diabetes (AHS)
- Educator reference: Troubleshooting Hypoglycemia (with and without insulin pump therapy)
Patient Handout: Visit the top of this page for the handout Diabetes Resources for Patients (AHS) Diabetes Resources for Patients (AHS)
Inpatient AHS Glycemic Policy: Glycemic Management Policy Suite (includes inpatient Hypoglycemia and Hyperglycemia Policies)
Inpatient Diabetes Educator Triage (for AHS, Calgary zone only): Inpatient Diabetes Educator Triage and Referral Guidelines; Updated February 2019
Inpatient Provider Resources:
- AHS Insulin Safety & Diabetes Management for Health Care Professionals includes:
- General Diabetes Information
- Nutrition Information for Patients with Diabetes
- Basal Bolus Insulin Therapy (BBIT)
- Insulin Pump Therapy (IPT) – Safe Management in Acute Care
- Provincial Glycemic Management Policy Suite
- General Information on Insulin Safety
- Insulin Pen Information
- AHS Insulin Formulary Information
- BD AutoShield Duo Safety Pen Needle Video
- myLearningLink > Courses and Registration>Basic Diabetes Education - this is designed for inpatient staff.
- Basal Bolus Insulin Therapy (BBIT) in Hospital Self Study Guide (AHS - Provincial)
- Basal Bolus Insulin Therapy (BBIT): AHS educational materials for professionals
- Insulin Pump Therapy In Hospital: AHS processes and documents
- Examples of Insulin Initiation and Titration Regimens in People With Type 2 Diabetes - Includes patient instructions for adjusting basal and bolus insulin (Diabetes Canada)
- Related, click to go to these headings on this page:
Insulin allergies were more common with bovine and porcine insulins. As technology has improved with recombinant and analogue insulins, the reported prevalence of insulin allergy is 0.1-0.3%.
If your patient lets you know about a reaction to their insulin, it is important to gather appropriate history and inform the patient’s family physician or diabetes specialist. Assessment considerations:
- Type of reaction? *A diffuse, systemic response requires prompt assessment and treatment*
-local (immediately around injection site) or diffuse (covering large area of body)?
-skin only, or systemic (airway/breathing)?
-Does it resolve, or worsen over time?
- Relationship to insulin administration?
-immediately -1 hour after injection
-delayed- 2-24 hours after injection
- Type of insulin?
- Changes or interruptions to insulin?
- History of other allergies? (many needles use silicon or lubricants)
- Any other triggers such as change to medications, diet, cosmetics, detergents or other autoimmune diseases?
Treatment considerations to be discussed with physician or diabetes specialist, depending on severity of reaction:
- Observe and optimize patient’s injection technique to avoid any possible site irritations (i.e. proper site rotation, not injecting where clothes/belts rub, not massaging after injection, not using alcohol wipes)
- Cool site before and after injection
- Possible use of insulin port devices if allergy to pen needles
- Avoid insulin if possible
- Switch to a different type or brand of insulin
- Use of anti-histamines for symptom relief
- Rapid desensitization protocol – complex protocol that involves starting insulin at very low doses in an intensive care setting
- Alberta Health Services Pump Resources
- Alberta Health: Alberta Insulin PumpTherapy (IPT) Program Site
- Approved specialist physicians for Alberta IPT program
- Insulin Pump Therapy Patient Learning Module (Intro to Pump for IPT program)
- Guidelines for the safe managment of insulin pump therapy in hospital (AHS)
- Insulin Pump Brand Comparison (AHS)
- Insulin Pump Programming Summary Sheet (AHS)
- Troubleshooting Hypo and Hyperglycemia in insulin pump therapy
- Patient Handouts:
- Diabetes Centre Calgary Pump Program: Insulin Pump Therapy Preparation & Expectations
- Prevention of Diabetic Ketoacidosis (DKA) in Insulin Pump Therapy (AHS)
- Coming off the pump (AHS)
- Basal testing worksheet- Checking and adjusting basal rates in insulin pump therapy (AHS)
- Emergency / Urgent Care Insulin Pump Document
- Blank pump glucose/insulin records
- Brand Information:
- Hands on Introduction to Insulin Pumps.PDF
This monthly event is hosted by the reps of insulin pump companies.
2nd Wednesday of every month
Carriage House Inn 9030 MacLeod Trail Calgary, AB
- As of October 2017, Animas no longer sells insulin pumps. Animas has partnered with Medtronic to assist current users. Animas pump users can find out more information by contacting Medtronic (contact information below).
- Animas Vibe Userguide
- Animas Vibe + CGM (Dexcom G4) quick set up
- Animas Ping Userguide
- Insulet Corporation - Omnipod
- Medtronic - 670G, 630G
- Roche Accu-Chek Combo or Spirit (No longer for sale in Canada)
- User Guide for Spirit pump.
- Tandem t:slim X2
- YpsoPump by YpsoMed Canada
- Support Group: Calgary Insulin Pumpers
- Useful Healthcare Provider Actions
- Explaining insulin benefits
- Demonstrating the injection process
- Collaborating (collaborative style)
- The LEAST useful was an authorative style
A study identified the healthcare provider actions (above) that helped patients who didn't want to start insulin change their mind and start insuiln. Reference: William H. Polonsky et. al. Identifying solutions to psychological insulin resistance: An international study. Journal of Diabetes and its Complications. Available online 17 January 2019. https://doi.org/10.1016/j.jdiacomp.2019.01.001
- Diabetes Canada Resources
- Getting started with insulin handout; DCC staff also to print Insulin Supply Checklist to provide patient.
- Insulin Pen Start Checklist for Healthcare Professionals
- Traditional Chinese: Getting started with insulin (handout)
- Video: How to Inject Insulin Step by Step Guide length 7m:39s
- Video: Insulin Pen, What You Need to Know length 2m:22s
- Video: Introduction to Insulin length 2m:45s
- Alberta Health Services (AHS) Resources
- Diabetes and Driving (handout)
- Average Insulin Action Time (handout)
- Starting Insulin Videos (Flash required). Click the language desired: English, Arabic, Spanish, Punjabi and Urdu.
- Inpatient hospital staff resources (AHS login is required): Insulin Safety & Diabetes Management Toolkit for Health Care Professionals
- Forum for Injection Technique (FIT)
- List of usermanuals for injection devices (pens) and injection aids
- For more detailed information on insulin visit the Complete Medication Table.
- Also see Inpatient Diabetes Resources
- Impact of Marijuana use on Diabetes Management:
- No current conclusive evidence exists to suggest significant or consistent direct impact of marijuana on glycemic management in diabetes (as of 2018). More research is needed to investigate the role of cannabinoids in glycemic control.
- Marijuana may indirectly impact diabetes management through its negative effects on self-care practices, decision making, appetite, judgement, memory or other effects.
- Health Effects of Marijuana: The two main cannabinoids in marijuana are THC and CBD. Health effects of cannabis apart from recreational use for the THC (“high” or relaxed) or medicinal use of TCH and/or CBD (reduced nausea, vomiting, pain, spasticity, seizures) can include the following:
- Decreased: Memory, concentration, reaction time, coordination, decision-making abilities, ability to judge distances
- Increased: Heart rate, sleepiness, anxiety, fear, panic, paranoia, delusions, hallucinations, mood disturbances, psychotic symptoms and appetite
- ( Health Effects of Cannabis Factsheet Canada.ca; and Nat. Inst. of Drug Abuse U.S, )
- Duration of Cannabis Impairment and Side Effects:
- “Cannabis Impairment: There is no standard waiting time to drive after using cannabis. If you are using cannabis, do not drive. Find an alternative.” (Cannabis Impairment- Canada)
- The effects of smoked cannabis may last 6 hours or longer, ingested cannabis 12 hours or longer (Health Effects of Cannabis Factsheet, Canada) and medicinal cannabis up to 48-72 hours (e.g. nabilone for treatment of nausea in chemotherapy. (product monograph)
- For more information visit:
- Cannabis in Canada: Get the Facts (Government of Canada)
- www.drugcocktails.ca (enter a prescription medication ie. Insulin, search and it will list interactions with alcohol, illicit drugs, tobacco or marijuana.)
- Alberta Health Services's
- Adjusting Your Diabetes Medicine & Diet for Fasting Blood Tests (AHS)
- Adjusting Your Diabetes Medicine & Diet for a Hydrogen Breath Test (HBT) for Lactose intolerance (AHS)
- Adjusting Your Diabetes Medicine & Diet for a Hydrogen Breath Test (HBT) for Small Bowel Overgrowth (AHS)
- Adjusting Your Diabetes Medicine & Diet for a Gastroscopy or EGD (AHS)
- Adjusting Your Diabetes Medicine & Diet for a Barium Enema or Colonoscopy (AHS)
- Detailed diabetes medication information: Medication page and Complete Medication Table.
- Choosing next line agents: See Diabetes Canada Interactive Tools
- Cost Coverage information: Alberta Blue Cross Formulary of Covered Medications: Interactive Drug Benefit List
- Desktop Guidelines for Insulin Adjustment (long and short versions)
- Indications: Health Canada Drug Product Database for product monographs (type in brand name OR active ingredient AND choose status: select all)
- Inpatient provider medication resources - including basal bolus self study guide
- Insulin safety and DM management toolkit - AHS provincial
- Patient handouts by class (Diabetes Canada):
- Alpha-glucosidase inhibitor
- Biguanide (metformin)
- DPP-4 inhibitor
- GLP-1 receptor agonist
- Sulfonylurea insulin secretagogue
- Non-sulfonylurea insulin secretagogue
- SGLT-2 inhibitor
- Also review the relevant sections of the handout How to Manage Illness in Type 1 Diabetes and Prevent DKA. Clarify with patient they have type 2 dm, if that is the case.
- Also see Hyperglycemia (DKA, HHNS) in Safety Checklist
- Patient handouts in a variety of languages: see 'Translated Materials' on this page.
- Medications: Safety
- SADMANS Sick Day Medication List (Diabetes Canada)
- Medication & Herbal Advice Line 24 hrs/day (Alberta Health Services) 1-888-944-1012
- www.drugcocktails.ca - Enter a prescription medication (ie. Insulin) and search and it will list any interactions with alcohol, illicit drugs, tobacco or marijuana. (It also gives the street names of the substances listed.)
- Related heading Marijuana and Diabetes
- Alberta Health Services Nutrition and Food Services (AHS NFS).
- AHS Nutrition Guidelines for Healthcare Providers
- Publicly Available AHS Nutrition Handouts: Healthy Eating Starts Here (Click on Diabetes)
- AHS Nutrition Resources Online (Database to order or download additional NFS handouts). Username: NFSpublic Password: 2014nfs03. Search the catalog for handouts on topics. In most cases the pdf handouts are downloadable. Click on the picture of the handout you want, then click the printer icon or the save icon. Some handouts are indicated for RD use only and need to be ordered through Nutrition and Food Services.
- Diabetes Canada Diet and Nutrition Handouts
- Canada's Food Guide (Health Canada)
- Natural Medicines Comprehensive Database
- PEN: Practice Based Evidence in Nutrition for healthcare professionals.(This link is for access from AHS server computers only). Or visit PEN's home site for subscription information.
- Alberta Healthy Living Program's supervised exercise classes (AHS) Calgary Zone 403-9-Health (403-943-2584)
- Prescription to Get Active (no cost or low cost access to physical activity programs in the community)
- Patient handout: Physical Activity and Type 1 Diabetes
- Diabetes Canada Exercise Resources for Patients
- Calgary Family Medicine Physician Directory identifies the PCN a family doctor is attached to. If not in the directory, the GP is likely not part of a PCN.
- MyPCN.ca shows Calgary PCN coverage maps and websites
- www.CalgaryAreaDocs.com to find a family doctor.
- Mental Health
- Calgary Distress Line: 403-266-4357 (403-266-HELP) Delivers 24-hour support, free crisis counseling and resource referral services to Calgary and the surrounding area.
- Access Mental Health: 403-943-1500 helps direct people to the most appropriate mental health services in the Calgary zone.
- Patient handout: Diabetes Canada Diabetes and Mental Health
- See Stress topics below
- General Social Services
- Social worker services are available for clients of the Diabetes Centre Calgary. They may also be available for clients of Calgary Area Primary Care Networks (PCNs).
- Visit or Call 211: Free, confidential, multilingual, 24 hour information on government and community based health and social services.
- Supports and Services for People with Diabetes - Diabetes Canada list
- Diabetes Supplies
- Compassionate diabetes supplies: Family doctors can call the 1-800 number of insulin or medication companies to discuss and request forms for compassionate care supplies. Many companies offer this, but not all.
- Emergency support to help purchase medications is available to those who qualify. Patients can call Alberta Works Income Support 1-866-644-5135 (press 0).
- The Government of Canada offers a Disability Tax Credit for those who qualify. This requires physician help in completing forms. Income taxes must be completed prior to sending into the federal government.
- Also view the section on Alberta resources in the Diabetes Canada's PDF called Diabetes Resource Manual (or view other province's resources).
- REMIT: This trial is researching the effectiveness of a new approach to diabetes treatment, with the intention of inducing a remission of type 2 diabetes. The study involves 12 weeks of intensive lifestyle interventions, oral and injectable diabetes medications. The REMIT Criteria are here. Posted Feb 2019.
- SCORED: This trial is a randomized, double blind, placebo controlled study to demonstrate the effects of sotagliflozin, an SGLT2 and SGLT1 inhibitor, on cardiovascular and renal events in patients with T2DM who also have cardiovascular risk factors and moderately impaired renal function. This study is a Phase 3, CV outcomes trial. The SCORED Criteria are here. An office poster for SCORED is here. Posted Feb 2019.
- Diabetes Canada: 2018 Therapeutic Considerations for Renal Impairment or their online Appendix 7. Note: Product monographs for some SGLT-2 meds may have changed; they may list lower GFR levels under indications. Please check Canada's Drug Product Database for the specific SGLT-2. Remember that SGLT-2’s may not be as effective for glucose lowering with lower GFR’s but may be initiated for cardiac/renal protective effects.
- Alberta Chronic Kidney Disease Clinical Pathway
- Diabetes Considerations in Stages 4-5 Renal Disease (DCC summary document)
- Southern Alberta Renal Program: All patients in SARP are assigned a dietitian who will provide education on the renal diet appropriate for their renal function and modality. Their dietitian will change if their modality changes (e.g. pre-dialysis to HD or PD or transplant). Some of SARP's patients with diabetes will see their program's Renal Diabetes Educators - refer to SARP triage guildelines.
Sick Days (Illness)
- Staying Safe with Diabetes When Sick or Dehyrated (Diabetes Canada)
- See heading Diabetes - Type 1 for How to Manage Illness in Type 1 Diabetes and Prevent DKA
- See the Skin Care page for products for CGM, insulin pumps and infusion sets.
- AHS list of resources (provider and patient) for tobacco intervention
- Alberta Quits - patient resources
- Consider directing clients to their PCN to ask if they have in-house classes or programs for quitting smoking.
- The Diabetes Distress Scale] -Diabetes Canada (and Using the Diabetes Distress Scale)
- Steps to Stress Management Diabetes Canada
- "ABATE" the Stress: Understanding the Stress Response - Diabetes Canada
- Stress and Your Health - video, AHS
Please note that most of these supportive groups or organizations are not managed, reviewed or endorsed by Alberta Health Services (AHS).
- Alberta Healthy Living Program (AHS) “Better Choices, Better Health groups for type 2 diabetes. 403-943-2584
- Calgary Neuropathy Association
- Calgary Insulin Pumpers
- Diabetes Canada Calgary 403-266-0620 ask about events, groups (all types of diabetes)
- Transitioning Youth with Diabetes in Calgary (AHS) Twitter: @TYDcalgary; Facebook:TYP Calgary
- Connected in Motion (type 1 diabetes)
- I Challenge Diabetes
- Find possible translated materials inside topic headings above e.g. Starting Insulin
- Search this page: use "ctrl"+F (pc) or command+F (mac) and type in the language
- Diabetes Canada's Ressources Françaises webpage Ressources Françaises webpage, scroll down for patient materials.
- Quebec Diabetes Association , specifically the page on Living with Diabetes, The 4 Pillars of Balance
- Diabetes Toolbox (French site)- an online diabetes resource for health care professionals: www.schalifouxdiabete.com
- AHS staff visit Lexicomp (insite>pharmacy services>Lexicomp (right hand side) --Type in medication or disease condition, scroll to click patient education, English shows as default choose "select language" in upper right.
- www.ethnomed.org: Diabetes information with pictures in a variety of languages (Amharic, Somali, Vietnamese, Khmer, Oromo, Tigrinya, etc.)
- BC Fraser Health Region: South Asian Nutrition Resources (Punjabi)
- Enhancing Cultural Competency - A Resource Kit for Health Care Professionals (Note that this resource is from 2009 and may contain outdated material. Educators are encouraged to view pages 108 and 109 for the ETHNIC and LEARN models of asking culturally sensitive questions).
- Patient handout: Travel and Diabetes (AHS)
- Medication Adjustment Flowchart (AHS) with Timeline worksheet
- Fillable Timeline Worksheet for Travel (downloads as .doc; doesn't open in browser)
- See Diabetes Canada Interactive Tools for Vascular Risk Assessment Tool
- AHS list of cardiovascular resources for healthcare providers
- Canadian Cardiovascular Society Resources (apps, pocket guides, guidelines etc)
- Heart and Stroke Foundation of Canada
- Patient handout: Understanding and Managing Your Blood Pressure - Hypertension Canada
- Patient handout: Healthy Eating for Healthy Blood Pressure - Hypertension Canada
- Hypertension Canada home site Canada home site
- Hypertension Canada patient resources (how to measure blood pressure at home)
- See Nutrition Resources above
- Diabetes Canada
- Diabetes Toolbox (online Diabetes resource for health care professionals sponsored by Diabetes Quebec, AstraZeneca and Roche).
- Canadian Diabetes Educator Certification Board (CDECB)
- Find a family doctor - Calgary Zone
- Health Link call 811
- Inform Alberta
- National Aboriginal Diabetes Association (NADA)
AHS: Alberta Health Services
DCC: Diabetes Centre Calgary, AHS
DC: Diabetes Canada (previouslyCanadian Diabetes Association - CDA)