Diabetes Education and Medical Management in Adults with Type 2 Diabetes

Medical Directive ID: 
Lead Contact Person: 
Tomasina Chevalier
Physician/Nurse Lead: 
Dr. Stacey Valiquet
Dr. Sonny Cejic
Family Medicine - Byron Family Medical Centre
Family Medicine - Victoria Family Medical Centre
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, January 11, 2017
Revised Date: 
Wednesday, January 11, 2017
To Be Reviewed Date: 
Thursday, February 6, 2020
This Medical Directive Applies to the following sites: 
This Medical Directive Applies to the following patient population: 



Education and provision of medications for the management of type 2 Diabetes.

Appendix 1-Oral antihyperglycemic agents

Appendix 2-prescription of diabetic supplies and performance of blood glucose monitoring at point of care

Appendix 3-Insulin management with basal insulin

Appendix 4-criteria for certification

Appendix 5-perform controlled acts and procedures

1.RPh, or RD will educate, change medication dosage, or implement new medications as per

(Appendix 1) Oral/Injectable Antihyperglycemic Agents, (Appendix 2) Prescription of Diabetic

Supplies and Performance of Capillary Blood Glucose Monitoring at Point of Care, and (Appendix

3)Insulin Management.

2.RPh, or RD will consult with the patient's family physician or on-call physician if patients are

experiencing adverse drug events.

3.RPh, or RD will phone new prescriptions to the patient's pharmacy or will write a prescription

as per usual standard with the family physician's or on-call physician's name on the prescription.

4.Review patient chart for most recent laboratory investigations.

5.RPh, or RD will order the appropriate laboratory tests on the EMR, using Laboratory Tests in

Adults with Diabetes (Appendix 6)

6.RPh, or RD will instruct the patient as to the indications for the requisition and whether a

fasting state is required for the test(s).

7.RPh, or RD will advise the patient to complete laboratory test at least one week prior to

appointment with IHP/Physician.


Appendix Attached? Yes No

Click the link to view the entire medical directive in detail: 


SurnameKnown ByDate Signed
CejicSonnyFeb 27 2017 09:48:55:860AM
CooksonChristinaFeb 14 2017 01:49:51:490PM
DalesLaurenceFeb 20 2017 10:40:50:000AM
FreemanTomFeb 27 2017 09:46:37:713AM
GrushkaDanielFeb 10 2017 08:18:05:867PM
HammondJo-AnneFeb 8 2017 09:08:20:847AM
JordanJohnFeb 21 2017 05:50:11:083PM
KimGeorgeFeb 24 2017 08:59:30:620PM
McKayScottMar 10 2017 12:23:14:100PM
McKeoughNancyMar 7 2017 03:18:11:190PM
Pawelec-BrzychczyAnnaFeb 27 2017 03:14:49:370PM
ThompsonCaitlinFeb 16 2017 05:25:15:963PM
ValiquetStaceyMar 20 2017 12:26:10:380PM
WetmoreStephenFeb 27 2017 09:47:23:943AM
WickettJamieFeb 8 2017 01:43:01:443PM