Diabetic Life Management

Diabetes Life Management Program

Intensive program for newly diagnosed patients or for those patients who have diabetes that is not well-managed

Intensive case management, personalized wellness plan, motivational counseling, educational workshops on living with diabetes, physician teaching in group setting, diabetes support group, nutritional counseling, access to medication and supplies.  Optional clinical visits with a physician.

We offer an intensive Diabetes Life Management Program for newly diagnosed patients or those patients who have diabetes that is not well-managed.  The program includes several components:

  • Individualized care plan developed with Diabetes RN Case Manger

  • Comprehensive Diabetes Education following the American Association of Diabetes Educators 7 Self-Care Behaviors:  Healthy Eating, Being Active, Self Monitoring, Taking Medication, Problem Solving, and Avoiding Complications

  • Visit(s) with a Registered Dietitian

  • Motivational Assessment, Problem Solving Strategies, and Personalized Goal Setting with RN and Counselor

  • A1c test every three months; microalbumin test annually

  • Foot exam(s), annually or as appropriate

  • Comprehensive Eye Exam, annually or as appropriate

  • Flu Vaccine

Optional Service:  Individual visits with a practitioner during enrollment.  Visits scheduled monthly or with appropriate frequency.

The program requires patients to have a primary care physician; TFC will assist you in establishing care if you do not have a primary care physician.

Patients should call Pat Sells, diabetes case manager, at 697.8422 for more information.

All diabetes clinical visits and education meetings take place on Monday afternoon/evenings at 841 Case Street.

Please see eligibility guidelines for TFC services.