T2 Diabetes

Discharge Criteria

1. Primary care physician and diabetes team (if needed) available to assume care
2. Consistently meeting individualized glycemic targets
3. Stable doses of diabetes medications
4. Stable renal function
5. Stable insulin regimen with the following:
   1. Adequate self management skills including self-adjustment of insulin
   2. Demonstrates proper insulin injection technique
   3. No severe hypoglycemia in last 1 year
6. Adequate self monitoring of capillary/interstitial glucose (if needed)
7. Able to treat hypoglycemia appropriately
8. Medications for cardiometabolic health have been initiated or considered and rationale has been communicated to primary care provider
9. Patient understands the transition plan

Not to discharge

1. T1 DM
2. Female patient attempting pregnancy
3. Frequent or severe hypoglycemia

Resources:

• Letter to primary care provider
• Letter to patient

Topic Expert Review: Andrew Advani (Endocrinologist)  

Primary Care review: Dr Curtis Handford, DFCM, St Michael's Hospital 

Plain language review: Katrina Grieve, St Michael's Hospital 

Reference:  

1. Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Can J Diabetes. 2018;42(Suppl 1):S1-S325.