Diabetes Management Program

Dietitian showing how to use glucose meter

Overview

Diabetes Management Program

Our Diabetes Care Program helps patients understand, manage, and take control of their blood sugar to improve their overall health. We provide comprehensive support through a team of family doctors, nurse practitioners, dietitians, and pharmacists working together to meet your individual needs

The Diabetes Care Program includes:

  • Personalized care plans for diabetes management or pre-diabetes prevention
  • One-on-one follow-up with our team of interdisciplinary healthcare providers
  • Support from our clinical pharmacist with medication and insulin, lifestyle changes, and help with planning and goal-setting with our dietitian.

Patients with diabetes join via a physician or nurse practitioner referrals through Access Clinic Booking. Our goal is to empower you to stay healthy, prevent complications, and achieve your personal health goals through education, understanding, assistance, and support.

Eligibility

Registered with Get Well Family Health Team

How to Access

Referral required from a physician or nurse practitioner

Provider

GWFH Interdisciplinary Team: 

  • Registered Dietitian
  • Pharmacist 

Fees

Covered for Get Well Family Health Team registered patients

Services included

Registered Dietitian (RD)

Provides a personalized nutrition plan to help you reach your blood sugar goals by planning and making dietary changes that fit your taste and lifestyle.

Clinical Pharmacist

Provides medication reviews, insulin education, and recommendations for dosage or dose adjustments in collaboration with a physician or NP. The clinical pharmacist also helps in complication prevention.

What you will Learn

The more you understand about diabetes, the more confident you can feel managing your health day to day.

Through the program, you will learn practical skills and information that you can use in your everyday life, including:

  • Understanding your numbers: Learn what your A1C and blood sugar readings mean and what your personal targets may be.
  • Monitoring your blood sugar: Learn when and how to check your blood sugar and how to use a glucose meter correctly.
  • Making informed food choices: Understand how food, carbohydrates, and meal choices can affect your blood sugar.
  • Building healthy habits: Explore realistic approaches to physical activity, sleep, stress, and other lifestyle factors that can support diabetes management.
  • Understanding your care: Learn more about your diabetes treatment and how different aspects of your care work together.
  • Knowing when to seek support: Recognize changes in your health or blood sugar that may need follow-up with your family doctor or healthcare team.

 

What to Expect

Your visits with the Diabetes Management Team will be based on your individual needs

  • Regular follow-up: Patients will typically return every 3–6 months for diabetes follow-up. Before your visit, you will complete the appropriate bloodwork so the team can review your results with you.
  • Coordinated care: When appropriate, we will coordinate appointments so you can meet with the relevant members of the healthcare team on the same day, making your visits more convenient.
  • For newly diagnosed patients: Your initial visit will include both a Pharmacist and Registered Dietitian to help you understand your diabetes, treatment plan, medications, and nutrition from the beginning.
  • Ongoing support: Follow-up with different members of the team will depend on your needs and how your diabetes is being managed.

This program is provided at no cost to eligible patients.

Are you ready to join the Diabetes Care Program?

Referral required:  Ask a team doctor or nurse practitioner to refer you to the Diabetes Care Program and begin your personalized support for preventing or managing diabetes.

Frequently Asked Questions

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