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Get the free Diabetes Education and Management Program Referral Form

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Form Adapted from the Lawson Diabetes Center Diabetes Education Referral Form. Diabetes Education and Management Program. Referral Form. Date:.
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Diabetes education and management involves providing individuals with the knowledge and skills needed to effectively manage their diabetes, including information on proper nutrition, exercise, monitoring blood sugar levels, and medication management.
Healthcare providers, caregivers, and individuals with diabetes are typically required to engage in diabetes education and management.
Diabetes education and management can be filled out by attending classes, working with a healthcare provider, or using online resources to learn about diabetes self-management.
The purpose of diabetes education and management is to empower individuals with diabetes to take control of their health, improve their quality of life, and prevent long-term complications.
Information such as blood sugar levels, medication adherence, diet and exercise habits, and any complications or concerns related to diabetes management should be reported.
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