• Diabetes News You Can Use
    Contact Us

    Texas Department of State Health Services
    Diabetes Prevention & Control Program
    PO Box 149347, MC 1965 
    Austin, Texas 78714-9347
    1100 West 49th Street
    Austin, TX 78756 

    Phone: 512-776-2834  
    Fax: 512-776-7408 
    Email: diabetes@dshs.texas.gov   

Practitioner Resources


Diabetes in Texas is a tool designed to inform individuals, healthcare providers, educators, and medical organizations about diabetes prevention and self-management resources. Resources include:

  • Referral forms for diabetes self-management education (DSME) and nutrition management therapy (MNT)
  • Locator for American Diabetes Association (ADA)-accredited/Association of American Diabetes Educators (AADE)-recognized DSME programs
  • Free diabetes education materials

For more information, visit diabetesintexas.com

Diabetes Toolkit

The Diabetes Toolkit is an online electronic resource that includes professional and patient education materials. It assists primary care providers, educators and health plans in delivering quality care and implementing improvement efforts.

The Diabetes Toolkit is divided into three sections listed below. Each PDF file displays an open “Bookmarks” tab for ease of navigation between chapters and topics. If you have difficulty viewing or using the files online, download each file to your computer by right-clicking on the link and choosing “Save Target As.” You will then be prompted to select a location to save the file to your computer.

Diabetes Toolkit

Section 1: Health Care Professional Education (PDF, 3.8 MB)

Chapters: Overview, Standards & Practice Recommendations, Pregnancy & Diabetes, Monitoring, Acute Complications of Diabetes, Chronic Complications of Diabetes, Diabetes Education, Medications, and Resources

Section 2: Treatment Algorithms, Protocols, Guidelines, and Recommendations (PDF, 6.4 MB)

Chapters: Prevention, Weight Loss, Exercise, Nutrition, Glycemic Control, Cardiovascular Risk Reduction, Insulin Administration, Foot Care, Pain Management, and Care of the Elderly

Note: Treatment Algorithms, Protocols, Guidelines and Recommendations are updated more frequently than other sections of the Toolkit. To access the most recent version of the documents found in this section, visit the Algorithms and Guidelines listed below 

Section 3: Patient Handouts in English (PDF, 10.5 MB); Patient Handouts in Spanish (PDF, 9.7 MB)

Chapters: Overview, Pregnancy, Monitoring, Nutrition, Physical Activity, Medications, Acute Complications of Diabetes, Chronic Complications of Diabetes, Hygiene, Psychosocial Issues, Miscellaneous, and Resources

Treatment Algorithms, Protocols, Guidelines and Recommendations

The Texas Diabetes Council presents these treatment algorithms to assist in the delivery of primary care. They have been developed by a panel of experts through an open, peer-reviewed process to assure that they are complete, accurate and consistent with the current state of knowledge on diabetes treatment.

Disclaimer: The algorithms and protocols adopted by the Texas Diabetes Council are based on the best information available at the time of adoption and designed to provide information and assist decision-making. They should not be interpreted as prescribing an exclusive course of management. Variations in practice will inevitably and appropriately occur when clinicians consider the needs of the individual patient, available resources and limitations unique to an institution or type of practice. Every professional using these guidelines is responsible for evaluating the appropriateness of applying them in any particular clinical situation.

A1c Goals

Texas Diabetes Council A1c Goals Revised: 04/24/14 (PDF, 147 kb)

Diabetes Minimum Practice Recommendations for Children and Adolescents Revised 10/27/16 (PDF, 81kb)

Diabetes Minimum Practice Recommendations for Adults Revised: 10/27/16 (PDF, 82kb)


Prevention and Delay of Type 2 Diabetes in Children and Adults Revised: 04/24/14 Publication Number: E45-11825 (PDF, 721kb)

Weight Loss

Weight Loss Algorithm for Overweight and Obese Adults Revised: 01/27/05 Publication Number: E45-11694 (PDF, 411kb)

Weight Management Algorithm for Overweight Children and Adolescents Approved: 04/28/05 Publication Number: E45-12083 (PDF, 272kb)


Exercise Recommendations for Diabetes Prevention and Weight Loss Revised: 10/27/16 Publication Number: E45-11266 (PDF, 74kb)


Prediabetes and Diabetes Medical Nutrition Therapy Algorithm for Adults Revised: 07/28/16 Publication Number: E45-10778 (PDF, 295kb)

Nutrition Recommendations and Interventions for Diabetes (supplement) Approved: 10/29/09 (PDF, 1.1MB)

Glycemic Control

Glycemic Control Algorithm For Type 2 Diabetes Mellitus in Adults Revised: 07/23/15 Publication Number: E45-11265 (PDF, 190kb)

Cardiovascular Risk Reduction

Hypertension Algorithm for Diabetes in Adults Revised: 01/28/16 Publication Number: E45-11267 (PDF, 112kb)

Lipid Algorithm for Type 1 and Type 2 Diabetes Mellitus in Adults Revised: 01/28/16 Publication Number: E45-10777 (PDF, 100kb)

Macrovascular Risk Reduction in Diabetes: Antiplatelet Therapy (supplement) Publication date: 2004 (PDF, 122kb)

Insulin Administration

Insulin Algorithm for Type 1 Diabetes Mellitus in Children and Adults Revised: 04/28/16 Publication Number: E45-11649 (PDF, 152kb)

Insulin Algorithm for Type 2 Diabetes Mellitus in Children and Adults Revised: 04/28/16 Publication Number: E45-11647 (PDF, 436kb)

  • Initiation of Once Daily Insulin Therapy for Type 2 Diabetes Mellitus in Children and Adults Revised: 10/28/10
  • Worksheet: Advancing to Intensive/Physiologic Basal: Bolus Insulin Therapy Revised: 01/27/10

IV Insulin Infusion Protocol for Critically Ill Adult Patients in the ICU Setting Revised: 10/25/07 Publication Number: E45-12063 (PDF, 154kb)

ICU Insulin Orders – IV Insulin Infusion Protocol Revised: 02/21/08 Publication Number: E45-12614 (PDF, 133kb)

Orders for Adults with DKA and Hyperglycemic Hyperosmolar State (HHS) Approved: 07/31/08 (PDF, 123kb)

Inpatient Protocol for Transition from I.V. to Basal/Bolus S.Q. Insulin Approved: 01/26/17 (PDF, 103kb)

Transition from I.V. to S.Q. Insulin Order Set Approved: 10/27/11 (PDF, 136kb)

Minimum Standards for the Initiation, Evaluation and Management of Insulin Pump Therapy Approved: 04/26/12 (PDF, 138kb)

Insulin Pump Therapy (supplement) (PDF, 258kb)

Foot Care

Diabetic Foot Care Approved: 04/23/04 Publication Number: E45-12000 (PDF, 627kb)

Foot Screening Mapping Examples (supplement) (PDF, 1MB)

Pain Management

Recommendations for Treatment of Painful Peripheral Diabetic Neuropathy in Adults Approved: 07/17/14 Publication Number: E45-12613 (PDF, 178kb)

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Last updated March 5, 2021