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    Texas Diabetes Prevention & Control Program
    P.O. Box 149347, MC 1945
    Austin, Texas 78714-9347
    1100 West 49th Street
    Austin, TX 78756

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TDC Tool Kit - Algorithms & Guidelines

Resources | Algorithms & Guidelines | Order Patient Materials | DSME Information -

Algorithms & Guidelines

Minimum Standards for Diabetes Care in Texas

In 1995, the Texas Diabetes Council Managed Care Work Group first developed Minimum Standards for Diabetes Care Under Managed Care in Texas. The title was changed in 1999 to Minimum Standards for Diabetes Care in Texas to reflect consensus that these standards should be met under all types of health care plans and delivery systems. They are used to define minimum benefits for health plans regulated by the Texas Department of Insurance.

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Treatment Algorithms, Protocols, Guidelines, and Recommendations

The Texas Diabetes Council presents the following treatment algorithms to assist in the delivery of primary care practice. 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


Weight Loss



Glycemic Control

Cardiovascular Risk Reduction

Insulin Administration

Foot Care

  • Diabetic Foot Care Approved: 04/23/04 Publication Number: E45-12000 (PDF, 627kb)
    • Diabetic Foot Screen Approved: 04/23/04
    • Diabetic Foot Exam Approved: 04/23/04
    • Diabetic Foot Care/Referral Algorithm Approved: 04/23/04
    • High Risk Scenario and Ulcer Management Approved: 04/23/04
  • Foot Screening Mapping Examples (supplement) (PDF, 1MB)

Pain Management

Download the TDC Tool Kit in PDFDownload Tool Kit Lg

(Publication Number: E10-114, Published August 2009, Revised July 2012)

The Sixth Edition of the Diabetes Tool Kit is divided into the three sections indicated below. When opened, 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 on your computer. Treatment Algorithms, Protocols, Guidelines and Recommendations are updated more frequently than other sections of the Tool Kit. To access the most recent version of the documents found in this section, visit the Algorithms and Guidelines listed above to download the document you’re interested in using.

1. Health Care Professional Education (PDF, 3.8 MB)


  1. Overview
  2. Standards & Practice Recommendations
  3. Pregnancy & Diabetes
  4. Monitoring
  5. Acute Complications of Diabetes
  6. Chronic Complications of Diabetes
  7. Diabetes Education
  8. Medications
  9. Resources

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


  1. Prevention
  2. Weight Loss
  3. Exercise
  4. Nutrition
  5. Glycemic Control
  6. Cardiovascular Risk Reduction
  7. Insulin Administration
  8. Foot Care
  9. Pain Management
  10. Care of the Elderly

3. Patient Handouts in English (PDF, 10.5 MB) Patient Handouts in Spanish (PDF, 9.7 MB)

Copy patient handouts as needed for patient education.


  1. Overview
  2. Pregnancy
  3. Monitoring
  4. Nutrition
  5. Physical Activity
  6. Medications
  7. Acute Complications of Diabetes
  8. Chronic Complications of Diabetes
  9. Hygiene
  10. Psychosocial Issues
  11. Miscellaneous
  12. Resources
Last updated July 27, 2017