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Setting the Standards

Joslin Diabetes Center has developed clinical guidelines to help healthcare providers, both at Joslin and in the community, improve the treatment and care of people with diabetes. These guidelines, which are recommendations for clinical practice and treatment, were developed by experts from Joslin Diabetes Center, the world’s leading institution in diabetes research and treatment. They are unique in that they are clear, concise and easy to use.

The primary objective of Joslin Diabetes Center’s Clinical Guidelines is to support clinical practice and influence clinical behaviors of providers so that patient outcomes are improved, and patient expectations are informed and reasonable. The guidelines serve as the basis for all of Joslin’s clinical programs, care pathways, professional and patient education programs, and self-management materials. They are used at Joslin in Boston, at our affiliates across the country and in our outreach programs worldwide.

Joslin’s clinical guidelines are established and updated after careful review of current medical literature and sound clinical practice, and then reviewed and approved by Joslin’s Clinical Oversight Committee. This Committee is chaired by the Director of Disease Management, and reports to Joslin Diabetes Center’s Chief Medical Officer.

Process

The process to write, review and revise Joslin's Clinical Guidelines encourages free discussion of evidence in research and clinical practice, and draws upon the diverse expertise of Joslin’s clinicians, researchers and educators.

Our clinical guidelines are posted on Joslin's website for individual use and they are distributed to attendees of Joslin’s professional education seminars.

Joslin's Clinical Guidelines are reviewed at least annually but are revised as current evidence and clinical practice require. Please check back frequently to ensure that you have the most recent version of each guideline.

Clinical Guidelines

The primary objective of each guideline is to support clinical practice and influence clinical behavior so that outcomes are improved and patient expectations are informed and reasonable.

The Joslin Clinical Guideline for Adults with Diabetes is designed to assist primary care physicians and specialists individualize the care of and set goals for non-pregnant adults with diabetes.

Download PDF of the Clinical Guidelines for Adults

The objectives of the Joslin Diabetes Center and Joslin Clinic Clinical Guideline for Pharmacological Management of Adults with Type 2 Diabetes are to support clinical practice, influence clinical behavior to improve outcomes, and to assure quality of care according to accepted standards.

Download PDF of the Pharmacological Guidelines 

The Joslin Clinical Guideline for Inpatient Management of Surgical and ICU Patients with Diabetes is designed to assist primary care physicians and specialists individualize the care and set goals for adult, non-pregnant patients with diabetes who are undergoing surgery.

Download PDF of the Inpatient Management of Surgical Patients with Diabetes Guidelines

The Joslin Guideline for Specialty Consultation/Referral is designed to assist primary care providers in individualizing the care and goals for adult patients with diabetes, including those who are pregnant

Download PDF of the Guideline for Specialty Consultation/Referral

The Joslin Guideline for Detection and Management of Diabetes in Pregnancy is designed to assist internal medicine specialists, endocrinologists and obstetricians in individualizing the care of and setting goals for women with pre-existing diabetes who are pregnant or planning pregnancy.


Download PDf of the Guidelines for Diabetes in Pregnancy

The Beth Israel Deaconess Medical Center/Joslin Diabetes Center Guideline for Management of Uncontrolled Glucose in the Hospitalized Adult is designed to assist primary care and emergency department providers to individualize the care of adult patients who present with hyperglycemia, diabetic ketoacidosis, hyperosmolar hyperglycemic state, or hypoglycemia.

Joslin Diabetes Center Guideline for Management of Uncontrolled Glucose in the Hospitalized Adult is designed to assist primary care and emergency department providers to individualize the care of adult patients who present with hyperglycemia, diabetic ketoacidosis, hyperosmolar hyperglycemic state, or hypoglycemia.


Download PDF of the Guidelines for Management of Uncontrolled Glucose in the Hospitalized Patient

The Joslin Guideline for the Care of the Older Adult with Diabetes is designed to assist primary care physicians, specialists, and other healthcare providers address the unique challenges and issues of the older person with diabetes.


Download PDF of the Guideline for Care of Older Adults with Diabetes

The Joslin Clinical Nutrition Guideline for Overweight and Obese Adults With Type 2 Diabetes, Prediabetes or Those at High Risk for Developing Type 2 Diabetes is designed to assist primary care physicians, specialists, and other healthcare providers in individualizing the care of and set goals for adult, non-pregnant patients with type 2 diabetes or individuals at high risk for developing type 2 diabetes. 

Download PDF of the Clinical Nutrition Guideline for Overweight/Obese Adults with Type 2 Diabetes