# patvann/manage-uncontrolled-diabetes-hypothyroidism-cushings

ObesityDiabetes

### Target Population

Patients who have abnormal laboratory test results related to endocrinological conditions. Individuals with high Hemoglobin A1c (A1c) levels, abnormal Thyroid Stimulating Hormone (TSH) levels, or elevated 24-hour urine cortisol levels.

### Recommendations

If a patient's A1c is greater than 9, or if their TSH or 24-hour urine cortisol levels are abnormal, they should be referred to their primary care provider (PCP) or a specialist, such as an endocrinologist.

### Importance

Ensuring that patients with significant endocrine abnormalities receive timely and appropriate follow-up care. By systematically identifying and referring patients with abnormal lab results.

### Conclusion

Automates the process of managing abnormal lab results related to endocrine disorders. It evaluates test results, determines if referrals are necessary, and updates the clinician’s workflow accordingly.

## Resources

### The Role of Clinical Care Pathways in Diabetes Management

A clinical care pathway guides clinicians in optimal treatment for specific conditions, aiming to improve care quality, reduce practice variation, and use resources efficiently. Based on evidence-based guidelines, these pathways outline recommendations for screening, diagnosis, monitoring, and treatment across the disease continuum, influencing care quality and outcomes, especially for chronic conditions like type 2 diabetes.

[View Resource Paper](https://canvas-website.cdn.prismic.io/canvas-website/ZtkWdrzzk9ZrXAc2_LillyWhitepaperGuidelinesEMRPubMockup_DL_042321_v11.pdf)