Diabetic care: an integrated subspecialty and primary care approach

The University of Virginia Department of Medicine has reorganized its adult diabetic ambulatory care program to provide optimal primary care and subspecialty services. This new program, the Diabetes Consult Service of the University Medical Associates, is organized to provide primary care by a single physician in addition to subspecialized medical, podiatric, educational, and nutritional services for each patient. The system avoids many of the common problems encountered in providing care to adult diabetics in a university hospital setting ahd has been well accepted by both patients and providers.