Self-Management and Out-Reach Program. (a) The center shall provide diabetes outpatient self-management training and education under the supervision of certified, registered and licensed health care professionals. (b) Self-management training and education shall take into consideration the self-management standards approved by the American Diabetes Association and shall help patients: (1) Assess the quality of medical care they receive; (2) Develop expectations for their role in the medical treatment; and (3) Compare their treatment outcomes to standard goals. (c) Self-management may include home visits, if necessary, by center staff to monitor: (1) Blood glucose; (2) Patient use of test strips for glucose monitors; (3) Blood pressure; (4) Use of insulin injections, pumps, and infusion devices; (5) Oral agents for controlling blood sugar; (6) Medical nutrition therapy and physical exercise; and, (7) Podiatric appliances for prevention of complications associated with diabetes. (8) Visits, as required by established medical treatment protocols. Source: PL 11-31, § 5.