(1)(a) "Diabetes" means diabetes mellitus, a common chronic, serious systemic disorder of energy metabolism including a heterogeneous group of metabolic disorders characterized by an elevated blood glucose level.
(b) The terms "diabetes" and "diabetes mellitus" are synonymous and defined to include:
- (i) a person using insulin;
- (ii) a person not using insulin;
- (iii) an individual with an elevated blood glucose level induced by pregnancy; and
- (iv) a person with another medical condition or medical therapy that wholly or partially consists of an elevated blood glucose level.
(c) Diabetes includes an individual with:
- (i) complete insulin deficiency, or type 1 diabetes;
- (ii) insulin resistance with partial insulin deficiency, or type 2 diabetes; and
- (iii) an elevated blood glucose level induced by pregnancy, or gestational diabetes.
(2)(a) "Diabetes self-management training" means a program designed to help an individual learn to manage their diabetes in an outpatient setting.
(b) Self-management training topics include:
- (i) making lifestyle changes to effectively manage diabetes;
- (ii) avoiding or delaying the complications, hospitalizations, and emergency room visits associated with diabetes; and
- (iii) medical nutrition therapy.
- (3) "Medical equipment" means non-disposable or durable equipment used to treat diabetes.
- (4) "Medical nutrition therapy" means the assessment and therapy of a patient's nutritional status including diet modification, planning, and counseling services furnished by a registered licensed dietitian.
- (5) "Medical supplies" means a generally accepted single-use item used to manage, monitor, and treat diabetes, and to administer diabetic specific medication.
Terms used in this rule are defined in Section 31A-1-301. Additional terms are defined as follows:
KEY: insurance law
Date of Last Change: June 7, 2024
Notice of Continuation: February 6, 2026
Authorizing, and Implemented or Interpreted Law: 31A-2-201; 31A-22-626