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Monitoring and annual audit (diabetes mellitus)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Three-monthly during first year, then six-monthly, check:

  • current health, medication and compliance
  • history of hypo- and hyperglycaemic episodes
  • blood or urine testing diary
  • BP pulse weight and BMI (& height if no record)
  • visual acuity and feet
  • blood glucose and 6-monthly HbA1c
  • patient concerns

Annual audit same as three/six-monthly monitoring plus:

  • lifestyle assessment (alcohol, smoking etc)
  • fundoscopy with dilated pupils
  • blood tests: U+E creatinine, lipids
  • urine protein test:
    • if positive, check microalbuminuria x3
    • if persists, start ACE inhibitor as per BNF guidance
  • macrovascular examination (heart, carotids, peripheral circulation)

 

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