Practice Enhancement Program. GUIDELINES FOR CHART REVIEW. DIABETES Casual PG 11.1plus symptoms of diabetes q YES q NO. 75g OGTT 2hour PG 11.1 mmol/l q YES q NO …
Practice Enhancement Program
GUIDELINES FOR CHART REVIEW
DIABETES
Diagnosis - criterion met: FPG ? 70 mmol/l YES
NO
Casual PG ?111plus symptoms of diabetes
YES NO
75g OGTT 2hour PG ?111 mmol/l YES
NO
Identification of Type Type 1 YES
NO
Type 2 YES
NO
Non Type 1 Type 2 YES
NO
Management
a Lifestyle Modification: Diet YES
NO
Weight YES
NO
Exercise YES NO
Glucose monitoring YES
NO
Education - DE referral YES
NO
b Medication - includes the following:
Sulphonamides YES NO
Biguanides
Alpha glucosidase inhibitors
Thiazolidinediones
Insulin
Continuing Care - evidence of the following:
a Glucose monitoring - verification of monitor
YES NO
b Measurement of long term control ie A1C q3-4months
YES NO
c Evidence of appropriate management to achieve control
YES NO
d Patient follow-up YES
NO
e Evaluation of co-morbid conditions
i Renal - urine ACR / microalbuminuria, U/A,
serum creatinine, creatinine clearance YES
NO
ii CVS - hypertension, peripheral vascular disease, cardiac
status YES NO
iii Lipids - periodic measurement and appropriate treatment
YES NO
iv Psychologic aspects YES
NO
v Hypoglycemia YES
NO
vi Obesity YES
NO
vii Neuropathy YES NO
viii Footcare YES
NO
ix Retinopathy
YES NO
x Erectile Dysfunction YES
NO
f Pre-pregnancy planning YES
NO
Reference: The Expert Committee on the Diagnosis and Classification of
Diabetes Mellitus Report of the Expert Committee on the Diagnosis and
Classification of Diabetes Mellitus Diabetes Care 2003:26suppl 1:S5-
S20
———————–
Source:slvhmo.com
