Annual Review Targets
| Assessment parameter | Target | |||
| Height | ||||
| Body weight
& waist circumference |
BMI <25 (weight(kg)/height(m)2 )or Waist circumference to be in low risk category <94cm for men <80cm for women |
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| Blood pressure |
BP < 130/80 if no complications and no treatment use ACE or AT2 blocker if renal/eye complications to acheive above target . 120/70 target for younger renal disease |
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| Injection sites | Free from lipodystrophy | |||
| Feet | Maintain the patients foot in an intact state | |||
| Pedal pulses | Palpate dorsum of foot (doralis pedis) and beneath medial malleolus (posterior tibial artery) | |||
|
Feet sensation |
Sensation to be intact in 5 sites on plantar aspect of foot with 10G monofilament |
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| Eyes | To undergo retinal screening annually | |||
| Blood Glucose | Targets (Diabetes UK) | |||
|
|
Good |
Borderline |
Poor |
|
|
Plasma glucose mmol/l Fasting
Postprandial
HbA1c |
4.4 – 6.1
4.4 – 8.0
< 6.5 |
6.2 – 7.8
8.1 – 10.0
6.5 – 7.5 |
> 7.8
> 10.0
> 7.5 |
|
|
Cholesterol |
Cholesterol <4.0mmol/l LDL < 2.0 Triglyceride <1.7mmol/l HDL-C >1mmol/l m. 1.3 F Refer to CV risk pathway. The above is for type 2 diabetes, T1 DM for more than 10 years or T1 DM and complications |
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|
eGFR |
measure annually, refer if <60 |
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|
ACR |
measure annually (if +ve go to kidney disease) |
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|
Urine dipstick for protein |
Negative , if +ve and no infection refer (see kidney disease) |
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Diabetes Behaviour Review |
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Cigarette smoking |
STOP! |
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| Diet |
Avoids high sugar sources, eats: regular meals including high fibre starchy food, low total fat especially saturates, one portion of oily fish per week, at least 5 portions of fruit & vegetables per day |
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| Alcohol |
less than 21 units for men Less than 14 units for women per week |
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| Exercise |
30 minutes moderate intensity (link to definition in weight management arm) exercise 5 x weekly |
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| Use of devices |
Appropriate use of blood glucose meters, finger pricking devices and insulin injection devices |
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| Sexual Health |
discuss erectile dysfunction and give advice or prescribe |
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