Type 2-diabetes - Sundhedsstyrelsen

and treatment of these patients prevent ulcers and amputations (B). In
contrast, there is no evidence for isolated screening of other late diabetic
complications.
H It is recommended that screening for diabetic retinopathy be performed
by fundus photography (B).
H Screening for diabetic retinopathy should be performed in specialist clinics
as the examination requires special apparatus (D).
H Telescreening for diabetic retinopathy via the Internet is a new organisational
principle that can combine the need to enhance decentral availability
of the examinations with centralised specialised gradation and registration
for systematic quality assurance (A).
H Screening for diabetic foot problems could possibly be combined as a
»package solution« with screening examinations for some of the late diabetic
complications for which there is no evidence to suggest that they
should be screened for in isolation, i.e. annual examination of sensation,
pulse and skin surface for the legs and feet combined with measurement
of albuminuria and electrocardiography. This screening is probably best
undertaken by the Type 2 diabetes patient’s usual diabetes therapist (who
should consequently be responsible for ensuring that it is carried out). As
far as the feet are concerned, though, this is probably best carried out by
a podiatrist (D).
H Due to the marked regional variation in quality and extent of screening
activity it is recommended that screening for late diabetic complications
should be systematically registered in databases, and that its quality should
be monitored (D).
92 Type 2-diabetes. Medicinsk teknologivurdering af screening, diagnostik og behandling