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Assessment of self-management record<br />
• Capillary blood glucose<br />
. SMBG: frequency and techniques<br />
• Record of hypoglycaemias<br />
• Weight<br />
Diabetologic education<br />
• Initial educational program<br />
• Minimum advice to stop smoking<br />
• Annual enhancement interventions<br />
13.2. Content of the medical consultation<br />
An anamnesis, a full physical examination and an analytic determination are to be<br />
carried out on an annual basis to assess the existence of complications (see table<br />
14).<br />
Expert<br />
opinion<br />
4<br />
Every six months or every year, an assessment of the control and therapeutic<br />
plan aims, as well as an adaptation of these if so required, is to be carried out.<br />
The frequency of the tasks to be performed with the diabetic patient is shown<br />
in table 14.<br />
Table 14. Frequency of the tasks to be carried out in the medical consultation<br />
(modified by GEDAPS) (6)<br />
Initial visits<br />
Diagnosis<br />
Control visits<br />
Every six<br />
months<br />
Annual<br />
Weight/BMI <br />
BP/ Heart Rate (HR) <br />
HbA 1<br />
c <br />
Lipid profi le <br />
Albumin/creatinine ratio <br />
Creatinine (plasma) <br />
Ocular exploration 1<br />
Feet exploration<br />
(Inspection, monofi lament or<br />
vibration and average pulse)<br />
<br />
<br />
Electrocardiogram (ECG) 2<br />
Diet compliance <br />
Exercise compliance <br />
Pharmacological compliance <br />
Check SMBG record <br />
118 CLINICAL PRACTICE GUIDELINES IN THE NHS
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