2,46 Mb - GuÃaSalud
2,46 Mb - GuÃaSalud
2,46 Mb - GuÃaSalud
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Initial visits<br />
Diagnosis<br />
Control visits<br />
Every six<br />
months<br />
Annual<br />
Investigate hypoglycaemias <br />
Educational interventions <br />
DM diagnosis and classifi cations<br />
Chronic complication screening<br />
and assessment<br />
<br />
<br />
<br />
Establish and assess therapeutic<br />
aims<br />
<br />
Propose a therapeutic and<br />
educational plan<br />
<br />
<br />
Complication anamnesis <br />
Cardiovascularr risk calculation <br />
Anti-tobacco advice <br />
Infl uenza vaccine<br />
<br />
1. According to the protocol on retinopathy. Every three years if there is no retinopathy and every two years if there is<br />
non-proliferative retinopathy.<br />
2. In case of coronary heart disease or cardiac rhythm disorders.<br />
13.3. Frequency of consultations<br />
The consultations will be programmed depending on the level of metabolic control,<br />
the needs of the educational process and the time of evolution of diabetes.<br />
After the diagnose, every two weeks, the treatment is to be adjusted and the<br />
basic educational program developed. Insulinization requires a frequency of daily<br />
visits during the first week. After the first year of diagnose, stable diabetics or<br />
those without any changes in the treatment, will keep to the following frequency<br />
of consultations:<br />
Expert<br />
opinion<br />
4<br />
• One or two medical consultations per year (table 14).<br />
• Three or four nursing visits per year, which include educational intervention<br />
(table 14).<br />
CLINICAL PRACTICE GUIDELINE ON TYPE 2 DIABETES 119