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2,46 Mb - GuíaSalud

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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

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