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Cardiology
• Coronary heart disease suspicion or existence.
Neurology
• Transient ischemic attact.
Ophthalmology
• If there is no retinograph available (non-mydriatic digital camera) in primary
care, refer in the first visit. Afterwards, if there is no retinopathy,
every three years; if there is non-proliferative retinopathy, every two years.
Hospital emergencies
• Suggestive signsof hyperglycemic-hyperosmolar coma or diabetic ketoacidosis.
• Severe hypoglycaemia or hypoglycaemic coma, especially if it is secondary
to a treatment with oral anti-diabetic agents (sulfonylureas).
• Severe hyperglycaemia which requires initial treatment with insulin and
which cannot be done in primary care.
13.6. Registration systems
The interventions which use reminder systems or databases, flow diagrams and
feedback of the information are considered more effective to improve the quality
of the care process (290; 291).
Monitoring is recommended, especially by computed means, of the results
both of the process and the outcomes, to remember and record the carrying out of
explorations and to improve the quality of the care provided to diabetic patients.
A record system of diabetic patients is recommended, to have an estimate of
the prevalence in each Autonomous Community, as well as reminder systems of
opportunistic screening to be done during the medical consultations.
SR of RCT
1+
CLINICAL PRACTICE GUIDELINE ON TYPE 2 DIABETES 121