Vital Diabetes Management

Contents......Page 6
Introduction......Page 10
Acknowledgements......Page 11
THE QUALITY AND OUTCOMES FRAMEWORK......Page 12
EXEMPTION REPORTING......Page 13
REWARDS FOR HIGH-QUALITY CARE......Page 14
SECONDARY CARE......Page 17
THE PREVALENCE OF DIABETES IN YOUR PRACTICE......Page 19
THE ACCURACY OF YOUR PRACTICE DIABETES REGISTER......Page 20
DIAGNOSING DIABETES......Page 22
SELF-MONITORING OF BLOOD GLUCOSE......Page 25
THE STAFFING OF DIABETES CLINICS......Page 27
CARE PLANNING......Page 31
4 Achieving glycaemia targets......Page 34
REDUCING THE RISK OF COMPLICATIONS......Page 36
ORAL ANTI-OBESITY THERAPIES......Page 38
THE METHOD......Page 40
HANDLING THE RESULTS FROM THE RETINAL SCREENING PROGRAMME......Page 43
BACKGROUND......Page 44
RISK FACTORS FOR FOOT ULCERATION......Page 45
PREVENTION OF FOOT ULCERATION......Page 46
ACTION TO TAKE FOR NEW FOOT ULCERS AND/OR CELLULITIS OF THE FOOT......Page 47
KEY COMPONENTS OF GOOD BLOOD PRESSURE MEASUREMENT......Page 49
CONTROLLING HYPERTENSION......Page 50
DRUG THERAPY......Page 51
BLOOD PRESSURE TARGETS......Page 52
8 Microalbuminuria and kidney function......Page 53
KIDNEY DISEASE IN DIABETES......Page 54
MICROALBUMINURIA IN HEALTHY PEOPLE......Page 55
MICROALBUMINURIA AND HYPERTENSION......Page 57
CREATININE AND eGFR......Page 58
PRACTICAL STEPS......Page 60
10 Influenza immunisation......Page 63
11 Depression......Page 65
SCREENING QUESTIONS......Page 66
Clinical quality indicators for diabetes and scores for 2004/5 and 2005/6......Page 67
Clinical quality indicators for diabetes from 1 April 2006......Page 69
Sample practice letter for booking appointments for diabetes review clinics......Page 72
Sample practice letter for follow-up of a one positive microalbuminuriaresult......Page 73
Glossary......Page 74
References......Page 76
Resources......Page 77