Friday, September 9, 2011

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Newly diagnosed Diabetes Mellitus type 2 - minimum assessment

1) Measurement of height, weight, waist, BMI
2) Measurement of blood pressure 
3) Examination of feet for pulses, loss of sensation to touch/vibration, signs of 
4) Measurement of visual acuity 
5) Urine tested for albumin, ketones and glucose 
6) Record made of current physical activity/recreational exercise levels, smoking 
history and alcohol consumption, addition of salt to prepared food 

If the resources and laboratory facilities are available then the following may be desirable. 
•  ECG as baseline 
•  Fasting blood lipids-cholesterol and triglycerides, HDL, LDL 
•  Serum urea and creatinine for those with proteinuria 
•  Retinal examination by fundoscopy 
•  Urine for microalbuminuria if dipstick –ve 
•  Glycosylated haemoglobin (HbA1c) 


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