Summary of Recommendations for the Management of People with Diabetes

• Screen all high risk groups for diabetes and place all people with diabetes on a Diabetes Register
• Monitor blood pressure at least 6 monthly and treat if hypertensive

	BP Treatment target
No target organ damage	140/80
Presence of microvascular/macrovascular complications	130/80
Proteinuria >1g/24 hours	125/75
Age >75 years	145/85

• Monitor HbA1c at least 6 monthly and optimise control while avoiding recurrent serious hypoglycaemia

HbA1C (%)	<7	7-8	8-9	>9
Control	Ideal	Fair	Poor	Very poor

• Monitor fasting lipids and add a statin if:
  • Patient has known macrovascular disease
  • Patient >30 years with diabetes and 1 other CHD risk factor provided BP <150/80
  
  
  
• Regular screening (at least annually) for:
  • proteinuria
  • foot complications
  • retinopathy

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