PO Box 4066 Alice Springs NT 0871
P: +61 8 8951 4700
General Enquiries: remotephcmanuals@flinders.edu.au
Common problems with diabetes especially if high BGLs
Risk factors for diabetes
Diagnosis of diabetes needs
About symptoms of high blood glucose
Symptoms and signs of high blood glucose
Table 4.12 Interpreting results for prediabetes and diabetes
*Prediabetes is not relevant for people with type 1 diabetes. The prediabetes threshold
of 5.7–6.4% is as per the American Diabetes Society guidelines
# Consider further testing with HbA1C or OGTT
Medical consult if
Ketones in urine/blood can mean
Ongoing care
Includes impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and raised HbA1c
HbA1c targets
High HbA1c levels increase risk of complications — any decrease in HbA1c is useful. Always be encouraging about improvements
OR if a history of severe hypoglycaemia, limited life expectancy or elderly — HbA1c 64mmol/mol (8%)
OR individual target as per care plan
BGL monitoring and targets
Must be prescribed by doctor or nurse practitioner
Table 4.13 Medicines for blood glucose control in adults with Type 2 diabetes
Metformin
Table 4.14 Glucose lowering medicines in type 2 diabetes
Diabetes educator/doctor/nurse practitioner consult required for starting and adjusting insulin — consider specialist input
Consider starting insulin in type 2 diabetes when
Starting insulin
Insulin dosing
Table 4.15 Glargine insulin treatment in type 2 diabetes
Table 4.16 Frequency of feet checks
Type 2 diabetes increases risk of more frequent and severe dental/oral disease — risk also increased by poor dental hygiene, smoking, high BGLs
Supporting resources
PO Box 4066 Alice Springs NT 0871
P: +61 8 8951 4700
General Enquiries: remotephcmanuals@flinders.edu.au