AJGP Clinical Challenge May 2019: Diabetes
To provide guidance for the general practitioner in the diagnosis and management of diabetes.Relevance to General Practice
It is estimated that one million Australian adults had type 2 diabetes (T2DM) in 2014–15. Severe hyperglycemia in T2DM can lead to hyperosmolar hyperglycaemic state, which has a mortality rate of up to 20%. The Australian Diabetes Society has released statements indicating that patients with glycated haemoglobin (HbA1c) of 6–6.4% should not be retested for T2DM by either HbA1c or fasting blood glucose (FPG); however, there is evidence that patients with FPG levels consistently greater than 7 mM may still have normal HbA1c levels and would benefit from diet and lifestyle modifications to prevent microvascular complications. Each year, approximately 2500 Australians are diagnosed with type 1 diabetes (T1DM). Although T1DM has historically been managed by finger pricks and multiple injections, new technology – including insulin pumps, which are used by 12% of patients with T1DM – is changing treatment options for patients with T1DM.
References on file.
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
Comprehensive and holistic management plans are developed collaboratively
D3. Population health and the context of general practice
The patterns and prevalence of disease are incorporated into screening and management practices
D4. Professional and ethical role
D5. Organisational and legal dimensionsCurriculum Contextual Units
- Adult health