Guidelines
The New Zealand Primary Care Handbook 2012 details the process for identification of patients at high risk of diabetes-related complications (www.health.govt.nz/system/files/documents/publications/nz-primary-care-handbook-2012.pdf).
Determining level of risk for macrovascular and microvascular complications is a key component of treatment planning and target setting for each individual with type 2 diabetes:
the risk of complications varies greatly across the diabetic population
the aim is prevention of complications, especially targeting those at high risk
patients with existing complications (eg, foot, eye, kidney or cardiovascular disease) are in a high-risk category and should be managed intensively.
Detailed advice is provided in figures 2 and 3 (pages 50 and 51) in the New Zealand Primary Care Handbook 2012.
Refer to national guidelines and local clinical pathways for guidance on criteria and timing for referral for specialist services and ongoing care, specific to the relevant complication.
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