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Rochedale Family Practice

(07) 3341 2022

Type 2 diabetes: annual cycle of care

A practical overview of the regular checks that support diabetes management and identify complications early.

Diabetes care is individual. The checks and timing appropriate for you depend on your health, treatment, results and risks, so follow the plan agreed with your care team.

At a glance

  • Book regular diabetes reviews rather than waiting for symptoms.
  • Bring glucose records if your clinician has asked you to monitor.
  • Keep pathology, eye, foot and medicine reviews current.
  • Ask what your individual targets and next review dates are.

Bring to your review

  • An up-to-date list of medicines, allergies and supplements.
  • Blood glucose readings or device reports if requested.
  • Information about hypos, high readings or difficulty following the plan.
  • Reports from your optometrist, podiatrist, diabetes educator or specialists if needed.
  • Questions about eating, activity, driving, work, pregnancy planning or sick days.

Areas commonly reviewed

  • HbA1c and your individual glucose goals.
  • Blood pressure, cholesterol and cardiovascular risk.
  • Kidney tests, foot assessment and eye screening.
  • Medicines, injection technique and monitoring devices where relevant.
  • Eating, activity, smoking, emotional wellbeing, vaccinations and dental health.

When to book a GP review

  • Readings are repeatedly outside the range agreed with your clinician.
  • You have episodes of low glucose or are unsure how to prevent or treat them.
  • There is a new foot wound, redness, swelling or loss of sensation.
  • You are unwell and unsure how to manage diabetes medicines, food or fluids.
  • Vision changes, medicine side effects or practical difficulties are affecting care.

Keep the plan connected

  • Record when each check was completed and when it is next due.
  • Confirm who will follow up results and referrals.
  • Arrange earlier review after a medicine change, hospital admission, repeated hypo or persistent high readings.

Emergency advice

Call 000 for unconsciousness, a seizure, severe breathing difficulty, signs of stroke or heart attack, severe confusion, or another severe or rapidly worsening problem. Follow your individual hypoglycaemia and sick-day plan where applicable.

Rochedale Family Practice is not an emergency service.

Full online resource: https://rochedalefp.com.au/patient-resources/type-2-diabetes-annual-cycle-of-care/

Condition Management

Type 2 diabetes:annual cycle of care

A practical overview of the regular checks that support diabetes management and identify complications early.

For adults living with type 2 diabetes who want to prepare for regular health reviews and keep important checks current.

Diabetes care is individual. The checks and timing appropriate for you depend on your health, treatment, results and risks, so follow the plan agreed with your care team.

Key Actions

At a glance

  • Book regular diabetes reviews rather than waiting for symptoms.
  • Bring glucose records if your clinician has asked you to monitor.
  • Keep pathology, eye, foot and medicine reviews current.
  • Ask what your individual targets and next review dates are.

Care

Bring to your review

  • An up-to-date list of medicines, allergies and supplements.
  • Blood glucose readings or device reports if requested.
  • Information about hypos, high readings or difficulty following the plan.
  • Reports from your optometrist, podiatrist, diabetes educator or specialists if needed.
  • Questions about eating, activity, driving, work, pregnancy planning or sick days.

Activity

Areas commonly reviewed

  • HbA1c and your individual glucose goals.
  • Blood pressure, cholesterol and cardiovascular risk.
  • Kidney tests, foot assessment and eye screening.
  • Medicines, injection technique and monitoring devices where relevant.
  • Eating, activity, smoking, emotional wellbeing, vaccinations and dental health.

Bring the whole picture together

An annual cycle of care reviews glucose management alongside heart, kidney, eye, foot and general health. Some checks are needed more often than once a year and may occur across several appointments.

More information

Individual targets and timing

Individual targets and timing

  • There is no single glucose, blood-pressure or HbA1c target that is right for everyone.
  • Pregnancy, frailty, kidney disease, recurrent hypoglycaemia and other circumstances may substantially change management.

Contact

When to contact the practice

Contact your care team

  • Readings are repeatedly outside the range agreed with your clinician.
  • You have episodes of low glucose or are unsure how to prevent or treat them.
  • There is a new foot wound, redness, swelling or loss of sensation.
  • You are unwell and unsure how to manage diabetes medicines, food or fluids.
  • Vision changes, medicine side effects or practical difficulties are affecting care.

Follow-Up

Keep the plan connected

  • Record when each check was completed and when it is next due.
  • Confirm who will follow up results and referrals.
  • Arrange earlier review after a medicine change, hospital admission, repeated hypo or persistent high readings.

Review due September 2027

Next Actions

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External Resources

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