Don’t prescribe screenings for diabetes complications that are not in accordance with the national guidelines.

Don’t prescribe screenings for diabetes complications that are not in accordance with the national guidelines.

Type of practice

Other tests

Age

Adult, Geriatric

Topic Area

Diabetology

Diabetic retinopathy
In the absence of diabetic retinopathy, don’t repeat the Fundus Oculi test following diagnosis (the first Fundus Oculi has diversified frequency for type 1 Diabetes and for type 2) more frequently than once every two years. If the retinopathy is progressive, the test must be carried out more frequently.

Diabetic Polyneuropathy
Don’t carry out an electrophysiological test for the screening of diabetic polyneuropathy.

Peripheral arteriopathy
Don’t carry out an ecocolodoppler test for the screening of peripheral arteriopathy

Sources

1. Boulton AJ, Armstrong DG, Albert SF, et al. American Diabetes Association; American Association of Clinical Endocrinologists. Comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists. Diabetes Care 2008; 31: 1679–1685.
2. Aspelund T, Thornórisdóttir O, Olafsdottir E, et al. Individual risk assessment and information technology to optimise screening frequency for diabetic retinopathy. Diabetologia 2011, 54; 2525-2532.
3. AMD-SID. Standard italiani per la cura del diabete mellito 2014. www.standarditaliani.it

Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.