Recommended Assessments for Type 2 Diabetes

As identified in the 2012 ADA Standards of Diabetes Care*

ü Check if completed within past year at recommended frequency

Frequency of

Completion

Physical ( Should come after the History)

c    

Measures of blood pressure recorded

Quarterly

c    

Height, weight, and BMI measured and plotted on growth chart

Quarterly

History ( should come before the physical examination)

c    

Medications and comorbidities

Quarterly

c    

Changes to diabetes regimen and medication  doses

Quarterly

c    

Review of blood glucose values

Quarterly

c    

Review of insulin administration records if patient is receiving injections

Quarterly

Laboratory

c    

HbA1c

Quarterly

c    

Spot urine microalbumin:creatinine ratio or albumin excretion rates

At onset and annually, or more frequently if previous results were abnormal or develops hypertension

c    

Lipids

At onset and annually, or more frequently if previous results were abnormal

c    

Liver function (AST and ALT)

At onset and annually, or more frequently if previous results were abnormal

Treatment

c    

Ophthalmologic referral for children

At onset and annually

c    

Recommend/provide inactivated influenza vaccine for children ≥6 months of age

Annually

c    

Nutrition consultation

At onset and as clinically needed

^*Also see ISPAD Clinical Practice Consensus Guidelines, another source of consensus guidelines on the medical management of pediatric diabetes, which may differ slightly in its recommendations.