Accepted at: Nov, 07, 2024
7:53 a.m.
Author:
braviboron
Related Deck:
1675118865074
Accepted
Rationale for new note
The RACGP diagnosis pathway is quite complicated. Could we add another, simpler card for general knowledge purpose? Doesn't have to look exactly like this, but something that summarises diabetes diagnostic criteria in one card?
This criteria is based off UpToDate, with references in Additional Resources field. eTG does not have clear diagnostic criteria unfortunately.
Welcome your thoughts.
Text
Diagnosis of diabetes:
{{c1::
1. Random blood glucose ≥ 11 mmol/L plus symptoms of hyperglycaemia
2. Fasting plasma glucose ≥ 7.1 mmol/L (8 Hours)
3. Haemoglobin A1C > 6.5%
4. OGTT (2 hour) ≥ 11 mmol/L
}}
Number of readings required: {{c1::2 readings, unless patient presents with unequivocal symptomatic hyperglycemia}}
Text
<b>Diagnosis of diabetes:</b><br><br><div>{{c1::<div>1. Random blood glucose ≥ 11 mmol/L plus symptoms of hyperglycaemia</div><div>2. Fasting plasma glucose ≥ 7.1 mmol/L (8 Hours)</div><div>3. Haemoglobin A1C > 6.5%</div><div>4. OGTT (2 hour) ≥ 11 mmol/L</div><div>}}</div><br><div>Number of readings required: {{c1::2 readings, unless patient presents with unequivocal symptomatic hyperglycemia}}</div></div>
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<img src="dab3fd6636f6d0b7710a8f108b6e9614.jpg">
Personal Notes
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Missed Questions
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Oxford Handbook
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Oxford Handbook
First Aid
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First Aid
AMBOSS
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eTG Complete
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eTG Complete
Talley & O'Connor
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Talley & O'Connor
Additional Resources
In the absence of unequivocal symptomatic hyperglycemia, the diagnosis of diabetes must be confirmed by repeat measurement, repeating the same or a different test for confirmation. However, if two different tests (eg, fasting plasma glucose and A1C) are available and are concordant for the diagnosis of diabetes, additional testing is not needed [23]. If two different tests are discordant, the test that is diagnostic of diabetes should be repeated to confirm the diagnosis [24]. (See "Clinical presentation, diagnosis, and initial evaluation of diabetes mellitus in adults", section on 'Diagnostic tests'.)
https://www.uptodate.com/contents/screening-for-type-2-diabetes-mellitus?search=diabetes diagnosis&topicRef=1812&source=see_link
https://www.uptodate.com/contents/screening-for-type-2-diabetes-mellitus?search=diabetes diagnosis&topicRef=1812&source=see_link
Additional Resources
In the absence of unequivocal symptomatic hyperglycemia, the diagnosis of diabetes must be confirmed by repeat measurement, repeating the same or a different test for confirmation. However, if two different tests (eg, fasting plasma glucose and A1C) are available and are concordant for the diagnosis of diabetes, additional testing is not needed [<a href="https://www.uptodate.com/contents/screening-for-type-2-diabetes-mellitus/abstract/23">23</a>]. If two different tests are discordant, the test that is diagnostic of diabetes should be repeated to confirm the diagnosis [<a href="https://www.uptodate.com/contents/screening-for-type-2-diabetes-mellitus/abstract/24">24</a>]. (See <a href="https://www.uptodate.com/contents/clinical-presentation-diagnosis-and-initial-evaluation-of-diabetes-mellitus-in-adults?sectionName=DIAGNOSTIC%20TESTS&search=diabetes%20diagnosis&topicRef=1761&anchor=H2299710686&source=see_link#H2299710686">"Clinical presentation, diagnosis, and initial evaluation of diabetes mellitus in adults", section on 'Diagnostic tests'</a>.)<br><br><img src="56e9e83a104f0b837cc4e4adbceae77b.webp"><br><a href="https://www.uptodate.com/contents/screening-for-type-2-diabetes-mellitus?search=diabetes%20diagnosis&topicRef=1812&source=see_link">https://www.uptodate.com/contents/screening-for-type-2-diabetes-mellitus?search=diabetes diagnosis&topicRef=1812&source=see_link</a>
Source
The Royal Australian College of General Practitioners. Management of type 2 diabetes: A handbook for general practice. East Melbourne; Vic: RACGP, 2020. Accessed September 21, 2023. Management-of-type-2-diabetes-A-handbook-for-general-practice.aspx (racgp.org.au).
Source
The Royal Australian College of General Practitioners. Management of type 2 diabetes: A handbook for general practice. East Melbourne; Vic: RACGP, 2020. Accessed September 21, 2023. <a href="https://www.racgp.org.au/getattachment/41fee8dc-7f97-4f87-9d90-b7af337af778/Management-of-type-2-diabetes-A-handbook-for-general-practice.aspx">Management-of-type-2-diabetes-A-handbook-for-general-practice.aspx (racgp.org.au)</a>.
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Tags
#Malleus_CM::#Guidelines::Australia::National::RACGP_Management_of_type_2_diabetes
#Malleus_CM::#Resources_by_Rotation::Internal_Medicine::Endocrinology
#Malleus_CM::#Subjects::Endocrinology::06_Pancreas::Diabetes_Mellitus::08_Diagnosis/Investigations