1. ROLE OF PHCc IN DIABETIC CARE By DR/Mohamed Tahir Takana MBBS,DPH
2.
3.
4.
5.
6. SCREENING OF DIABETES Yearly Previously identified IGT Yearly H/o polycystic ovary syndrome Yearly H/o vascular disease Yearly Hypertension>140/90 m.m of Hg Yearly HDL<35mg or TG>250mg/dl Yearly H/o G. diabetes (Babies>4kg) Yearly Habitually physically inactive>35 Yearly Family H/o diabetes Yearly Age>35 years & BMI>25 Every 3 years All Individuals>45 years FREQUENCY AT RISK POPULATION
7.
8.
9.
10. TREATMENT GUIDE Should B managed at hospital Screening only Gestational diabetes Re-assessment every 6 months or when Needed Should be seen in maintenance phase Type-1 diabetes Re-assessment Untill controlled Should be seen in maintenance phase Type-2 diabetes (Poorly controlled) “ YEARLY REFERRAL Mainly at PHCC.Follow-up according to control Simple Type-2 diabetes Diet+Exercise Diet+Exercise+Oral Role of Hospital Role of PHCC Category of diabetes
11.
12. FOLLOW-UP APPOINTMENT AT PHCC After one week >250 mg/dl After 2 weeks 201-249 mg/dl After 3 weeks 180-200 mg/dl After 1 months 140-179 mg/dl After 2 months 126-139 mg/dl After 3 months <126 mg/dl APPOINTMENT FBS