AIM To determine if retinal and foot checks are carried out on patients with diabetes receiving haemodialysis.METHODS Eighty-four patients with diabetes receiving haemodialysis were asked if they recalled having eye a...AIM To determine if retinal and foot checks are carried out on patients with diabetes receiving haemodialysis.METHODS Eighty-four patients with diabetes receiving haemodialysis were asked if they recalled having eye and foot screening in the last year, and if so, by whom was the check done.RESULTS Seventy-seven(91.7%) patients recalled having an eye check in the preceding 12 mo. Of these, 52(67.5%) did so in an ophthalmology clinic, 17(22%) in retinal screening, three(3.9%) in an optician clinic. Three patients(3.9%) went to both ophthalmology and retinal screening, and two (2.6%) attended an ophthalmology and optician. Seventy (83.3%) patients recalled having a foot check in the preceding 12 mo. Of these, 33 (47.1%) were done by practice nurse, 14 (20%) by a diabetes nurse, 11 (15.7%) by a general practitioner, eight (11.4%) by a chiropodist, and four (5.7%) were each checked by renal nurse, diabetes consultant, junior doctor, or unknown person at a foot clinic.CONCLUSION Most patients with diabetes on haemodialysis are able to recall having an eye check in the last year, although 8.3% could not. A significant proportion of patients could not recall having a foot check (16.7%) in the last year. This baseline audit suggests that an improvement in the rate of foot screening is important to achieve in patients with diabetes on haemodialysis in our unit.展开更多
A 45 year old white man comes to see you to discuss his blood glucose result.This was measured because he had an elevated QDiabetes risk score of 15%^(1),as well as a brother with diabetes.His glycated haemoglobin(HbA...A 45 year old white man comes to see you to discuss his blood glucose result.This was measured because he had an elevated QDiabetes risk score of 15%^(1),as well as a brother with diabetes.His glycated haemoglobin(HbA1c)is 43 mmol/mol(6.1%).展开更多
文摘AIM To determine if retinal and foot checks are carried out on patients with diabetes receiving haemodialysis.METHODS Eighty-four patients with diabetes receiving haemodialysis were asked if they recalled having eye and foot screening in the last year, and if so, by whom was the check done.RESULTS Seventy-seven(91.7%) patients recalled having an eye check in the preceding 12 mo. Of these, 52(67.5%) did so in an ophthalmology clinic, 17(22%) in retinal screening, three(3.9%) in an optician clinic. Three patients(3.9%) went to both ophthalmology and retinal screening, and two (2.6%) attended an ophthalmology and optician. Seventy (83.3%) patients recalled having a foot check in the preceding 12 mo. Of these, 33 (47.1%) were done by practice nurse, 14 (20%) by a diabetes nurse, 11 (15.7%) by a general practitioner, eight (11.4%) by a chiropodist, and four (5.7%) were each checked by renal nurse, diabetes consultant, junior doctor, or unknown person at a foot clinic.CONCLUSION Most patients with diabetes on haemodialysis are able to recall having an eye check in the last year, although 8.3% could not. A significant proportion of patients could not recall having a foot check (16.7%) in the last year. This baseline audit suggests that an improvement in the rate of foot screening is important to achieve in patients with diabetes on haemodialysis in our unit.
文摘A 45 year old white man comes to see you to discuss his blood glucose result.This was measured because he had an elevated QDiabetes risk score of 15%^(1),as well as a brother with diabetes.His glycated haemoglobin(HbA1c)is 43 mmol/mol(6.1%).
