Regular screening in type 2 diabetes. A mnemonic approach for improving compliance, detecting complications.
Healthcare providers can be overwhelmed by the complexity of issues to address during follow-up visits with patients who have type 2 diabetes. On this basis alone, it is not surprising that physicians often fail to adequately address both diabetes-related and non-diabetes-related healthcare screening in these patients. Special recommendations exist for HbA1c level, hypertension, eye screening, hyperlipidemia, urinary protein, foot examinations, and vaccinations in patients with diabetes. I have found the HELP mnemonic useful for systematically and efficiently addressing recurring issues in patients with diabetes during routine office visits. It has also been accepted by medical students and residents as a valuable aid in the management of diabetes. My hope is that this system of organization will help the reader provide more effective care to these patients as well.
Beckman
Thomas J
TJ
Division of General Internal Medicine, Department of Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA. beckman.thomas@mayo.edu
D000004:Abbreviations as Topic; D000419:Albuminuria / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000378:metabolism; D017719:Diabetic Foot / Q000175:diagnosis / Q000209:etiology; D003930:Diabetic Retinopathy / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006442:Glycated Hemoglobin / Q000378:metabolism; D019983:Guideline Adherence; D006801:Humans; D006949:Hyperlipidemias / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D007252:Influenza Vaccines; D008403:Mass Screening / Q000379:methods* / Q000592:standards; D009819:Office Visits; D010808:Physical Examination; D022242:Pneumococcal Vaccines; D011032:Podiatry; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000379:methods / Q000592:standards; D012307:Risk Factors; D014611:Vaccination
D006442:Glycated Hemoglobin; D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines