People with pre-diabetes have an increased risk of developing Type 2 diabetes and are at a higher risk of having heart disease. Making and maintaining lifestyle changes is the most effective way of reducing the risk of pre-diabetes progressing to Type 2 diabetes and heart disease.
Ardens has provided a suite of searches and a clinical template to assist practices with screening for pre-diabetes.
Pre-Diabetes/Non-Diabetic Hyperglyceamia Template
To locate the Ardens Pre-Diabetes/Non diabetic hyperglycemia template, access the relevant patient record. Open a new consultation and select the Run Template option (if not in a consultation, click on the Add button on the EMIS ribbon, followed by Data Using Template option).
This will open the Template Picker screen. If you have accessed any templates before, these will display to the left of the screen. Search for the template using the search box provided (alternatively select the Ardens > Chronic disease templates folder to the right of the screen).
All of the Ardens Chronic Disease Templates follow the latest NICE guidance and best practice information. Any information displayed in red relates to payment purposes such as QOF, PCN DES or local payment. Please note - if the information is relevant for the current financial year, you do not need to duplicate this information.
The QDiabetes page uses the built in EMIS QDiabetes calculator and is dependent on a recent BMI being recorded in the record. You may wish to update the patients records using the Examination/Results section (and saving) before calculating the score.
Please note - the EMIS calculator is currently based upon the QDiabetes risk algorithm 2017, which does not use HbA1c in its calculations.
If you think an HbA1c result is likely to be significant, you can consider using the 2018 online calculator, which includes HbA1c (and other factors) and may be more accurate – link provided.
The Recall page enables you to enter a diary date for a repeat HbA1C blood test should you wish. This entry will be picked up within the Ardens Diary Recall System.
Please note - for patients presenting with multiple long term conditions, you may wish to use the Ardens Multi-Morbidity Templates.
National Diabetes Prevention Programme Searches
Type 2 diabetes can usually be prevented, the NHS are piloting the National Diabetes Prevention programme (NDPP) which aims to identify those at high risk and refers them onto a behaviour change programme. Ardens has produced National Diabetes Prevention Programme Searches to help practices monitor their pre diabetic patients.