General Practitioner Template
Type 2 Diabetes Risk Evaluation (40–49 yrs, High Risk)
A professional General Practitioner template for healthcare professionals.
About this template
This template is a comprehensive **Type 2 Diabetes Risk Evaluation** designed for General Practitioners (GPs). It helps GPs assess patients aged 40-49 years who are at high risk of developing type 2 diabetes. The template guides the clinician through eligibility checks, gathering patient history, conducting examinations, ordering investigations, and providing interventions. With Heidi, this template can be quickly populated during a consultation, streamlining the documentation process and ensuring all necessary information is captured. This template is designed to be used by GPs to assess and manage patients at risk of diabetes.
Preview template
**<u>Type 2 Diabetes Risk Evaluation - 40-49 yrs </u>**
Patient: Mrs. Sarah Jones
DOB: 12/03/1978
Date: 1 November 2024
Clinician: Dr. Emily Carter
**Eligibility:**
- Confirmed patient age is 46 years.
- AUSDRISK score of 18, indicating high risk.
- AUSDRISK completed on 20th October 2024.
- Confirmed no previous claim in the last 3 years.
- Documented that patient consents to diabetes risk assessment.
**History:**
- Relevant medical history includes high cholesterol and a family history of type 2 diabetes.
- Lifestyle factors include smoking (10 cigarettes per day), a diet high in processed foods, and limited physical activity (sedentary job). Alcohol consumption is moderate (2 glasses of wine per week).
- Family history of type 2 diabetes in mother and maternal grandmother.
**Examination:**
- BP: 140/90 mmHg, BMI: 31 kg/m².
**Investigations:**
- HbA1c ordered.
- Fasting glucose ordered.
- Lipid profile including HDL ordered.
**Interventions & Follow-up:**
- Advice given to address modifiable risk factors:
- Nutrition: Advised to follow a Mediterranean diet.
- Physical Activity: Recommended 30 minutes of moderate intensity activity 5 days/week.
- Smoking Cessation: Offered information on Quitline and discussed pharmacotherapy options.
- Weight Management: Discussed BMI and waist circumference targets.
- Referrals made or considered:
- Referral to a dietitian for dietary advice.
- Referral to Quitline for smoking cessation support.
- Follow-up planned in 3 months.
Billing & Claiming:
"Claimable once every 3 years."
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Specialty
General Practitioner
Used
18 times
Type
Note
Last edited
28/10/2025
Created by
Joanne McLeod