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General Practitioner Template

Type 2 Diabetes Risk Evaluation (40–49 yrs, High Risk)

A professional General Practitioner template for healthcare professionals.
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Specialty

General Practitioner

Used

19 times

Type

Note

Last edited

2025-10-28

Created by

Joanne McLeod

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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.

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**<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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