Contents -- Introduction -- Acknowledgements -- 1 The context -- THE QUALITY AND OUTCOMES FRAMEWORK -- EXEMPTION REPORTING -- INCOME FROM THE QUALITY AND OUTCOMES FRAMEWORK -- REWARDS FOR HIGH-QUALITY CARE -- SECONDARY CARE -- 2 The practice diabetes register -- THE PREVALENCE OF DIABETES IN YOUR PRACTICE -- THE ACCURACY OF YOUR PRACTICE DIABETES REGISTER -- DIAGNOSING DIABETES -- SELF-MONITORING OF BLOOD GLUCOSE -- 3 The practice diabetes service -- THE STAFFING OF DIABETES CLINICS -- CARE PLANNING -- 4 Achieving glycaemia targets -- REDUCING THE RISK OF COMPLICATIONS -- ORAL ANTI-OBESITY THERAPIES -- 5 Retinal screening -- THE RATIONALE -- THE METHOD -- HANDLING THE RESULTS FROM THE RETINAL SCREENING PROGRAMME -- 6 Foot screening -- BACKGROUND -- RISK FACTORS FOR FOOT ULCERATION -- CAUSES OF FOOT ULCERATION -- PREVENTION OF FOOT ULCERATION -- ACTION TO TAKE FOR NEW FOOT ULCERS AND/OR CELLULITIS OF THE FOOT -- 7 Good blood pressure control -- KEY COMPONENTS OF GOOD BLOOD PRESSURE MEASUREMENT -- WHITE COAT HYPERTENSION -- AUTOMATED BLOOD PRESSURE MEASURING DEVICES -- CONTROLLING HYPERTENSION -- DRUG THERAPY -- BLOOD PRESSURE TARGETS -- 8 Microalbuminuria and kidney function -- KIDNEY DISEASE IN DIABETES -- MICROALBUMINURIA IN HEALTHY PEOPLE -- NON-DIABETIC CAUSES OF MICROALBUMINURIA OR PROTEINURIA -- MICROALBUMINURIA AND HYPERTENSION -- CREATININE AND eGFR -- 9 Cholesterol management -- PRACTICAL STEPS -- 10 Influenza immunisation -- 11 Depression -- SCREENING QUESTIONS -- Appendix 1 -- Clinical quality indicators for diabetes and scores for 2004/5 and 2005/6 -- Appendix 2 -- Clinical quality indicators for diabetes from 1 April 2006 -- APPENDIX 3 -- Sample practice letter for booking appointments for diabetes review clinics -- Appendix 4 -- Sample practice letter for follow-up of a one positive microalbuminuriaresult -- Glossary -- References.

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