Referral Pathway Flashcards
Bmi
South Asian 17 - 32.5
Not S.A 17- 35
Blood glucose
Fasted >6.1
Not fasted >7.8
Total cholesterol
> 6.22
Cholesterol profile ratio
Total/HDL ratio >4.5
Blood pressure
Non diabetic >140/90
Diabetic >130/80
Urine
If there is trace = glucose protein leucocytes
If there is a +1 - blood
Frank haematuria
Waist circumference
South Asian male >90 female >80
Non s.a male >102 female >88
Waist circumference if combined with…..
1 or more of the following: elevated BP above 130/85
First degree family history of type 2 diabetes or heart attack <60 years
Total cholesterol above 5.21
Waist circumference if combined with…..
1 or more of the following: elevated BP above 130/85
First degree family history of type 2 diabetes or heart attack <60 years
Total cholesterol above 5.21
Metabolic syndrome
Combination of 3 or more of:
- waist male 102 female 88
- HDL male <1.03 female <1.29
- TG >1.7
- blood pressure >130/85
- fasted blood glucose >6.1
Urgent referrals within 24hrs
- BP >180/110
- Frank haematuria
- TG high enough to prevent LDL calculation as part of full lipid analysis
- for unknown diabetic fasted glucose >7.0 non fasted >11.1. BG >14 Requires 24hr a&e
- for known diabetic hba1c >47mmol (6.4%)
Recommended LDL cholesterol
Green = <3.00 Red = >3.00
BMI normal
S.a = 18.5 - 22.99 N.s.a = 18.5 - 24.99
Overweight BMI
S.a. 23.00 - 27.49
N.s.a 25.00 - 29.99
Obese BMI
S.a >27.5
N.s.a > 30
Optimal range for waist
Non.s.a
Male - <94
Feamle <80
S.a
Male <90
Female <80
Amber for waist
Non s.a.
Males 94-101
Females 80-87
Green Body fat males
20-39 = <20% 40-59 = <22% 60-79 = <25%
Red body fat males
20-39= >25 40-59= >28 60-79= >30
Green body fat females
20-39= <33 40-59= <34 60-79= <36
Red body fat females
20-39= >39 40-59 = >40 60-79= >42
Water % male
Green >55
Red <50
Female water
Green >50
Red <45
Blood pr3ssure green
Non diabetic <130/85
Diabetic <130/80
