Referral Pathway

Question 1

Bmi

Answer 1

South Asian 17 - 32.5

Not S.A 17- 35

Question 2

Blood glucose

Answer 2

Fasted >6.1

Not fasted >7.8

Question 3

Total cholesterol

Answer 3

> 6.22

Question 4

Cholesterol profile ratio

Answer 4

Total/HDL ratio >4.5

Question 5

Blood pressure

Answer 5

Non diabetic >140/90

Diabetic >130/80

Question 6

Urine

Answer 6

If there is trace = glucose protein leucocytes
If there is a +1 - blood
Frank haematuria

Question 7

Waist circumference

Answer 7

South Asian male >90 female >80

Non s.a male >102 female >88

Question 8

Waist circumference if combined with…..

Answer 8

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

Question 8

Waist circumference if combined with…..

Answer 8

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

Question 9

Metabolic syndrome

Answer 9

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

Question 10

Urgent referrals within 24hrs

Answer 10

• 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%)

Question 11

Recommended LDL cholesterol

Answer 11

Green = <3.00
Red = >3.00

Question 12

BMI normal

Answer 12

S.a = 18.5 - 22.99
N.s.a = 18.5 - 24.99

Question 13

Overweight BMI

Answer 13

S.a. 23.00 - 27.49

N.s.a 25.00 - 29.99

Question 14

Obese BMI

Answer 14

S.a >27.5

N.s.a > 30

Question 15

Optimal range for waist

Answer 15

Non.s.a
Male - <94
Feamle <80

S.a
Male <90
Female <80

Question 16

Amber for waist

Answer 16

Non s.a.
Males 94-101
Females 80-87

Question 17

Green Body fat males

Answer 17

20-39 = <20%
40-59 = <22%
60-79 = <25%

Question 18

Red body fat males

Answer 18

20-39= >25
40-59= >28
60-79= >30

Question 19

Green body fat females

Answer 19

20-39= <33
40-59= <34
60-79= <36

Question 20

Red body fat females

Answer 20

20-39= >39
40-59 = >40
60-79= >42

Question 21

Water % male

Answer 21

Green >55

Red <50

Question 22

Female water

Answer 22

Green >50

Red <45

Question 23

Blood pr3ssure green

Answer 23

Non diabetic <130/85

Diabetic <130/80

Question 24

Total cholesterol

Answer 24

Green 3.7-5.2
Amber 5.21-6.21
Red >6.22

Question 25

Tc/hdl reference ranges

Answer 25

Green <4.5
Amber 4 - 4.49
Red > 4.5

Question 26

If lo or hi on blood glucose machine

Answer 26

Lo <1.1

Hi >33.3

Question 27

If LO or HI on cholesterol

Answer 27

Lo <3.88

Hi >7.76