Screening for Complications

Screening for Complications
  • Dilated eye exam: Yearly
  • Urine microalbumin/creatinine ratio: Yearly
  • Foot screening to prevent amputation:
    – Monofilament, pulses, vibratory: Yearly
    – Visual inspection of feet at every visit
  • Ask about autonomic neuropathies: Erectile dysfunction, postural hypotension, gastroparesis (best test is gastric emptying time*)
  • Screening for cardiac disease with stress echo/thallium if patient is symptomatic, develops microalbuminuria, or for high index of suspicion