System Date Long

Name

Patient Address Stacked

Dear – Title Surname

Thank you for attending the surgery prior to your annual review. Your results are detailed in this letter. We hope this information will help you to decide what is important to you and support you in managing your long term health.

You may wish to consider what you want discuss with our practice nurse before the telephone appointment on:

Appointment Date at Appointment Time

Some things that people ask about include – circle any that are important to you:

LIFESTYLE	MENTAL HEALTH	HEALTH CONCERNS	SOCIAL
Giving up smoking	Feeling down or stressed	Medication	Work and employment
Alcohol	Sleep issues	Concern of new symptoms	Driving
Healthier eating or concerns about your weight	Loneliness or isolation	Risk of future health problems	Benefits
Keeping active

Your recent results for discussion at your review include:

Diabetes Control

Read Code Fields - 42W5

Hba1c is an overall measure of glucose control over the past 8-10 weeks. Good glucose control is between 48-58 mmol/mol, however you can discuss your individual target with the nurse at review.

Blood Pressure

Read Code Fields - 2469 /Read Code Fields - 246A

In diabetes, we aim for a blood pressure of135mmHg / 85mmHg but we also tailor this on an individual level depending on your age, medical conditions and other treatments.

Cholesterol

Read Code Fields - 44PJ

Keeping cholesterol less than 5mmol, lowers the chances of having heart attacks or strokes. We recommend a diet low in salt and saturated fat and high in fruit, vegetables and oily fish.

Smoking and Vaping

Read Code Fields - 137

Avoiding smoking has many health benefits. All sorts of tobacco can be harmful and stopping smoking has the most significant health benefit for you. Vaping is less harmful than smoking but not safe and not without risks.

Weight

Read Code Fields - 22K

The healthy weight for you depends on your height and this is assessed using Body Mass Index (BMI). Ideally being between 20-25 is a healthy weight.

Kidney function

We monitor your kidneys looking at the Albumin/Creatinine Ratio (ACR). ACR results are better if 2-5 in men, 3-5 in women. High levels may suggest the kidneys are working harder due to the diabetes. If high for the first time it is usually repeated on an early morning urine sample.

Date of last diabetic foot check: Read Code Fields - 66Ab

Your foot check detects if you have problems with circulation or the feeling (sensation) in your feet. We may suggest you attend a chiropodist depending on the results.

Date of last Diabetic eye check: Read Code Fields - 9N2f

Your annual eye check looks for any changes to tiny blood vessels at the back of your eye.

Drinking alcohol in safe limits (<14 units/week) and exercising regularly, ideally >30 minutes 3 times per week may also help reduce blood pressure and lower your risk of developing heart disease or suffering from a stroke.

We look forward to speaking to you for review and discussing any issues of concern at that time.

This phone appointment will include looking at your current medication and health.

St Triduana’s

M e d i c a l P r a c t i c e

54 Moira Park, Edinburgh, EH7 6RU

Tel 0131 657 3341 www.sttriduanas.co.uk Fax 0131 669 6055

Dear

Alistair Maconochie

2018-01-11

Sarah Lynch

NHS Lothian