Recommendations for the provision of services in primary care for people with diabetes

Diabetes UK


Identification of patients with diabetes

Identifying patients who have symptoms and/or signs of diabetes

  • Patients with the following symptoms and/or signs should be tested for diabetes:
    • symptoms include:
      • increased thirst
      • passing a lot of urine, especially at night
      • extreme tiredness and lethargy
      • weight loss despite increased appetite
      • genital itching or regular episodes of thrush
      • itchy skin rash or slow healing wounds
      • cystitis
      • blurred vision
      • neuropathy—”pins and needles” sensation in the legs
    • signs include:
      • persistent or recurrent infections, such as skin infections, oral or genital thrush, mouth ulcers and urinary tract infections
      • signs of microvascular complications, such as diabetic retinopathy; foot ulcers, loss of sensation in the lower limbs; or impotence
      • signs of cardiovascular disease, such as high blood pressure; manifestations of dyslipidaemia, such as xanthelasmata; absent foot pulses

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