Management of Diabetic Patients

Revised September 2013

Patient
Drafted By: Muhd Nurizam (Exec, EMD Clinical Operations)
diagnosed with Vetted By: Janna Goh (Snr Exec, EMD Clinical Operations)
diabetes Approved By: Dr Quek Lit Sin (HOD, EMD)
Joyce Loke (Mgr, EMD Clinical Operations)

Dr to ascertain
SOC
Does patient No
if patient has
require Adm?
foot problems

Yes
Admission
Dr to ascertain
if patient has
foot problems Patient have No King Risk
foot problems? Classification* 2

Foot problems such as Yes

foot ulcer, infection, Patient have No Admit to Presence
cellulitis, gangrene or foot problems? Gen Med No of pulse (no weak
rest pain King Risk
pulse) ?
Classification*
Yes 3-6 Yes
King Risk Refer to
Classification* -Clinic A for normal
3-6 diabetes treatment
Refer to Diabetic -Podiatrist for foot
Foot MDC education
Dr to ascertain at Clinic A
if patient has
any other Podiatrist to do clinical
underlying assessment if need to
medical issues refer patient to
Diabetic Foot MDC or
Vascular Surgeon

Medical issues like Any other

Dr to check for
pneumonia, underlying No
myocardial
presence of
medical
infarction or DKA pulse
issues?

Yes
Presence No Admit to
of pulse ? GS -Vascular
Admit to
Yes
Gen Med
Admit to
General
Orthopaedics