| Complication |
Conditions of Referral |
N* |
%** |
Cardiovascular Conditions
|
•Acute coronary syndrome, including myocardial infarction
•Congestive heart failure (Class III-IV)
•Symptomatic chest pain/ angina pectoris
•Abnormal ECG, carotid artery ultrasound results
•Cardiomyopathy
•Arrythmia
|
20
6
6
3
2
2 |
51.3
15.4
15.4
7.7
5.1
5.1 |
| Nephropathy
|
•Azotemia such as those with increased creatinine ( >150-300 µmol/L), or those with GFR <30-40
•Uremia, including those approaching end-stage renal disease/ needing dialysis/ with hyperkalemia
•Proteinuria (>1.5 -3g/day)
|
16
16
11 |
37.2
37.2
25.6 |
| Peripheral Neuropathy
|
•Limb weakness/numbness/tingling of extremities
•Uncontrolled neuropathic pain despite conventional treatment
•Exacerbation of pain/Myodynia/Neuralgia
|
12
4
4 |
60
20
20 |
| Cerebrovascular Conditions |
•Stroke
•Vertigo
|
3
1 |
75
25 |
| Diabetic Ulcer
|
•Non-healing ulcer (size progression)
•Onset/ suspicion of infection
•Need for debridement/ vascular grafting/ amputation
•Gangrene limb
•Osteomyelitis
•Cellulitis
•Suspicious for ischemia
|
10
7
7
3
2
1
1 |
32.3
22.6
22.6
9.7
6.4
3.2
3.2 |
| Retinopathy
|
•Ocular fundus changes (by fundoscopy or fundus photography) – such as but not limited to: NPDR (Non Proliferative Diabetic Retinopathy), PPDR (Pre-proliferative Diabetic Retinopathy), PDR (Proliferative Diabetic Retinopathy), Advanced (Gr III-IV) Diabetic Retinopathy, Macular Edema, Retinal Detachment, Fundus hemorrhage
•Acute decrease in vision in short duration
•Routine annual eye check-up
•Cataract requiring surgical intervention
•Suspected glaucoma
|
11
8
6
3
2 |
36.7
26.7
20
10
6.7 |
*N refers to the number of times physicians have mentioned each condition warranting referral to another specialist