56Application of Subgroup 2 of Group A18 and Subgroup 2 of Group A19

56 Application of Subgroup 2 of Group A18 and Subgroup 2 of Group A19

(1) An item in Subgroup 2 of Group A18 or Subgroup 2 of Group A19 does not apply to a service that is provided to a patient who has already been provided, in the previous 12 months, with another service to which an item in either of those Subgroups applies.

(2) For an item in Subgroup 2 of Group A18 or Subgroup 2 of Group A19, a professional attendance completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus if the attendance completes a series of attendances that involve, over 12 months (the current cycle), the following:

(a) at least 1 assessment of the patient’s diabetes control, by measuring the patient’s HbA1c;

(b) if the patient has not had a comprehensive eye examination in the 12 months immediately before the current cycle — at least 1 comprehensive eye examination;

(c) measurement of the patient’s weight and height, and calculation of the patient’s BMI;

(d) further measurement of the patient’s weight at least once every 6 months;

(e) measurement of the patient’s blood pressure at least once every 6 months;

(f) examination of the patient’s feet at least once every 6 months;

(g) at least 1 measurement of the patient’s total cholesterol, triglycerides and HDL cholesterol;

(h) at least 1 test of the patient’s microalbuminuria;

(i) provision to the patient of self-management education regarding diabetes;

(j) a review of the patient’s diet, and provision to the patient of information about appropriate dietary choices;

(k) a review of the patient’s level of physical activity, and provision to the patient of information about the appropriate level of physical activity;

(l) checking the patient’s tobacco smoking activity, and, if relevant, encouraging the patient to stop smoking;

(m) a review of the patient’s medication.