62Application of Subgroup 2 of Group A18 and Subgroup 2 of Group A19

62 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 11 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 a cycle of care of a patient with established diabetes mellitus if the attendance completes a series of attendances that involve, over a period of at least 11 months and up to 13 months, (the current cycle), the following: (a) at least 1 assessment of the patient’s diabetes control, by measuring the patient’s HbA1c; (b) subject to subrule (3), if the patient has not had a comprehensive eye examination in the cycle of care ending 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) 2 further measurements of the patient’s weight with each measurement being taken at least 5 months after the previous measurement; (e) 2 measurements of the patient’s blood pressure, taken at least 5 months but not more than 7 months apart; (f) subject to subrule (3), 2 examinations of the patient’s feet, carried out at least 5 months but not more than 7 months apart; (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. (3) For a patient with established diabetes mellitus who is mentioned in the following table, the minimum requirements of a cycle of care for the patient in relation to paragraphs (2) (b) and (f) may be completed as set out in the table. | Item | Patient | How minimum requirements completed | | ---- | ------------------------------------- | ---------------------------------- | | 1 | A patient who is blind | Without an eye examination | | 2 | A patient who has sight in only 1 eye | Examination of that eye | | 3 | A patient does not have any feet | Without a foot examination | | 4 | A patient who has only 1 foot | Examination of that foot |