Table 1B: Risk Factors For Residents 18-39 Years Old Who Are Of High Risk Of Developing Diabetes
No |
Risk Factors |
Screening Test/Question |
Frequency |
1 |
Age | |
At first visit/enrolment |
2 |
Gender | |
At first visit/enrolment |
3 |
Ethnicity | |
At first visit/enrolment |
4 |
Family History of premature CVD | |
At first visit/enrolment and as required |
5 |
Smoking |
Do you smoke? | Once a year |
6 |
Obesity+ |
BMI | Once a year |
Waist circumference | Once a year |
7 |
Physical Inactivity |
Physical Activity Questions | Once a year |
8 |
Hyperlipidaemia+ |
Fasting Lipid Panel
Or
Non-fasting Lipid Panel | Once every 3 years; screen more frequently for individuals with family history of premature CAD or familial hyperlipidaemia |
9 |
Hypertension+ |
SBP & DBP |
Once every 2 years |
Pulse rate |
Once every 2 years |
10 |
Diabetes+ |
Diabetes Risk Assessment Tool (DRAT) |
Once every 2 years or more often |
+ Risk factors for metabolic syndrome
Patients aged 18–39 years old, without prior diagnosis of Diabetes, Hypertension and/or Hyperlipidaemia, but are found to be high risk based on the
Diabetes Risk Assessment Tool (DRAT), are also clinically recommended to receive the above screening tests as a bundle once every 3 years, and will be eligible for the SFL subsidies and Healthier SG out-of-pocket waiver of co-payment. In effect, this will be the group of the existing PCN patients eligible to receive Care Plus Fees who are below 40 years and who will be allowed to enrol in the initial launch of Healthier SG.