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Diabetes Management Diabetes Management Guidelines Guidelines Third Edition Ministry of Health Government of Fiji 11 2012 DIABETES MANAGEMENT GUIDELINES Third EdiƟ on 2012 MINISTRY OF HEALTH Government of Fiji 2012 Disclaimer “Theauthorsdonotwarranttheaccuracyoftheinformationcontainedintheseguidelinesanddonot takeresponsibilityforanydeaths,loss,damageorinjurycausedbyusingtheinformationcontained herein. Whileeveryefforthasbeenmadetoensurethattheinformationcontainedintheseguidelinesiscorrect andinaccordancewithcurrentevidenceͲbasedclinicalpractice,thedynamicnatureofmedicine requiresthatusersexerciseinallcasesindependentprofessionaljudgmentwhenusingthese guidelines.” ii GUIDELINESFORMANAGEMENTOFDIABETES ThirdEdition2012 ThesecondEditionwasrevisedandupdatedbyasubͲcommitteeoftheNationalMedicinesand TherapeuticsCommittee. TheDiabetesClinicalServicesNetworkupdatedthis(thethird)editionoftheDiabetesManagement Guidelineswithcontributionandcommentsfrom: DrShrishAcharya,ConsultantPhysician;HODMedicine;Chairperson,Medical&DiabetesCSNs andallmembersoftheDiabetesandMedicalCSNs DrJemesaTudravu,ConsultantSurgeon;MedicalSuperintendentCWMHospital;ChairpersonofSurgical CSNandallmembersoftheSurgicalCSN DrJosephKado,ConsultantPaediatrician;ChairpersonPaediatricCSNandallmembersofthePaediatric CSN DrJamesFong,ConsultantObstetrician;ChairpersonObstetricsCSNandallmembersoftheObstetric andGynaecologyCSN DrLuisaCikamatana,ConsultantOphthalmologist;MedicalSuperintendentLautokaHospital; ChairpersonOphthalmologyCSNandallmembersoftheOphthalmologyCSN MsAnaisiDelai,NationalAdviserNutrition&Dietetics;ChairpersonoftheNutritionandDieteticsCSN andallmembersoftheNutritionandDieteticsCSN TheChairpersonandmembersoftheMentalHealthCSN TheChairpersonandmembersofthePhysiotherapyCSN TheChairpersonandmembersofthePharmacyCSN TheChairpersonandmembersoftheLaboratoryCSN DrIsimeliTukana,NationalAdviserNCDsand membersoftheNCD/WellnessUnit,MOH. DrM.Cornelius,TechnicalFacilitator,Diabetes,FijiHealthSectorSupportProgram. SpecialthankstoDrGyaneshwarRao,ConsultantPhysicianCWMHforhiscontinuoussupportduring thisprocess. ContributionsandcommentswerewelcomedandgratefullyreceivedfromDivisionalandSubͲ DivisionalOfficers.SecretariatsupportwasprovidedbyNationalProjectOfficer,NonͲCommunicable Diseases,MinistryofHealthandFijiHealthSectorSupportProgram. iii
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