User Guide — Flowsheets — Diabetes

 

To view a flowsheet, click the flowsheet icon for a problem, a test result, or for vitals

 

 

If a serum creatinine lab analyte value is available, the glomerular filtration rate (GFR) value is calculated when the flowsheet opens. If you manually enter a serum creatinine value in the flowsheet, the GFR is not calculated. You cannot edit this value.

 

GFR equation for patients 18 years and older

 

athenaOne calculates the GFR of patients 18 years and older using the MDRD-4 equation:

 

GFR (mL/min/1.73 m²) = 175 × (Scr)^-1.154 × (Age)^-0.203 × (0.742 if female) × (1.212 if African American)

 

Note: If the patient's race is not available, the GFR is not calculated.

 

Serum creatinine (Scr) must be in mg/dL. This equation is the MDRD-4 revised equation and includes modifications from the original MDRD (Modification of Diet in Renal Disease) study. This equation to calculate GFR is supported by the National Kidney Foundation.

 

Note: The NIH recommends that, given the limitations of the MDRD equation, any GFR value that exceeds 60 be considered simply as "≥60 mL/min/1.73 m²," not as an exact number. In athenaOne, we display numerical values that exceed 60 because these values may be valuable for practices that track GFR trends over time. However, we caution you to interpret these numbers in light of the NIH recommendations.

 

GFR equation for patients younger than 18 years

 

athenaOne calculates the GFR of patients under 18 years of age using the Bedside Schwartz equation:

 

GFR (mL/min/1.73 m²) = (0.41 × Height in cm)/Creatinine in mg/dL

 

Note: A recent length/height is required for this calculation. For patients under 1 year old, a length recorded in the last 30 days is required. For patients older than 1 year but younger than 18 years of age, a length/height recorded in the last 90 days is required.

 

Header Fields for Diabetes
IVD	(Ischemic Vascular Disease) This field is populated with related problems from the patient's Problems section. IVD is a broader category than CAD (coronary artery disease) and can be more useful when treating diabetics.
ACE/ARB	This field lists active ACE/ARB medications from the patient chart.
Antithrombotics	This field lists antithrombotics, including aspirin, from the Medications section of the patient chart.
Statin	This field lists active Statin medications from the patient chart.
Smoking Status and Smoking — How much?	These fields are populated from the global Social History questions.
Last Eye Exam	Date of the last eye exam.
Last Foot Exam	Date of the last foot exam.
Notes	Notes.
Table Fields for Diabetes
BP	Blood pressure. Populated from the Vitals section.
Wt	Populated from the Vitals section.
BMI	Populated from the Vitals section.
Height	Populated from the Vitals section.
Total Chol	Total cholesterol. Populated from lab results.
Trig	Triglycerides. Populated from lab results.
LDL	LDL cholesterol. Populated from lab results.
LDL Direct	LDL direct value. Populated from lab results.
HDL	HDL cholesterol. Populated from lab results.
A1C	This field was formerly labeled "HGa1C."
Glycohemoglobin	Populated from lab results.
Fasting Glucose	Numerical lab result.
Serum Glucose	Numerical lab result. Captures lab results with generic names that don't indicate fasting.
Glucose, Random	Populated from lab results.
Microalb/Cr	Populated from lab results.
BUN/Cr	Populated from lab results.
Creatinine, Serum	Populated from lab results.
GFR	If a Serum Creatinine lab analyte value is available, the GFR value is calculated when you open the flowsheet. If you enter a Serum Creatinine value in the flowsheet manually, the GFR is not calculated. You cannot edit this value.
Microalbumin	Populated from lab results.