High Risk Factors for Residents 18-39 Years Old at High Risk of Developing Diabetes

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
6	Obesity⁺	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
9	Hypertension⁺	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.