Conditions / Medications
identified based on
patient chart review
ECG
CBC
(no diff)
BMP CMP Cr PT/INR PTT
Diabetes: type 1 within 1 yr
within
180 d
Diabetes: type 2, males
younger than 45 years of age
within
180 d
Diabetes: type 2, males 45
years & older
within 1 yr
within
180 d
Diabetes: type 2, females
younger than 55 years of age
within
180 d
Diabetes: type 2, females 55
years & older
within 1 yr
within
180 d
Pre-Diabetes
(prior A1c > 5.7 - 6.4)
within
180 d
Non-diabetic patient
with BMI over 30
within
180 d
A1C within 3 months of
surgery for all diabetic,
prediabetic and high BMI
(>30) patients undergoing
any of the following:
all thoracic surgery;
all neurosurgery;
all spine surgeries;
level III or IV
abdominal/pelvic
procedures
level III or IV orthopedic
procedures (which includes
all total joint procedures)
DIABETES
/
PRE-DIABETES
/
HIGH
BMI
LIP Consult Other Tests / Notes
