Diabetes – State Screening Program

Diabetes Management
Within the specialized outpatient care component of the "Diabetes Management" program, the following consultations and examinations are covered:
Supervision by an endocrinologist, with consultations by a neurologist, cardiologist, ophthalmologist, or angiologist as prescribed, along with clinical and laboratory tests, including:
Blood glucose measurement, at least 6 times per patient;
Glycated hemoglobin (HbA1c) test;
Creatinine and/or urea measurement in blood;
Microalbuminuria test;
Complete blood count;
Urinalysis;
C-peptide;
HOMA-2 index;
ECG (electrocardiogram).
The service is considered a treatment episode and is reimbursed based on actual expenses.
Diabetes Management – Children
Within the program component for serving children with diabetes, the following services are provided:
▪️ Endocrinologist consultation/monitoring – 4 times per year;
▪️ Complete blood count – 2 times per year;
▪️ Urinalysis – 2 times per year;
▪️ Urine test for microalbuminuria – once per year;
▪️ Neurologist consultation / neuropathic examination – once per year;
▪️ Glycated hemoglobin (HbA1c) test via capillary blood (quarterly) – 4 times per year;
▪️ Monitoring of diabetes-related eye diseases (including fundus biomicroscopy with pupil dilation, or 7-field stereoscopic fundus photography with mydriasis, or 2-field fundus photography with or without mydriasis, or direct or indirect ophthalmoscopy) – 2 times per year;
▪️ Medical education for patients and their parents – 4 times per year;
▪️ Physical rehabilitation, if requested by the patient – up to 10 times per year;
▪️ If necessary, issuance of medical certificates and prescriptions for patients not requiring medication dose adjustments.
The cost of services is fully covered by the state and does not require co-payment from the patient.