CMScript 9 of 2022: Focus on Diabetes Mellitus Type 2
Diabetes Mellitus Type 2 or Type 2 Diabetes Mellitus (T2DM) is caused by the body not having enough insulin or being resistant to insulin. When the body is resistant to insulin, the cells in the body do not respond normally to insulin.
Because T2DM usually occurs gradually and can take many years to develop, most people do not notice their symptoms or think other conditions cause them. If you have any risk factors for diabetes, it is essential to discuss screening with your doctor or health care provider.
T2DM is one of the conditions included in the Chronic Disease List (CDL) of the Prescribed Minimum Benefit (PMB) regulations. This means that medical schemes must fully fund the diagnosis, treatment, and care of T2DM. The minimum care and management of T2DM must be funded according to the algorithm in the PMB regulations, which is available here. Medical schemes are allowed to put in place managed care protocols and formularies to fund the diagnosis, treatment and care of T2DM.
Download the CMScript here.