Interesting... • 25 to 40 years of age with one or more of the following pre-disposing factors: o from a black or minority ethnic group o a history of diabetes in close family (mother, father, brothers and sisters) o overweight (BMI of 25-30 kg/m2 or above) with a sedentary lifestyle o ischaemic heart disease, cerebro-vascular disease, other circulatory problems or hypertension Someone out there's going to accuse the service of being racist, agist, and/or sizist. I like the idea of preventative health care, but I suspect this process is going to create more than a few headaches. Are they expecting you to take height and weight measurements in order to calculate BMIs (which are a less than brilliant tool anyway)? And given that many of the predisposing factors are only going to found out in conversation, what are you supposed to do with unconscious patients? I tend to take BSLs on a lot of unconscious patients anyway, so that will work in a lot of cases, but I can think of scenarios that wouldn't suggest to me that a BSL should be taken, and still leave you with a pt. that that can't tell if they have any predisposing factors. The BSL range you use is surprisingly narrow. In Victoria the ambulance services regard between 4.0 and 7.0 mmol/L as normal, and some health facillities have their own differences too. We'd regard 3.0 mmol as low, and conceivably requiring treatment, depending on the pt's symptoms and their normal range (if known).