DAFNE Annual Review ‘Game’
Contents:

2 ‘mats’ – Microvascular and Macrovascular

16 ‘Body Parts’ picture cards

6 ‘Risk Factors’ blue cards

10 ‘Prevention’ yellow cards
Options for use:

Have 1 set and use as a whole group, or produce 2 sets and use as a
‘competition’ in 2 groups.

Laminate pictures and cards for repeated use.
Suggested Method:
Produce personal lesson plan to ensure learning outcomes for Annual
Review / Complications session are met while using ‘game’.
Start session as per introduction in current version of course curriculum,
reflecting on DCCT, etc.

Define Microvascular and Macrovascular (i.e. damage to small blood
vessels and large blood vessels respectively).

Provide Micro and Macro mats.

Ask group(s) to organise ‘Body Parts’ according to whether they are
affected by damage to small or large vessels. (NB there are ‘red
herrings’ such as lungs, liver, bones, teeth, etc which may initiate
useful discussion).

Clarify what should be where (some have mixed aetiology):
 Micro: Eyes / Kidneys / Nerves / Feet (nerves) / Digestive System
/ Sexual Organs (nerves).
 Macro: Heart / Arteries and Veins / Brain / Feet (circulation) /
Sexual Organs (circulation).

Define and discuss changes that occur in: Retinopathy / Nephropathy
/ Neuropathy / Autonomic Neuropathy, as per curriculum (e.g. use
flipchart).

Explain and discuss MIs / Atherosclerosis / CVAs / Ischaemia.

Ask group(s) to identify risk factors for Micro and Macro VD (use
cards).

Discuss and clarify responses, i.e. Micro = primarily High BG (but
include High BP and Smoking); Macro = mainly High Cholesterol,
High BP, Smoking.
DAFNE 
R06.040, Version 2 – May 2011

Use ‘Prevention’ cards and get group(s) to identify how Micro and
Macro VD may be prevented, i.e:
 Micro: HbA1c 6%-7% (45 – 55 mmol/mol) / Annual Screening
(specify which tests for which problem) / Don’t Smoke / BP<130/80
/ Medications.
 Macro: BP<130/80 / Cholesterol<4mmol/l (or current
recommendations) / Don’t Smoke / Healthy Weight / Physical
Activity / Annual Screening (specify which tests for which problem)
/ Medications / ‘Healthy Diet’ / Alcohol in Moderation.

Discuss and clarify responses, focusing on positive strategies for
individual (link to goal-setting) and effectiveness of medical
interventions such as statins, ACEIs, laser therapy.
Summarise as per current version of course curriculum.
DAFNE 
R06.040, Version 2 – May 2011
DAFNE 
R06.040, Version 2 – May 2011
DAFNE 
R06.040, Version 2 – May 2011
DAFNE 
R06.040, Version 2 – May 2011
DAFNE 
R06.040, Version 2 – May 2011
DAFNE 
R06.040, Version 2 – May 2011
DAFNE 
R06.040, Version 2 – May 2011
DAFNE 
R06.040, Version 2 – May 2011