Further process indicators included, for example, complications [20,25,30-32,35], creatinine [23,28-31,35], flu vaccination [25,28,30,35], microalbuminuria test [27,28,30,34,36], pulses [28,30,35], attendance at general practices [20], angiotensin converting enzyme inhibitors received in the presence of proteinuria or microalbuminuria [30,35], adherence [20], use of or advice to use aspirin [25], ECG [27], proportion of diabetic patients who were diagnosed through hospitalization [31], diabetes education and knowledge of ‘HbA1c’ definition [32], sedentary lifestyle [34]. This evidence concerns the gene ACE and diabetes mellitus.