Standards for Continuing Your Diabetes Care

Managing diabetes requires regular doctor visits that include standard monitoring of various diabetic factors. Following are guidelines for your diabetes care — like when to see your doctor, what should happen at each visit, when to have lab tests done, and how often to self-monitor blood glucose.


Consistent diabetes management is key; if test results show any change from your history, then you and your doctor can address them before any problem worsens.


Frequency of visits:



  • Daily if starting insulin



  • Weekly for oral drugs



  • Monthly if not stable



  • Quarterly if stable




History at each visit:



  • Frequency of hypoglycemia



  • Results of blood glucose self-monitoring



  • Changes in treatment



  • Symptoms of complications



  • Psychosocial issues



  • New medications




Physical at each visit:



  • Blood pressure



  • Weight



  • Foot exam if neuropathy is present




Physical at least annually:



  • Dilated eye exam by eye doctor



  • Filament test for foot sensation




Lab tests:



  • Hemoglobin A1c every three months



  • Fasting lipid profile yearly



  • Microalbumin measurement yearly if urine protein negative




Frequency of blood glucose self-monitoring:



  • Before meals and bedtime for person with type 1 diabetes



  • Before breakfast and supper for person with type 2 diabetes



  • Once daily for person with stable diabetes



  • Before and one hour after meals for pregnant woman with type 1 diabetes or gestational diabetes











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Source:http://www.dummies.com/how-to/content/standards-for-continuing-your-diabetes-care.html

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