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Guidelines for diabetes care

You are the most important member of your health care team. Discuss the exam, test and immunization schedules that follow with your health care provider. This will help him or her find diseases/problems in the early stages when they are more treatable.

Exams

Type of Exam How often needed

Doctor office visit - includes diabetes treatment plan review, foot exam, height, weight and blood pressure check**

Every 3 to 6 months, based on health status

Retinal eye exam

Every year

Foot exam

Every year or more often if there is a problem

Diabetes education update

Every year

Dental visit

Every 6 months

** Discuss the use of aspirin and ACE-inhibitors.

 

Tests

Type of test How often Target range

Hemoglobin A1C (A1c) blood test

You should have this test at least twice a year, more often if A1c goals are not met.

Less than 7 percent

Total cholesterol

Every year

Under 200

LDL"bad" cholesterol

Every year

Under 100

HDL "good" cholesterol

Every year

Men: 40 or higher

Women: 50 or higher

Triglycerides

Every year

Under 150

Urinalysis

Every year

Microalbuminuria (kidney)

Every year

Under 30 mcg/mL

Blood pressure

Every visit

Under 130/80

 

Immunizations

Type of immunization How often needed

Flu shot

Every fall

Pneumonia vaccine

One time, although some people may need a second dose -- ask your health care provider.

Tetanus

Every 10 years

 

Information about exams, tests and immunizations

Tip

Contact your health insurance provider about coverages for tests, exams and shots. A doctor's referral for health services does not guarantee coverage.

  • Retinal eye exam: A complete eye exam includes dilation of the retina to check for disease (retinopathy) or change. This may prevent blindness.
  • Foot exam: A complete exam of your feet includes testing for feeling, color and pulse. One of the tools used is called a monofilament.
  • Diabetes education: Learn about individual or group classes.
  • Diabetes education with a dietitian: a dietitian can discuss healthy food choices and help customize a calorie and carbohydrate count that fits well with your schedule and lifestyle.
  • Hemoglobin A1c: This lab test reflects your average blood glucose* level over the past 3 months.
  • Cholesterol: This blood test measures lipids (fats) that circulate and may clog arteries. High cholesterol may lead to heart damage. Medication can prevent or reverse possible damage and lower your risk.
  • Microalbumin: This test finds small amounts of protein in urine. An increase of the amount of protein in urine is an indication of kidney failure in people who have diabetes.
  • Blood pressure check: Untreated high blood pressure can lead to heart disease, stroke, leg diseases, kidney failure and eye diseases. An ideal blood pressure is 130/80 or lower.
  • Flu shot: Flu vaccine will prevent or lessen flu symptoms November through February.
  • Pneumonia shot: Pneumonia vaccine will prevent pneumococcal pneumonia in adults older than age 65 and those who have high-risk conditions (such as diabetes or asthma).


Related Links

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Source: Allina Patient Education, Basic Skills for Living with Diabetes, fifth edition, ISBN 1-931876-16-9

First published: 12/01/2006
Last updated: 05/01/2009

Reviewed by: Allina Patient Education experts

 


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