|
Symptoms That Could Suggest Complications:
|
| c |
Have you had chest pain, chest pressure, or shortness of breath? |
| c |
Have you had leg pain with walking, or foot pain with elevation of your legs (at night)? |
| c |
Have you had blurred vision? |
| c |
Have you had any temporary or lasting blackout of your vision, weakness on one side of your face or body or speech difficulty? |
| c |
Have you had any symptoms of low blood sugar: episodes of sweating, trembling, nausea, nervousness or confusion?
|
|
Lifestyle And Habits:
|
| c |
Do you have a safe and effective diet and exercise plan? |
| c |
Do you need help to stop smoking? |
| c |
If you are a woman, do you need advice about birth control or diabetes management in pregnancy?
|
|
Medicines:
|
| c |
Do your blood sugar, blood pressure and cholesterol levels meet your goals? If not, you may need to discuss adjusting your medicines. |
| c |
Do you have refills on all your medicines? |
| c |
Do you have refills for your glucose-meter test strips? |
| c |
If you have high blood pressure or early kidney disease, are you taking an ACE inhibitor or angiotensin receptor blocker? |
| c |
Are you taking aspirin?
|
|
Doctor's Examination:
|
| c |
Weight every visit |
| c |
Blood-pressure check every visit (goal: less than 130/80) |
| c |
Foot examination by your doctor or a podiatrist yearly |
| c |
Eye examination by an ophthalmologist (eye doctor) or optometrist yearly |
| c |
Full physical examination yearly
|
|
Laboratory Tests:
|
| c |
Blood test for hemoglobin A1C every six months (goal: less than 7 percent) |
| c |
Blood test for fasting cholesterol once every two years, or at least once a year if it has been outside of the goal range for diabetics (Goals: LDL less than 100 milligrams per deciliter of blood (mg/dl), HDL greater than 40 mg/dl in men or greater than 50 mg/dl in women, Triglycerides less than 150 mg/dl) |
| c |
Blood tests (if needed) to monitor safety of continuing diabetes medicines |
| c |
Urine test for early signs of kidney disease (microalbumin) once a year |
|
Vaccinations:
|
| c |
Influenza vaccine (flu shot) yearly in September-October, |
