Today's post is from one of our student volunteers, Erika! She has put together a helpful explanation of all the aspects of diabetes care, how often they should be monitored, and why. We know it's a lot to do, but knowing why it matters can help keep you focused!
Introducing the "ABC’s" of Diabetes Care
There are many aspects to diabetes care and it can be
difficult to remember each one. Here is a list of important tests or aspects of diabetes care, how often they should be done, and why. These are goals for most patients with diabetes
but your diabetes care team may give you personal goals to follow.
Exam
|
How
often
|
Goal
|
Why
|
A1C
|
Every 3-6 months
|
Less than 7%
|
This is the average blood glucose for the last 2-3 months; your
doctor can see changes and make adjustments if needed.
|
Blood
Pressure
|
Every doctors visit
|
140/80mm Hg
|
Uncontrolled blood pressure can lead to heart problems including
heart disease.
|
Cholesterol
|
Every year
|
LDL: less than 100mg/dL
HDL: men -above 40mg/dL, women-above 50mg/dL
Triglycerides: less than 150mg/dL
|
Diabetes lowers the HDL and raises LDL and triglycerides, leading to
heart disease and stroke.
|
Dental
exam
|
Every 3-6 months
|
Healthy teeth and gums
|
Diabetes increases the risk of gum disease, this infection also
interferes with blood sugar control.
|
Eye
exam
|
Every year
|
Detect early signs of glaucoma, cataracts, retinopathy or other
damage
|
Poorly controlled blood sugar increases pressure in the eyes and
causes damage.
|
Foot
care
|
Every year by a doctor, every day at home
|
Look for wounds and pay attention to any numbness or weakness
|
Diabetes reduces the skins ability to heal and your ability to feel
your feet causing wounds to go unnoticed.
|
Glucose
monitoring
|
Before and after meals
|
Before meal: 70-130mg/dL
After meal: less than 180mg/dL
|
Continual checking allows for better blood sugar control and reduces
risk of extreme highs and lows.
|
Health
Maintenance – Diabetes education
|
Every year, more often for complications
|
Understanding of diabetes and lifestyle changes to make to maintain
healthy blood glucose
|
Proper nutrition and exercise can improve blood glucose control and
reduce need for medications.
|
Immunizations
|
Flu shot every year, pneumonia and hepatitis B as needed
|
Reduce risk of getting the flu, pneumonia and hepatitis B
|
People with diabetes have a higher risk of death if they contract the
flu or pneumonia.
|
Jogging/Exercise
|
3-5 days a week
|
150 minutes aerobic exercise each week, strength training twice a
week
|
Exercise helps reduce or maintain weight, increases insulin uptake
and lower blood glucose.
|
Kidneys
|
Every year
|
Urine sample shows no sign of protein
|
Uncontrolled blood sugar can damage the kidneys and lead to kidney
failure
|
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