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Checklist for your Doctor

Know your numbers.

The following chart lists the medical tests and exams that should be part of your regular office visits. Use this checklist as a tool to talk with your doctor and to make sure you get the care for your diabetes that the experts recommend.

Medical Test /
Examination

Why What Result
Should Be
How Often Test is
Typically Needed
A1c

To see how well your diabetes treatment plan is working, as it measures the average of all blood sugars over 2-3 months            

Below 7
Every 3-6 months 
Blood Pressure Checks if medicine is needed to control blood pressure and reduce risks of high blood pressure to the heart, eyes, kidneys and nerves Less than 130/80mmHg Every doctor visit
Cholesterol Control
(LDL-Bad Cholesterol)
Checks if medicine is needed to lower cholesterol and reduce the risk of heart attack and stroke LDL less than 100 mg/dL Once a year
Kidney Function Testing  
   Urine test (microalbumin/creat ratio)
   Blood test (serum creatine, to check GFR)
Checks if medicine is needed to prevent kidney damage or kidney failure that, untreated, could lead to dialysis (treatment to replace kidney function - Urine microalb/creat less than 30 mcg/mg creat
- GFR of 60 or greater
Once a year
Referral to Certified Diabetes Educator Working with a diabetes educator can help you better understand and manage your diabetes Complete diabetes self-management
and training course
At least once
Referral for a Comprehensive
Dilated Eye Exam
Checks if there is diabetes-related damage to the eyes Normal eye exam with no
evidence of diabetic retinopathy
Once a year
Foot Exam Identifies high-risk foot conditions and checks if loss of feeling exists in the feet that may lead to injury or infection Normal protective sensation or feeling Yearly, or at every doctor visit if high risk
Smoking Status and Stop Smoking Advice Because smoking increases the rate at which complications from diabetes occur Stop smoking Review at every doctor visit

 

Download the full Diabetes Pathway to Health as a PDF

The Maine Pathway to Health is produced and supported by Chronic Disease Partners of Maine and Maine Aligning Forces for Quality, an initiative of Quality Counts, the Maine Health Management Coalition, and the Maine Quality Forum.  This effort is made possible with support from the Robert Wood Johnson Foundation, and by generous contributions from the Maine Center for Disease Control and Prevention and MaineHealth.


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