General monitoring is
routine in diabetes to identify and prevent complications.(7,8) Routine
measurements will include blood pressure, glycemic control, and
physical examination of skin, foot sensation, and an assessment of
the eyes.
•
Hemoglobin A1c: twice/year or more
◦ %
RBC with glucose attached
◦ Average
glucose over 2-3 months
◦ Goal
is 6-6.5 representing 70-140 mg/dL
• Blood
pressure: yearly
• Lipid
levels: yearly
• Kidney
function: yearly
• Ophthalmology: yearly
• Dental exam/cleaning: twice/year
Hemoglobin A1c should be
checked at least twice per year. This test gives an overview of the
average plasma glucose over a period of 2-3 months.
If diabetes is
well-controlled, yearly examination of blood pressure, blood lipid
levels (includng cholesterol and triglycerides), kidney function
(including microalbuminuria and serum creatinine), and an
ophthalmoscope exam of the back of the eyes to evaluate for
retinopathy.
Twice per year the
patient should receive a thorough dental cleaning and examination.
-Gardner
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