Working With Your Doctor
Your doctor is your partner in your diabetes care. For this reason, it is important:
- To make an action plan
- To talk about your diabetes and treatment options
- To ask questions if you do not get the care you expect
- To develop a way that will notify medical personnel of your condition in the event that you are unable to speak for yourself
Here is a checklist to take with you when you go to a doctor:
At every visit:
- Check your weight and blood pressure. Your blood pressure should be 130/80.
- Look at your feet.
- Review your management goals and action plan.
Every 3-6 months:
- Give you an A1c test, which shows your blood sugar levels. Your A1c level should be less than 7 percent.
At least once a year:
- Check your blood cholesterol levels: your LDL (bad) cholesterol should be less than 100; less than 70 for people at high risk for cardiovascular disease. Your HDL (good) cholesterol should be more than 40 for men and more than 50 for women.
- Check your triglycerides, type of fat in blood, which should be less than 150.
- Check your total cholesterol, which should be less than 200.
- Check your kidneys by measuring your albumin, a protein in the urine, which should be less than 30 mg/ 24 hours.
- Arrange for you to get a dilated eye exam (with an optometrist/ ophthalmologist).
- Check your feet with a special tool to make sure they have feeling.
- Give you a flu shot.
- Give you a pneumonia shot.
Also, ask your doctor about a daily aspirin therapy to prevent heart disease.