There are many treatment plans,
or guidelines, out there; depending on which source you
review, you may find similar or completely different lists. Remember that insurance plans
operate under different criteria than doctors do. Their
goal is to operate a business while
doctor's goal is to treat your health and medical problems.
Most physicians and diabetes experts suggest seeing your doctor every three
During theses visits you may have lab ordered or done in-house; which should include
a HBAIC, a accucheck (or review of your home BS
checks and glucometer).
A foot exam for
sensory testing and evaluation for calluses,
wounds and nail health should be included.
pressure is monitored and should be kept <120/80.
EKG's: at least once a year for screening, as
diabetics can develop
heart disease often without many symptoms.
HBAIC: the goal in under 7, I prefer closer to 6.
AACE (American Association of Clinical Endocrinologists: http://www.aace.com)
recommends <6.5 (less
Lipids: generally, these are done about
every 6 months depending on need or
change of medications. Guidelines can be considered the following:
LDL between 80-100, depending on other medical history,
HDL > (means greater than) 40-50,
Total Cholesterol <(means less
than) 200, and triglycerides <100.
Renal (kidney) function and liver functions every
if you are on medications that affect or are effected),
unless there are problems that need more frequent monitoring.
Urine analysis: generally are checked at least twice a year to monitor
for protein and glucose. If these are found,
more specific tests such as a
microalbuminurua or 24 hour urine might be ordered.
Blood sugars: recommended
fasting <120 and postprandial <150.
Diet and Exercise:
This is very important and my patients know I nag them about these factors.
The saying "you are what you
eat" really is meaningful in a diabetic.
Food can be poison to a diabetic.
Food and eating should not be a hobby for you!