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Goals of Diabetes Treatment

Diabetes  

Diabetes Treatment Plan:
What can I do?
You need to know how to take care of yourself so you can enjoy a long, healthy life. Your physician and other health care team members, such as dieticians, nurses, diabetes educators and pharmacists, can give you the tools and confidence to manage diabetes successfully. Carrying a medical alert card or wearing a medical alert bracelet lets others know you are diabetic. You play the key role in reducing or avoiding complications.

Here are some helpful suggestions:
Follow the medication schedule given by your physician
Quit smoking
Lose weight, as advised by your physician
Maintain an exercise program
Check your feet daily for cuts or sores
Check your blood sugar daily or as determined by your physician
Keep appointments with your physician and ask pertinent questions

What can my physician do?
In 1995, treatment standards were adopted in order to help physicians give the best, most consistent care to diabetics. These standards, known as Minimum Standards for Diabetes Care Under Managed Care in Texas, were adopted by a managed care work group from the Texas Diabetes Council and Texas Department of Health. The following information is taken from the Diabetes Mellitus Minimum Practice Recommendations Flow Sheet.

Exam Reason Schedule
Complete History and Physical
Review personal and family health problems, diet and exercise
Initial visit
Nutrition counseling
Provide instruction and support regarding the appropriate diet
Initial visit and as needed
Diabetes education
Review diabetic's access to information and support
Initial visit and as needed
Review of management plan
Consider treatment plan adjustment
Every 6 months
Weight
Check for increased body fat
Every visit
Dental inspection
Check for gum disease to avoid tooth loss
Every visit
Foot exam
Check for skin integrity and loss of feeling in feet to avoid complications leading to amputation
Every visit
Blood pressure
Check for high blood pressure to prevent heart problems and stroke
Every visit
HbA1c test
Check average blood sugar level over last 3-4 months
Every six months
Protein in urine
Check for kidney damage
Yearly
Lipid profile
Check for high fat levels in blood
Yearly
Retinal exam
Check for eye damage that may lead to blindness
Yearly

 

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