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What Diabetes Care Should You Have ?

If your blood sugar is too high over a period of time you have a greater risk of developing diabetic complications such as damage to the eyes, kidneys, nerves and arteries.

This risk is much greater if you are a smoker.

The risk can be greatly reduced by good control of blood sugar levels and blood pressure.

People with diabetes should have regular check-ups either at their GP practice or the hospital clinic or both.

What can you expect ?

You should have a formal medical review at least once a year, which should include

A blood sample taken for

  • HbA1c: this tells you how well your diabetes has been controlled over the last 3 months. Your HbA1c target should be discussed with your health care professional.
  • Creatinine: this tells how well your kidneys are working.
  • Cholesterol: this tells how much 'fat' is in your blood.

A urine sample tested for

Microalbumin: high levels of this protein are associated with diabetic complications and can be helped by tablets known as 'ACE Inhibitors'.

A foot examination to check your circulation, nerves and to look for infection or ulceration.

  • Your weight
  • Your blood pressure
  • A review of current medication
  • An eye examination - this is done by the diabetic retinal screening service based at your local hospital.
  • You should receive diabetic education at the times that you need it.

What should you do ?

  • Take as much control of your diabetes on a day-to-day basis as you can
  • Learn about and practice self-care, which should include diet, self testing (if instructed), exercise, not smoking
  • Examine your feet regularly
  • Manage your diabetes when you are ill
  • Build the diabetes advice into your daily life
  • Attend your appointments and rearrange those you are unable to make
  • You may be given targets for your next visit, such as self testing, exercise or smoking

You may have the right to full or part refund of charges for travel costs to hospital, prescriptions, dental treatment, sight tests, glasses, wigs and fabric supports.

For more information contact your local Benefits Agency

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