I'm delighted to see this blog site, having been a primary care provider for many years. I think it will be great to have a site where people can share their experiences - both providers and patients.This will also aid in the education of both patients and providers and that way really empower the patient to really take control of their problem.
It's hard to know where to start but perhaps it's best to start with sharing information on what appropriate ongoing care for managing diabetes looks like. This is not the final word on managing diabetes but it's a good place to start your learning. Since managing diabetes is a life-long endeavor, it is important to develop a good interactive relationship with your primary care provider. This is the provider who is aware of your personal medical and family history which will allow for better optimization of your diabetes care plan.
Here are some guidelines to consider:
As well as having a comprehensive history and physical on record you want to consider counseling on overall diabetic management and nutrition. Your doctor can make recommendations on how to find these resources.
There are a number of evaluations you should keep in mind for your routine management. These include:
Monitoring of hemoglobin A1c (glycohemoglobin) and blood pressure - 2 to 4 times per year
Initial evaluation, monitoring, and treatment (if necessary) of:
- cholesterol profile - yearly
- kidney health - yearly
- eye health - yearly
- skin and feet health - yearly
- Additional concerns would include:
- Flu vaccine - yearly
Pneumococcal vaccination - per primary care provider's recommendation
Finger stick or self-monitoring of blood glucose - frequency determined in conversations with your primary care provider
You should discuss with your primary care provider if you should be considered for aspirin therapy on a routine basis.
I look forward to sharing additional thoughts on these topics and others in upcoming blogs.