Checklist for Visits with Your Diabetes Professionals
At each regular diabetes visit:
Measure weight and blood pressure.
Inspect feet.
Review self-monitoring blood glucose (SMBG) record.
Review/adjust medications.
Recommend regular use of aspirin for CVD prevention.
Review self-management skills, dietary needs, and physical activity.
Consider referral for medical nutrition therapy, diabetes self-management education, and psychosocial assessment.
Counsel on smoking cessation and alcohol use (if needed).
Four times a year:
Obtain A1C results
Twice a year
Refer for dental exam.
Annually:
Obtain fasting lipid profile (every 2 years if normal).
Obtain serum creatinine and urinalysis for protein, microalbumin, and albumin-to-creatinine ratio.
Refer for dilated eye exam (if normal, an eye care specialist may advise an exam every 23 years).
Perform comprehensive foot exam.
Administer influenza vaccination.
Review need for other preventive services.
Lifetime:
Administer pneumococcal vaccination (repeat if over 64 or immunocompromised and last vaccination was more than 5 years ago).