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Table 173-4

Guidelines for Ongoing, Comprehensive Medical Care for Patients with Diabetes

  • Optimal and individualized glycemic control
  • Self-monitoring of blood glucose (individualized frequency)
  • HbA1c testing (2-4 times/year)
  • Patient education in diabetes management (annual); diabetes-self management education and support
  • Medical nutrition therapy and education (annual)
  • Eye examination (annual or biannual)
  • Foot examination (1-2 times/year by physician; daily by patient)
  • Screening for diabetic nephropathy (annual)
  • Blood pressure measurement (quarterly)
  • Lipid profile and serum creatinine (estimate GFR) (annual)
  • Influenza/pneumococcal/hepatitis B immunizations
  • Consider antiplatelet therapy

Abbreviations: HbA1c, hemoglobin A1c.