[A]       Test of Glucose control

1.      Serum glucose fasting: Lab – at least once a month

2.      Serum glucose Post Prandial : Lab – at least once a month

3.      Self Monitoring of Blood Glucose : 3 or more times daily for patients using        multiple insulin injections or insulin pump.

·        : at least once a day for patient’s on insulin therapy.

·        : at least once a week for patient’s on oral drugs or diet treatment

4.      HbA1C : Every 3 months in patient’s whose therapy has changed or who are not meeting glycemic goals.

Every 6 months in patient’s who are meeting treatment goals

[B]       Lipid Profile

At least once a year .

[In adults with low risk lipid values (LDL Cholesterol < 100 mg/dl, HDL cholesterol > 50 mg/dl, and triglycerides < 150 mg/dl), lipid assessments may be repeated every 2 years ]

[C]       Test of Kidney Function .

Perform an annual test to assess urine albumin excretion in type 1 diabetic patients with diabetes duration of = 5 years and in all type 2 diabetic patients, starting at diagnosis.

Serum creatinine at least annually

(should be used to estimate GFR)

Urine Albumin excretion (to detect micro albuminuria) once in a year.

For type 1 diabetes above tests to be done when diabetes duration is = 5 years.

[D]       Blood Pressure

It should be measured at every routine diabetes visit.

[E]       Eye and Retina

Dilated comprehensive eye examination at time of diagnosis and then every year.

For type 1 diabetes Dilated comprehensive eye examination to be done when diabetes duration is = 5 years.

[F]Neuropathy Screening

Every year screening using simple clinical tests is needed.

[G]Foot Evaluation

Every year comprehensive foot examination to identify risk factors.