[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.