This is a list of management skills and required tests all people with diabetes should review. If you don’t have all of these skills, ask your physician and certified diabetes educator (C.D.E.) for help acquiring these skills, or contact the Diabetes Center nearest you. In order to get as full a picture of your diabetes as possible, it is also crucial for you to have all of the tests outlined here, and within the time frame recommended.
Meal Planning
___create your own meal plan
___discuss special foods and occasions
___discuss options when dining out
___portion control
___low cholesterol, low-fat guidelines
___fitting sugar into the meal plan
___label reading
___alcohol
Self monitoring of blood glucose
___blood glucose goals
___how to use a meter to guarantee accurate results
___monitoring schedule
___how to clean meter
___storing supplies
___interpreting blood glucose values and making decisions in diabetes treatment plan
Use of insulin or diabetes pills
___action and side effects of medication
___timing and treatment schedule
___insulin injection technique
___site rotation schedule for injection
___proper storage, refrigeration and disposal of supplies
___what to do for missed doses
Exercise
___exercise guidelines: how long, how hard, how often and when?
___snacking adjustments
___preventing high and low blood glucose
Knowledge of high and low blood glucose
___factors that cause high and low blood glucose
___symptoms
___how to treat
___how to prevent
___when to call a healthcare provider
Foot Care
___daily foot care
___emergency treatment for cuts, sores, abrasions
___how to do a proper foot exam
___proper footwear
Sick day management
___preventing life-threatening problems
___what to eat and drink
___monitoring and medication schedule
___when to call the doctor
Urine testing for ketones (for insulin users only)
___when and how to check for ketones
___what ketones mean
___when to call the doctor
Special topics
___meal plan
___skills in taking medication
___glucose monitoring technique
___treatment of high and low blood glucose
___sick day management
___risk factors for health problems
___foot care treatment
Tests should have at least once a year:
___A1C (2-4 times/year)
___Kidney function
___Cholesterol, LDL, HDL, and triglycerides (lipids)
___Foot exam
___Dilated Eye exam
___Blood pressure
___General health exam
___Urinary microalbuminuria
___GFR
*Joslin Diabetes Center*
Thursday, January 7, 2010
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