Diabetes Tests Worksheet

Below is a list of important tests. Provide the information requested to see how you’re doing.  

A1c test

My last A1c test was on ________. This blood test measures blood sugar control over the past 60 to 90 days. A1c should be tested two to four times a year, depending on how well your blood glucose is managed and whether you have had a recent change in your diabetes medications. The target A1c level is less than 7 percent. 

Blood pressure

My blood pressure is _______. Both the American Heart Association and the American Diabetes Association recommend blood pressure of less than 130/80 mm Hg for people with diabetes. Have your blood pressure checked at every visit to your provider.

Foot exam

I have an appointment for a foot exam on ________. Inspect your feet every day for signs of redness, warmth, swelling or calluses. In addition, you should have your feet inspected by your provider during every visit and have a complete sensory foot exam done every year. 

Eye exam

My next dilated eye exam is on ________. People who have diabetes should have a dilated retinal examination every year. Remember that this is a special eye exam that is not the same as having your vision checked for glasses.  

Lipid profile

I last had my fasting lipid profile on ________. Lipid profile tests should be done at least once a year so that you and your provider can develop a plan to reduce your risk. The target LDL cholesterol goal is 100 mg/dl or less. 

Urinary protein

My appointment for my urinary protein/microalbumin test is on ________. Measuring your urinary protein will give you and your provider information about the health of your kidneys and blood vessels. You should have an annual test for urinary protein/microalbumin if you have type 2 diabetes or if you have had type 1 diabetes for more than five years.

Although these are suggested guidelines for care, please check with your benefits plan for coverage.


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