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Learning About Tests When You Have Diabetes


A1C Levels

Why do you need regular diabetes tests?

Diabetes can be hard on your body if it's not well controlled. But having tests on a regular schedule can help you and your doctor find problems early, when it's easier to start managing them.


What tests do you need?

The tests you may have, how often you should have them, and the goals of the tests are:

A1c blood test: 
This test shows the average level of blood sugar over the past 2 to 3 months. It helps your doctor see whether blood sugar levels have been staying within your target range.
How often:
Every 3 to 6 months
Goal:
A blood sugar level in your target range
Blood pressure test:
This test measures the pressure of blood flow in the arteries. Controlling blood pressure can help prevent damage to nerves and blood vessels.
How often:
Every 3 to 6 months
Goal:
A blood pressure level in your target range
Cholesterol test:
This test measures the amount of a type of fat in the blood. It is common for people with diabetes to also have high cholesterol. Too much cholesterol in the blood can build up inside the blood vessels and raise the risk for heart attack and stroke.
How often:
At the time of your diabetes diagnosis, and as often as your doctor recommends after that
Goal:
A cholesterol level in your target range
Albumin-creatinine ratio test: This test checks for kidney damage by looking for the protein albumin (say "al-BYOO-mun") in the urine. Albumin is normally found in the blood. Kidney damage can let small amounts of it leak into the urine.
How often:
Once a year
Goal:
No protein in the urine



Blood creatinine test/estimated glomerular filtration (eGFR): The blood creatinine (say "kree-AT-uh-neen") level shows how well your kidneys are working. Creatinine is a waste product that muscles release into the blood. Blood creatinine is used to estimate the glomerular filtration rate. A high level of creatinine and/or a low eGFR may mean your kidneys are not working as well as they should.
How often:
Once a year
Goal:
Normal level of creatinine in the blood. The eGFR goal is greater than 60 mL/min/1.73 m².

Complete foot exam:
The doctor checks for foot sores and whether any sensation has been lost.
How often:
Once a year
Goal:
Healthy feet with no foot ulcers or loss of feeling




Dental exam and cleaning:
The dentist checks for gum disease and tooth decay. People with high blood sugar are more likely to have these problems.
How often:
Every 6 months
Goal:
Healthy teeth and gums




Complete eye exam:
High blood sugar levels can damage the eyes. This exam is done by an ophthalmologist or optometrist. It includes a dilated eye exam. The exam shows whether there's damage to the back of the eye (diabetic retinopathy).
How often:
Once a year. If you don't have any signs of diabetic retinopathy, your doctor may recommend an exam every 2 years.
Goal:
No damage to the back of the eye


Thyroid-stimulating hormone (TSH) blood test:
This test checks for thyroid disease. Too little thyroid hormone can cause some medicines (like insulin) to stay in the body longer. This can cause low blood sugar. You may be tested if you have high cholesterol or are a woman over 50 years old.
How often:
As part of your diabetes diagnosis, and as often as your doctor recommends after that
Goal:
Normal level of TSH in the blood


Follow-up care

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

Care instructions adapted under license by Alliance In Health Diabetes Control Center. This care instruction is for use with your licensed healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.

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