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Central West Self-Management Program
Peel Memorial Centre
20 Lynch Street - 2.D.248
Brampton ON L6W 2Z8
Local: 905-863-2574
Toll Free: 1-844-643-7393

 
 
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Know Your Numbers
 
How do I Stay Healthy With Diabetes?
 
Caring for your diabetes also includes monitoring the health of your eyes, feet, heart, circulation and kidneys. The Canadian Diabetes Association 2008 Clinical Practice Guidelines recommends the following health checks. Talk to your doctor and diabetes care team about your health checks.
 
What?
Test and Frequency Targets and Results
Healthy Eyes
  • A dilated eye exam by an optometrist or ophthalmologist is recommended every 1 to 2 years
    • If you have changes in your eyes related to diabetes you may need to be seen more often.

    • Talk to your eye doctor about the results of your eye examination.
      Healthy Blood Pressure
      • Blood pressure checks are recommended for most people at every visit with your health care team.
        • The target blood pressure is usually less than 130/80
        • You may need to control with 3 or 4 blood pressure medications
          Healthy Blood Sugars
            • An average blood glucose test measured at the lab through a test called A1C is recommended every 3-4 months
            • Many people living with diabetes check their own blood sugar regularly with a blood glucose meter
                • The recommended A1C target for most people is less than 7 Target for blood sugars before meals is between 4-7mmol/L
                • Target for blood sugars two hours after is between 5-10mmol/L
                • Talk to your doctor and diabetes team about your blood sugar levels.

                  Healthy Blood Fats (Cholesterol)
                  • A blood test to check cholesterol levels is recommended once a year or more often if medications are being changed.
                  • The target for “bad” cholesterol or LDL is usually 2 or less
                  Healthy Kidneys 
                  • A lab urine albumin/creatine ratio test is recommended once a year.

                  • The target is less than 2.8 if you are a woman, less than 2.0 if you are a man
                   
                  Healthy Feet
                  • Inspect your feet carefully everyday
                  • Have your physician inspect your feet yearly (more often if problems)

                  • Look for areas of redness, blisters, ulcers, pus or other infections
                  •  Have your toenails cut carefully – if you have nerve damage or vision problems have a foot care professional cut your nails for you