How to Use the Checkbook for Diabetes Health Diabetes can affect many parts of your body, such as your heart, eyes, and feet. …
All about your checkbook
This checkbook can help you manage your diabetes It explains how getting tests can help you understand how you are doing It also helps you keep track of tests you have had This way, you can be active in taking steps to stay healthy
TESTS TO HAVE EVERY VISIT Blood pressure Complete foot exam TESTS TO HAVE 24 TIMES PER YEAR A1C TESTS TO HAVE EVERY YEAR Lipids blood fats Eyes Microalbumin screen and serum creatinine for kidneys
How to Use the Checkbook for Diabetes Health Bring this checkbook to all visits with your healthcare provider HCP
Name: Phone Number:
This Checkbook Belongs to
Write your test results in the spaces on pages 9 through 12 Use your results to talk about your treatment plan with your healthcare team
Diabetes can affect many parts of your body, such as your heart, eyes, and feet Getting regular medical tests can help you and your HCP manage your diabetes and may help prevent complications problems or find them early when most treatable The American Diabetes Association ADA recommends these tests
Test How test is done
Cuff wrapped around the arm Examined by HCP Blood test Blood test Comprehensive eye exam Urine test to check for
protein Blood test to check kidney function
Learn more here
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ADA Standards of medical care in diabetes Diabetes Care 2006;29
Checking blood sugar control Checking blood pressure
Having high blood pressure raises your risk for heart diseases and other health problems Help control your blood sugar by: Checking your blood sugar as often as you and your HCP agree Exercising Eating the right foods and portion sizes Taking medicines as your HCP recommends Talk with your HCP first He or she can best tell you what steps and targets are right for you
You may be able to help lower your blood pressure by: Maintaining a healthy weight Exercising Following a healthy eating plan Eating less sodium salt Taking medicines as your HCP recommends Talk with your HCP about which steps are right for you
Keeping your blood sugar close to normal is important The A1C test gives a snapshot of blood sugar control over the past 23 months A high A1C level is linked to a greater chance of diabetes health problems such as problems with your eyes or kidneys
Target blood pressure value per ADA
Your targets
A1C: less than 7 for patients in general Highest
blood sugar after eating: less than 180 mg/dL
Blood sugar before eating: 90-130 mg/dL
Target blood sugar values per ADA
130 mmHg or lower 80
Talk with your HCP about the target thats right for you
Your target
Checking blood fats Checking your eyes
There are 3 kinds of blood fats to have tested: Low-density lipoprotein lip-oh-PRO-teen, also called LDL This fat is known as bad cholesterol kol-ESS-ter-awl It can clog arteries AR-ter-eez and cause heart problems Problems with blood fats, or lipids, raise your risk for heart disease Managing these fats can help lower the risk High-density lipoprotein, also called HDL This is known as good cholesterol It may lower your risk for heart attack Triglycerides try-GLISS-er-ides High amounts of this fat are often found in people with heart disease Talk to your HCP about the right targets for you
LDL:
HDL:
Triglycerides:
less than 100 mg/dL less than 150 mg/dL more than 40 mg/dL men 50 mg/dL women
Target lipid values per ADA
Your targets
Diabetic retinopathy ret-in-OP-uh-thee is an eye disease that can result from diabetes It can cause loss of sight or blindness You should have a comprehensive eye exam every year For this exam, eye
drops are used to enlarge your pupils Finding the disease early is the best way to help stop you from losing your eyesight You can help lower your risk for this eye disease by controlling your blood sugar levels
Checking your kidneys Checking your feet
To help protect your kidneys, your HCP may suggest: Controlling blood pressure and blood sugar Following a special meal plan, such as controlling the amount of protein you eat
Help take care of your feet by: Keeping blood sugar levels close to normal Washing your feet every day
Diabetes can cause kidney problems This can make it hard 
for your kidneys to clean your blood properly A special yearly urine test can find early signs of kidney disease The microalbumin screen checks for tiny amounts of protein in the urine A second test to check kidney function is a blood test called serum creatinine
Target urine protein value per ADA The foot exam
Your target
30
creatinine
less than
g/mg
Talk with your HCP about the target thats right for you
Foot problems are a major cause of disability in people with diabetes Your HCP must check your feet to see if you have foot problems or if you are at risk for them
Using a mirror daily
to check for cuts or other problems Wearing socks and shoes at all times Asking your HCP if you need to see a foot care specialist or wear special shoes
Your HCP will look for sores or cuts on your feet The HCP will also check for feeling or numbness in your feet
Year 1
Targets vary Ask your HCP what target is best for you
YEARLY test results for: ___________________ year
Test Feet Test Blood fats lipids LDL HDL Triglycerides
Test results for: ________ year
Target
Bring this checkbook to each visit with your HCP Write your test results in the spaces below Compare these results with the targets your HCP set with you
Visit 1 Date:
Visit 2 Date:
Test to have 24 times per year A1C Less than 7
for patients in general
Tests to have every visit Blood pressure 130/80 mmHg or lower Examination at each visit
I
Check when exam is done
I
Bring this checkbook to each visit with your HCP Write your yearly test results in the spaces below Compare these results with the targets your HCP set with you
Results from YEARLY tests
Visit 3 Date: Check when exam is done
I
Results from each visit
Visit 4 Date:
Check when exam is done
I
Check when exam is done
Target
Date/result
Less
than 100 mg/dL More than 40 mg/dL men More than 50 mg/dL women Less than 150 mg/dL Less than 30 g/mg creatinine Comprehensive eye exam
I
Kidneys microalbumin screen Kidneys serum creatinine Eyes
Date: Check when exam is complete
Targets vary Ask your HCP what target is best for you
Year 2
Targets vary Ask your HCP what target is best for you
YEARLY test results for: ___________________ year
Test Feet Test Blood fats lipids LDL HDL Triglycerides
Test results for: ________ year
Target
Bring this checkbook to each visit with your HCP Write your test results in the spaces below Compare these results with the targets your HCP set with you
Visit 1 Date:
Visit 2 Date:
Test to have 24 times per year A1C Less than 7
for patients in general
Tests to have every visit Blood pressure 130/80 mmHg or lower Examination at each visit
I
Check when exam is done
I
Bring this checkbook to each visit with your HCP Write your yearly test results in the spaces below Compare these results with the targets your HCP set with you
Results from YEARLY tests
Visit 3 Date: Check when exam is done
I
Results from each visit
Visit 4 Date:
Check when exam is done
I
Check when exam is
done
Target
Date/result
Less than 100 mg/dL More than 40 mg/dL men More than 50 mg/dL women Less than 150 mg/dL Less than 30 g/mg creatinine Comprehensive eye exam
I
Kidneys microalbumin screen Kidneys serum creatinine Eyes
Date: Check when exam is complete
Targets vary Ask your HCP what target is best for you
Important information Remember
Primary care doctor Diabetes educator Pharmacist Podiatrist Foot doctor Endocrinologist Diabetes doctor Ophthalmologist, Optometrist Eye doctor
Use the spaces below to write the names and phone numbers of the people on your healthcare team Use the space below to write a list of all the medicines and other products you take for your health
Name
Phone number
Bring this checkbook to all visits with your HCP Write your test results in the checkbook Ask your HCP about changes to your treatment plan based on your test results Keep working with your healthcare team to make progress toward your targets Sticking with these steps can help you stay healthy Youre not alone Everyone on your healthcare team is here to help you learn more about managing your diabetes
Source:healthplan.org
