Diabetes is a serious but usually controllable condition. It is important to help you maximise your diabetic control, to try to protect you from developing the possible long term complications of diabetes. These can include eye problems, kidney disease, heart disease, feet problems, vascular disease and erectile problems.
Prior to your diabetic review with a practice nurse, we will ask you to get blood tests done to check your diabetic control (Hba1c), cholesterol (level should ideally be under 4), kidney function and liver function. We will also ask for an early morning urine sample to check your kidneys are not being effected by your diabetes.
At a diabetic review the practice nurse will check :
- Your weight, ideally your BMI should be under 25. She will encourage to have a healthy diabetic suitable diet and take regular aerobic exercise. A minimum level would be 30mins of brisk walking 5x or more a week (walking at a speed where you are a little breathless but can still speak)
- Your Blood Pressure – The blood pressure targets are 140/80 for patients with diabetes and 130/80 for patients with diabetes and kidney disease.
- Your feet. She will check the sensation and pulses in your feet
- Check you are having no erectile difficulties
- Check your smoking status and help you to stop if you are ready
- Go through your blood monitoring
- Discuss your blood results and alter your medications if needed
- Ask you about your mood, in case you are having difficulties with your diabetes and it is getting you down
- Offer you a flu jab if you haven’t had it yet.
- Arrange a further review if necessary
- Organise your annual retinal eye screening at the North Middlesex Hospital
The websites below have lots of information on managing and living with diabetes:
Videos from NHS Choices
Parents describe how they deal with a diabetic child including daily routines such as insulin injections and how children can life live to the full.
Chandler Bennet was diagnosed with Diabetes 1 in 2004. She explains what effect the diagnosis has on her life and the life of her family and friends
A consultant ophthalmologist describes how diabetes can affect your vision and the possible treatments.