Colglazier Demmel Medical Clinic - Grant Nebraska

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TWELVE PERSONAL GUIDELINES FOR DIABETES CARE

1) Blood Pressure pills if BP greater than 130/80

2) Eye Exam Yearly

  • Detects and corrects retinal damage early

3) Exercise

4) Foot Care

  • Visual exam daily
  • Keep dry and clean
  • Good fitting shoes
  • Check by doctor yearly

5) Nutrition

  • Daily meals goal = 50% vegetables/25% meat+protein/25% grains+starches

6) Weight Reduction

  • Basal Mass Index = BMI - goal less than 25 (example = Dr C has BMI of 30)
  • Waist - goal (men's waist less than 40") (women's waist less than 35")

7) Dental Care

  • Yearly visit

8) Medications

  • Aspirin 81 mg daily
  • Cholesterol Pill if LDL (bad cholesterol) greater than 100

9) Smoking Cessation

10) Immunizations

  • Flu shot yearly, Pneumonia shot every 7-10 years

11) Blood Glucose Goals

  • Glucose fasting - goal = 70-130
  • Glucose 2 hr past eating - goal = less than 180
  • Glucose before bedtime - goal = 90-250

12) Know Your Numbers Lab Testing

  • A1C blood test - goal less than 7
  • LDL bad cholesterol - goal less than 100
  • HDL good cholesterol - goal greater than 40
  • Triglycerides - goal less than 150
  • Urine Microalbumin - protein in urine - goal = less than 30 (early warning sign for cardiovascular disease)