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Comments and your current treatments :
Free mobile apps you might find useful
Mytherapy- for reminding you when to take pills
Mapmywalk-to count your steps, tell how many calories you use
Smokefree(NHS choices) to help you quit smoking
Mapmywalk counts your steps
DIABETES CARE PLANNING
Name
Date of Birth
Address
Did you know that if you are registered for online access to your
notes at your GP surgery you can upload your BP results & blood
sugar readings via the ‘patient access’ app
NHS No
Phone No
Date
GP Name
Email
Signed by
For your next appointment you may wish to consider the following areas
Please take this with you to hospital appointments
Fears and concerns
Health eating
Medical check-ups
Eating the right amount
Foot care
Avoiding sugary foods
Monitoring sugar levels
Regular physical activity
The test results and comments are overleaf along with more details of the
consultation where necessary.
This is the plan we agreed for your diabetes over the next year
1)
2)
Taking medications
Giving up smoking
3)
4)
Access diabetes structured
education
Diabetes Care Planning
Diabetes Control
Your HbA1c is an overall measure of glucose control over the past 810 weeks. A level of between 48mmol/mol and 58mmol/mol is
associated with the lowest risk of complications
Blood Pressure
A target blood pressure of below 140/80 lowers the risk of
complications
Cholesterol and blood fats
Lowering your cholesterol can reduce the risk of complications such
as heart attacks and strokes. Whether or not you need treatment
depends on your overall risk.
If you are on treatment the target
cholesterol is less than 5
Kidney tests
Your kidneys are tested by looking at a blood test (creatinine) and the
leak of protein from your kidney
Weight and body mass index
Being overweight increases the risk of many medical conditions
including heart disease, arthritis and premature death. It can also
make your diabetes and blood pressure more difficult to control.
The body mass index (BMI) is another way to look at your weight by
adjusting for your height. A BMI between 19 and 25 is associated
with the lowest risk to your health.
Smoking
Smoking causes problems with your health in many ways but is
particularly damaging in people with diabetes
Foot check
Diabetes significantly increases your chances of developing foot
ulcers that may lead to an amputation.
Annual professional
assessment and regular foot checks by you are essential to prevent
foot complications
Retinal screening
Diabetes significantly increases your chances of developing problems
with your eyes and may lead to loss of sight. Attending the annual
eye screening appointment helps to detect the early signs of eye
problems
DATE/RESULTS
HbA1c
Blood pressure
Total cholesterol
HDL /Cholesterol ratio
Urine ACR/Creatinine
Smoking
Body Weight/BMI
Waist Measurement
Foot Check
Diet discussed
Eye Screening
Medication Review
Next Appointment
Next Blood Test