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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