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Name:______________________
Date:_______________________
Your Diabetes Report Card
“A-B-C’s”
Your
Diabetes
Report
A Card
is for “A1c”
B
is for “Blood
Pressure”
C
is for “Cholesterol”
My Hemoglobin A1c is 6.9%.
= average glucose of 144.
This A1c blood test measures how your
sugars (glucose) have been running in the
past 3 months.
High Blood Pressure
My blood pressure is__120/62_
This blood pressure goal is very
important in preventing the complications
of diabetes.




D
is for “Diet”
E
is for “Eyes”
F
is for “Feet”
Risk Factor:
Poor Diabetes Control
High Cholesterol
Total Cholesterol level is 134
Triglyceride level is
139
HDL(good) level is
36
LDL (bad) level is
70
Your Goals:
 Hemoglobin A1c goal is less than 7.0%
 Fasting blood glucose of 80-120 mg/ dL.
 You should get your A1c checked every 3
to 6 months


130/ 80 or less
You should get your blood pressure checked at
every office visit.



Total Cholesterol less than 200
Triglycerides less than 150
HDL more than 45 (men), more than 55
(women)
LDL less than 100 (if high risk heart disease
target is 70)
Healthy eating and a healthy body weight help
keep your blood sugar and diabetes under
control.
Ideal weight: 164 – 193 lbs
Get a dilated eye exam by an eyecare specialist
ONCE A YEAR.

Poor Diet and Obesity
My BMI (body mass index) is 41 .
A BMI of 23-27 is considered healthy.

Unrecognized Diabetic Eye Disease
Diabetes is the leading cause of
blindness in the U.S.

Date of last eye exam: 09/13/05
Unrecognized diabetic foot disease
Diabetes causes loss of sensation in the
feet and poor circulation.
Date of last foot exam: 01/20/06
Date eye exam due_______________


Get a foot exam in your doctor’s office ONCE
A YEAR.
Check your feet daily.
Lack of physical activity
 Exercise 30-60 minutes most days of the week.
is for “Get Active”
Increased activity is a natural way of
improving your diabetes control and
overall health.
(Increase to 60-90 minutes most days of the
week to manage body weight.)
H
Unrecognized risk of heart disease
and stroke
G
is for “Heart and
Stroke”
People with diabetes have an increased
risk of heart attack and stroke.
I
Influenza Vaccination
Pneumococcal Vaccination
is for
“Immunizations”
K
J,
is for “Kidneys”
Getting these vaccines can prevent
serious illness or even death
Unrecognized diabetic kidney
disease
My microalbumin to creatinine ratio is:
Less than 5 (Normal is less than 30)
Diabetes is the most common cause of
kidney failure in the U.S.

Take an Aspirin (or other blood thinner) a day
if you have diabetes and are over age 30.
 Influenza vaccination annually
Last influenza vaccination 10/15/04
 Pneumococcal vaccination – talk with
your care provider
Last pneumococcal vaccination 09/08/05


Get a yearly urine test to check if diabetes may
be affecting the kidneys.
If kidney damage is found, you should take a
type of blood pressure medicine called an ACE
Inhibitor to slow down the progression.
Focus on your future