Please bring your meter (or a recent meter download) and medication bottles to each visit. Also bring a 3-4 day log of blood sugars, insulin doses, carbohydrates and exercise.
Here are items to review at your visit for good diabetes care:
- Recent changes or concerns
- A1c- target < 7% or lower if not having significant hypoglycemia
- Blood pressure - target < 130/80
- Foot exam and foot care
- Insulin plan or other treatment: what's working and what to improve
- Fitness plan/ways to be active
- Monitoring 4 times a day or more if treating with insulin and using those numbers to improve treatment
- Low blood sugar plan - always carry sugar to treat lows quickly, glucagon
- High blood sugar plan - insulin correction doses, ketone testing
- Insulin pump safety
- Sick day care
- Stress management
- For women, contraception/pre-pregnancy plan
- Lipids (cholesterol), creatinine (kidney function) and microalbumin (protein in urine)
- Eye exam (Dr. Meredith at UNC Hospitals is a diabetes retina specialist 919-966-5296)
- Flu vaccine in October or November
- Dental visit 1-2 times a year
Pneumococcal vaccine (Pneumovax): one dose is recommended, and when you are over age 65, a booster dose is required.
The Diabetes Control and Complications Trial (DCCT) showed that people with Type 1 diabetes who keep blood sugar levels as close to normal as possible can reduce their risk of eye, kidney and nerve diseases. Note: The Campus Health fee does not cover charges for ophthalmology exams and dental visits.
Important Health Concerns to discuss with your doctor
- Preventing heart disease (not smoking, blood pressure, cholesterol management and aspirin therapy)
- Contraception/pre-pregnancy counseling
- Preventing diabetes-related complications
- What to do if you are sick
- Alcohol use and its effect on blood sugar
- Low blood sugar reactions: how to manage and prevent them
- Healthy weight management with diabetes
Diabetes care involves what you do every day. Connect with our diabetes team for your care at UNC and look into our advocacy group, Type 1 Tar Heels as a way to get to know others with diabetes, be a peer mentor, or participate in community service projects.