Diabetes Maintenance Care

Diabetes Maintenance Care

Every visit

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

 

Yearly

  • 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

 

Additional vaccine

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.