Diabetes can lead to long-term complications in the eyes, nerves, kidneys and other organs of the body, hence the need for close self monitoring by people with diabetes in addition to close monitoring carried out by healthcare givers. This close monitoring helps to prevent or quickly detect these complications.
At every visit to your physician your blood pressure should be checked and your feet should be inspected. The blood test called A1C (Glycosylated haemoglobin, HBA1C) which is the best index for monitoring diabetes control as each result gives a summary of how well controlled the blood sugar level has been in the last eight to twelve weeks should be done about four times in a year.
At least once a year, a comprehensive examination of the feet should be carried out by your healthcare giver. Also, a comprehensive examination of the eye by an Ophthalmologist and of the teeth by a Dentist should be carried out. In the same vein a comprehensive laboratory test of kidney function should be carried out, this will include the test called microalbuminuria in the urine and creatinine and urea in the blood.
The frequency of your personal blood sugar checks at home with your glucometer should also be arrived at in conjunction with your Doctor. These home records should be shown to your Physician at each clinic visit since these records have a great role to play in the adjustment of your medications.