Managing diabetes is complex and challenging. At SWPMC we aim to help people living with diabetes to do this more efficiently and effectively. This will not only decrease the likelihood of diabetic complications but also improve overall quality of life. We give specific guidance on targets for glucose, cholesterol, blood pressure and weight, as well as advice and treatment to get to achieve this. We use both home glucose readings and laboratory parameters to monitor overall diabetes control. This structured approach should decrease anxiety by allowing the patient with diabetes to share their management burden with the diabetes team.
We advise the following measures to monitor diabetes:
HOME GLUCOSE MONITORING
On oral medication only: measure glucose readings 3-4 times weekly at different times of interest
Insulin treatment: daily fasting blood glucose for all patients and before meals for those patients injecting before meals
Twice yearly to Dr Angela Murphy
Twice yearly to Sr Christine Manga
Optometrist or ophthalmologist
HbA1c – every 3-6 months
Fasting lipogram – annually
Blood test for kidney function – annually
Urine test for microalbumin – annually
This is the minimum program suggested for all patients with diabetes. Other tests or visits may be needed. Dr Murphy or Sr Manga can arrange referral to all of the above.