Most blood work can be done by finger pick.
Please let the diabetes team know if your child is highly anxious about having blood work done.
Target Range / Rationale
|Glycated Hemoglobin (GHB) - measures an average of how well the blood glucose has been controlled over a three month period||At each clinic visit, minimum every three to four months. Done by fingerpick||
|Glucometer Accuracy Check - you must let the nurse who takes your blood know if you want your meter checked||by request||Meter must be within 20% of lab result|
|Thyroid Stimulating Hormone (TSH) - measures how well the thyroid gland is working||Once per year and more often if not normal. Done by needle||Thyroid disease is rare but may be seen in patients with Type 1 diabetes.|
|Fasting Lipids - to assess your risk for cardiac problems||Your physician will let you know if this test is required||Must be interpreted in terms of blood glucose control and other risk factors|
|Albumin/Creatinine Ratio - to check how well the kidneys are working||
||To screen for early signs of renal (kidney) disease|
|Opthamology/Optometry - checks the small blood vessels in the eyes. This is not a vision test and the pupils must be dilated to have this test done (drops in eyes)||Five years after diagnosis then every 1-2 years||To screen for signs of early retinal (eye) changes|
|Foot Care Awareness - to prevent foot problems in the future||At age 16, then each year||To promote healthy nail and foot care|