| Test |
Frequency |
Target Range / Rationale |
| Glycated Hemoglobin (GHB) - measures an average of how well the blood glucose has been controlled over a 3 month period |
At each clinic visit, minimum every 3 months.Done by fingerpick. |
- Under 5 years < 9.0%
- 5 to 12 years < 8.0%
- Older than 12 < 7.0%
|
| Glucometer Accuracy Check - You must let the nurse know who takes your blood if you want your meter checked. |
Recommended every 6 months. Done by needle.You must ask the nurse to do before she takes your blood |
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 measure the cholesterol levels in the blood. |
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 |
- Diagnosis <12 yrs - 5 years after diagnosis then each year.
- Diagnosis >12 yrs. - 3 years after diagnosis then each year.
Done by urine test.
|
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) |
5 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. |
| Nurse Diabetes Educator, Dietitian Diabetes Educator, and Social Worker (Child Life, Art Therapy, & Psychology by referral) |
- at your first clinic visit
- for review once per year
- as often as you need help and support.
|
To provide support, education and up-to-date diabetes management information. |
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