Common Tests

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
  • Under 5 years <8.5%
  • 5 to 12 years <8.0%
  • Older than 12 <7.0%
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
  • Diagnosis <12 years old - 5 years after diagnosis then each year
  • Diagnosis >12 years old - 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) 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