SUN HEALTH MEDICAL CLINIC

DIABETES

THERE ARE IMPORTANT TARGETS #S AND RECOMMENDATIONS IN DIABETES LISTED HERE FOR EASY ACCESS.


GOALS: optimal health!

• target Hemoglobin A1C (HgbA1C) is 6-7

• target glucose fasting/pre-meal is 80-130

• target glucose 2 hour after-meal <180


HYPOGLYCEMIA: GLUCOSE <70 -> orange juice, glucose tablet/gel, soda

SEVERE HYPOGLYCEMIA: GLUCOSE <54 -> glucose tablet/gel, glucagon pen, turn on side, call 911


Hgb A1C 5 -> 101 glucose 3 month average

HgbA1C 6 -> 136 glucose 3 month average

HgbA1C 7 -> 172 glucose 3 month average

HgbA1C 8 -> 208 glucose 3 month average

HgbA1C 9 -> 243 glucose 3 month average

HgbA1C 10 -> 279 glucose 3 month average

HgbA1C 11 -> 314 glucose 3 month average

HgbA1C 12 -> 350 glucose 3 month average

HgbA1C 13 -> 386 glucose 3 month average


RECOMMENDATIONS

  1. Eat 3+ regular meals daily.
  2. IF ON INSULIN, Test: before breakfast, lunch, dinner, and bedtime, and if any symptoms forever (if not on insulin "home glucose monitoring offers no benefits")
  3. IF ON INSULIN, Continuous Glucose Monitor | (less finger sticks with better control, well worth it) forever (preferred to fingerstick testing if on insulin)
  4. Blood Tests | HgbA1C every 3 months forever
  5. Rx | take all medications forever (insulin long-acting in AM, insulin short-acting before meals)
  6. Diabetes Education | Scripps Whittier 10140 Campus Point Drive La Jolla 877.944.8843 if uncontrolled annually
  7. Endocrinologist | if on pump or if uncontrolled annually
  8. Ophthalmologist | annually
  9. Conference | Take Care of Your Diabetes annually

GOOD NEWS:

WELL-CONTROLLED DIABETES

IS THE LEADING CAUSE OF ABSOLUTELY NOTHING!!!!!