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Exams and Tests

(continued)

Tests to screen for complications

After you have had type 1 diabetes for 3 to 5 years, your doctor may recommend these tests.

  • A complete eye exam by an ophthalmologist or optometrist. High blood sugar levels from diabetes can damage your eyes. This test can find problems early. If you are at low risk for vision problems, your doctor may consider follow-up exams every 2 to 3 years.
  • A foot exam to check for diabetic neuropathy. Your doctor may look at your feet for sores and calluses at every visit. If you have one or more foot problems, you may need to have your feet checked more than once a year. A child who has diabetes may not need a thorough examination of his or her feet each year until after puberty.
  • A cholesterol and triglyceride test. This test shows your LDLcholesterol level. You and your doctor can adjust your treatment plan according to how high it is. If you are an adult and have normal results, you may be tested every 2 years. If your child's levels are normal, then he or she can be tested every 5 years.
  • A urine test, to check for protein. If protein is found, you'll have more tests to help guide the best treatment. Protein in the urine can be a sign of kidney damage (diabetic nephropathy).
  • A blood test for creatinine and glomerular filtration rate (GFR). These tests check for kidney disease.
  • A liver function test. This test looks for damage to the liver.
  • A thyroid-stimulating hormone test. This test checks for thyroid problems, which are common among people who have diabetes. If the test is normal, your doctor may suggest you have the test again every 1 to 2 years.

Dental checkups

Eye exams during pregnancy

If you get pregnant, you will need to have an eye exam sometime during the first 3 months. You'll also need close follow-up during your pregnancy and for 1 year after you have your baby. Pregnancy may increase your risk for diabetic retinopathy. If you already have eye disease and get pregnant, the disease can quickly get worse.

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WebMD Medical Reference from Healthwise

Last Updated: December 28, 2012
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

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