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    Diabetes: Tests to Watch for Complications - Topic Overview

    The table below summarizes the tests that can be done to identify complications from diabetes, including those tests done during a physical exam. The physical exam evaluates your overall health. The doctor pays special attention to your eyes, blood vessels, heart, lungs, nerves, abdomen, and feet.

    Complications from diabetes and the tests used to detect them1, 2, 3

    Organ or condition

    Test

    What it shows

    Target level

    High blood sugar

    Every 3 to 6 months, have a hemoglobin A1c test.

    How steady your blood sugar levels have been over time

    Less than 7% for most nonpregnant adults with type 1 or type 2 diabetes and children with type 2 diabetes

    Less than 7.5% for youth younger than 18 years old with type 1 diabetes

    (Your goal may be lower or higher, based on your health and age.)

    High cholesterol

    Every year, get your cholesterol level checked.

    The amount of fat in your blood, which can raise your risk of heart attack and stroke

    LDL less than 100 mg/dL (if you have heart disease, your doctor might recommend keeping it at 70 mg/dL)

    (Your goal may be lower or higher, based on your health and age.)

    High blood pressure

    Every 3 to 6 months when you visit your doctor, have your blood pressure checked. If you don't see your doctor that often, at least have your blood pressure checked once a year.

    Pressure of blood flow in your arteries

    Less than 120/80 for most people

    High blood pressure is 140/80 or higher

    In between these two levels is called prehypertension.

    (Your goal may be lower or higher, based on your health and age.)

    Kidneys

    Every year, have your urine checked for the protein albumin. Also, have your blood checked for the waste product creatinine.

    A glomerular filtration rate (GFR) is usually calculated using a formula that includes a person's age, gender, race, and blood creatinine level.

    Whether kidney disease is developing

    Less than 30 mg/g of protein in your urine

    GFR 90 mL/min or above

    Eyes

    Every year, visit an ophthalmologist or an optometrist for a dilated eye exam (ophthalmoscopy). Some doctors may recommend less frequent eye exams (for example, every 2 years) if you have no signs of diabetic retinopathy.

    Whether retinopathy (damage to back of the eye) has developed

    No retinal damage

    Feet

    Every 3 to 6 months when you visit your doctor, take off your socks so you will both remember to check your feet. Once a year, get a more thorough examination of your feet. This is also known as a complete foot exam.

    Whether foot ulcers have developed

    Whether the person has lost any sensation

    No foot ulcers or loss of sensation

    Teeth

    Twice a year, have a dental exam.

    Gum disease

    Healthy gums and teeth

    Thyroid

    If you have high cholesterol, or if you are a woman over 50 years old, your doctor may recommend a thyroid-stimulating hormone (TSH) blood test.

    Thyroid disease

    Normal thyroid stimulating hormone (TSH) level

    Liver

    Your doctor may recommend a liver function blood test, especially if you are taking a medicine that could affect your liver.

    Liver disease

    Normal liver function test

    WebMD Medical Reference from Healthwise

    Last Updated: August 06, 2014
    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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