Have a foot exam to check for
diabetic neuropathy. Your doctor will
look at your feet for sores and calluses at every visit beginning at diagnosis.
At least once a year, have a test using a 10 g
monofilament to check for sensation in your feet. People with one or more foot
problems may need to have their feet examined more than once a
After having diabetes for 5 years
See your doctor and have a
microalbumin urine test, which evaluates your urine
for the presence of a protein called
albumin. Albumin is normally found in the blood.
Albumin is filtered by the kidneys and then returned to the bloodstream. When
the kidneys are working properly, albumin is not present in the urine. But
when the kidneys are damaged, small amounts of albumin leak into the urine.
This condition is called microalbuminuria. Either of the following tests may be
Microalbuminuria dipstick test, to estimate
the amount of protein in a urine sample
Spot urine test for
microalbuminuria, to measure the exact amount of protein in a urine
Elevated microalbumin urine results point to kidney
damage. One of the following tests may be done to find out the amount of
protein released in your urine and estimate how severe the kidney damage
24-hour urine test for protein, in which
all the urine you produce for 24 hours is collected and the amount of protein
present is determined
24-hour urine test for creatinine clearance,
in which a blood test for creatinine is done along with the urine test to
estimate how much kidney function remains. This test is called a
creatinine and creatinine clearance test.
Every year you will also have a blood
creatinine test. The blood creatinine test shows how
well your kidneys are working. A high creatinine level may mean your kidneys
are not working properly.
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Your level is currently
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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