U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Thursday, July 24, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


Quick Guide Cards

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Guidelines for Monitoring

Glucose Control Algorithm Card
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NOTE: Access to this information is not restricted; however, the information found here is intended for use by medical providers. Some videos contain graphic images. Patients should talk with their medical providers about any specific concerns.

Self-monitoring of blood glucose (SMBG):

  • Useful especially for patients on insulin and for pregnant patients with diabetes:
    • Clinical utility and cost-effectiveness in other patients unclear.
    • For patients not pregnant or on insulin, provider should weigh cost of SMBG with usefulness of the data obtained to determine whether and how often to recommend SMBG.
  • Patients prescribed a SMBG regimen should be educated initially and then periodically on SMBG technique and on how to use the data to adjust their diet/exercise/medication.
  • SMBG results should be reviewed with patients at each diabetes visit.

Exams and Tests Used to Monitor Type 2 Diabetes:

  • A1C – every 3-6 months
  • Creatinine and eGFR – yearly
  • UACR – yearly
  • Lipid panel – yearly
  • LFTs – yearly
  • ECG – every 2-5 yrs
  • Complete foot exam – yearly
  • Foot inspection – each visit
  • Retinopathy exam – yearly
  • Paps, mammograms, contraception – as indicated
  • Evaluate sexual function
  • Depression, tobacco, ETOH, DV screening – yearly

Estimated Average Glucose (eAG).

The table below shows the correlation of A1C with average plasma glucose levels.

A1C % Mean Plasma Glucose
mg/dL

6

126

7

154

8

183

9

212

10

240

11

269

12

298

 
Overview How To Other Resources

Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov