Quick reference guide diabetes management

[Amity Island]

This one is from Canada but still interesting. If anyone has anything similar for UK, it would be interesting to see how they both compare.

	GUIDELINE TARGET (or personalized goal)
A	A1C targets	A1C ≤7% If on insulin or insulin secretagogue, assess for hypoglycemia and ensure driving safety
B	BP targets	BP <130/80 mmHg If on treatment, assess for risk of falls
C	Cholesterol targets	LDL-C <2.0 mmol/L
D	Drugs for CVD risk reduction	ACEi/ARB (if CVD, age ≥55 with risk factors, OR diabetes complications) Statin (if CVD, age ≥40 for Type 2, OR diabetes complications) ASA (if CVD) SLGT2i/GLP1ra with demonstrated CV benefit (if have type 2 DM with CVD and A1C not at target)
E	Exercise goals and healthy Eating	150 minutes of moderate to vigorous aerobic activity/ week and resistance exercises 2-3 times/week Follow healthy dietary pattern (i.e. Mediterranean diet, low glycemic index)
S	Screening for complications	Cardiac: ECG every 3-5 years if age >40 OR diabetes complications Foot: Monofilament/Vibration yearly or more if abnormal Kidney: Test eGFR and ACR yearly, or more if abnormal Retinopathy: yearly dilated retinal exam
S	Smoking cessation	If smoker: Ask permission to give advice, arrange therapy and provide support
S	Self-management, stress, other barriers	Set personalized goals (see “individualized Goal Setting” panel) Assess for stress, mental health, and financial or other concerns that might be barriers to achieving goals

ABCDES of diabetes care quick reference guide

A breakdown of guideline targets for diabetes care.

www.diabetes.ca

 

[Felinia]

When I was first diagnosed, my diabetic nurse printed out a list very similar to this, with my personalised targets. These I show in my signature below.

 

[rebrascora]

Really interesting and quite nicely simplified.... particularly the focus on LDL only for cholesterol target rather than total cholesterol.