Doctors Regularly Assess Diabetic Patients To Manage Progress and Maintain Overall Health

Doctors use regular assessments of their diabetic patients not only to monitor the progress of the disease but also as opportunities to counsel patients on how to maintain their overall health. With so many comorbidities, doctors want patients to know that many of them are preventable, despite the presence of diabetes. For those that are unavoidable, knowledge and information are key to the prevention of complications.

General Health Assessment

The patient is reviewed for overall health, with the doctor taking weight, blood pressure and temperature readings, auscultating (listening to) heart sounds and carotid blood flow, listening to the passage of air in the lungs, palpating the thyroid, visualizing the eyes, ears, inside of the nose and throat and palpating the internal organs through the abdomen.

The doctor will ask lots of questions about any complications or hospitalizations that the patient may have had over the past year that were related to diabetes, including incidents of hypoglycemia, ketoacidosis or hyperosmolar hyperglycemic non-ketotic coma.

The doctor will also ask about any cardiovascular events the patient may have experienced, such as myocardial infarction, transient ischemic attacks (TIA), strokes, diabetic retinopathy and evidence of kidney disease. The question of erectile dysfunction may arise, as this can be an early warning of cardiovascular damage.

Testing

Testing specific to the diabetes diagnosis will include checking the feet and toes for healthy pulse or injuries, doing a test for neuropathic pain in areas of the extremities (hands and feet), and requesting urinalysis to look for proteins and ketones, as well as blood tests to check A1c, lipid levels, kidney and liver functions and look for inflammation.

Type 1 diabetics may be checked at injection sites for development of lipoatrophy and lipodystrophy or lipohypertrophy.

Physician Recommendations

The doctor may recommend a flu shot and/or a pneumonia vaccination. They will discuss the patient’s view of whether they are eating right and getting enough exercise and whether they need help to stop smoking.

The doctor will also discuss how the patient is managing their diabetes, and whether they feel confident that they have enough information to make the right choices with regard to diet and any treatment they are receiving. If they are taking insulin, the doctor will review testing and dosing recommendations.

If the patient is having difficulty maintaining a steady blood glucose level, the physician may refer him or her to a diabetes specialist for further evaluation.

In the event that damage resulting from diabetes is beginning to occur, the primary physician may recommend consultation with appropriate specialists, including cardiac, kidney, liver, vascular, eye, foot and blood specialists, as well as dieticians and diabetes specialists.

Sources: PatientInfo.com, WebMD, eSSORTMENT.com
Photo: Pixabay

Get A Free 7 Day Diabetes Meal Plan

Get a free 7-Day Diabetes Meal Plan from Constance Brown-Riggs who is a Registered Dietitian-Certified Diabetes Educator and who is also a national spokesperson for the American Dietetic Association.

Just enter in your email below to download your free Diabetes Meal Plan.

By clicking Submit, you agree to send your info to InformationAboutDiabetes.com who may contact you with updates and information and we agree to use it according to our privacy policy.

More Articles

Treatment of Diabetes Depends on if it Is Type 1 or Type 2

The treatment of Diabetes depends upon which type of Diabetes a person has....

Having elevated blood sugar can damage our body’s nerves over time.

Diabetic neuropathy is the generic term for all...

Modern fitness culture has popularized a wide range of high-intensity activities, from Crossfit and spin-class to marathon running and exercise...

Depression is a mood disorder that causes you to feel sadness and lose interest in activities that you once enjoyed. The symptoms of depression...

There have been numerous studies that have demonstrated the link between gut health and autoimmune diseases, immune system, mental health, mood,...

More Articles

Nerve damage affects about 50 percent of people with diabetes, according to the American Physiological Society. Numbness, tingling and pain in the...

Diabetes has no known cure, but there are many ways to control the disease and prevent the symptoms from interfering with daily life. One major...

There are a host of complications that come along with diabetes of either type. Among them are increased risks for amputation, cardiovascular...

There is no question that people with diabetes need a diabetes diet plans and...

The different sugar content of fruits can be confusing when you are trying to manage your blood glucose. For instance, a half cup of raspberries...

Oil pulling therapy derives from Ayurveda, a holistic healing system developed thousands of years ago in India. Ayurvedic medicine maintains that...

It’s only been recently that doctors, including endocrinologists, have realized the starring role gut microbes play in our health. The unique...

Well-controlled diabetes may depend on medication, but nutrition is perhaps the most important factor. There are many foods that can be added to...

Sleep apnea — a condition that causes shallow or obstructive breathing patterns — is an unpleasant disorder that often goes hand in hand with...

COPD (chronic obstructive pulmonary disease) is a chronic inflammatory lung disease that causes difficulty breathing, wheezing, cough, and mucus...

Certain dietary supplements may play a beneficial supporting role in the prevention and management of diabetic neuropathy. Frequently...

Evidence is mounting that consuming black cumin helps to manage type 2 diabetes. The spice lowered blood glucose levels and blocked AGE glycation...

Hot weather does not directly alter blood glucose levels. However, sweltering temperatures affect our metabolism and the release of hormones. Heat...

Diabetes can seem to have an almost limitless list of symptoms. Now headaches are added to the list. The ebb...

One way to ensure our body gets a variety of nutrients is eating nutrient-dense foods, and one of the most nutrient-dense foods on our planet is...