Diabetes Disease Management Program
We offer a program designed to provide information and resources to members with diabetes. Members in this program receive some or all of the following:
- Educational materials and other resources to assist in the self-management of diabetes
- Recommendations for appropriate lifestyle changes to better control diabetes
- Letters to remind you when important exams or lab tests are due
- Nurse Case Management services (based on severity and risk factors) if needed
If you or someone you care about have diabetes, the best thing you can do is to learn as much as you can. The following recommendations play an important role in monitoring diabetes and preventing complications.
Hemoglobin A1C (HbA1C)
This blood test measures your blood sugar control over the past 3 months. The suggested target for your HbA1C is below 7.0. As HbA1C values get higher, there is an increasing chance that you will develop complications from your diabetes. Current recommendations indicate you should have this test done every 3-6 months.
Blood Glucose Tests (with a meter)
How often you check your blood sugar depends on your treatment plan, which is set up based on your individual needs. Your health care provider will determine how often you should test your blood and will tell you what levels you should have. The following are the American Diabetes Association guidelines:
Fasting: Normal: less than 100 mg/dl
Goal: 80-120 mg/dl
Bedtime: Normal: less than 110mg/dl
Goal: 100-140 mg/dl
Fats in your blood, called cholesterol and triglycerides, should be tested.
- People with heart disease should keep their LDL (“bad”) cholesterol less than 70 mg/dl. If you don't have heart disease, your LDL should be less than 100 mg/dl.
- Your HDL (“good”) cholesterol should be over 50mg/dl.
- Triglyceride levels should be less than 150 mg/dl.
Your health care provider will determine how often you should be tested.
This urine test measures the amount of protein in your urine and can detect kidney problems early. If problems are found early, they can be treated more easily. It is recommended that this test be done yearly.
People with diabetes are at risk of developing diabetic eye disease, a major cause of vision loss. Eye disease detected early is more successfully treated. The exam should be done with your eyes dilated. This means eye drops are used to enlarge your pupils. This allows eye care professionals to see more of the inside of your eyes to check for signs of the disease. It is recommended that this exam be done yearly.
Diabetes can cause problems with the feet and legs. Proper foot care and regular foot exams can help prevent foot complications. You should exam your feet daily for cuts, blisters, sores, swelling, redness, or sore toenails. Your health care provider will also check your feet on a regular basis and instruct you in the proper care of your feet. On a yearly basis, your provider will use a special tool called a monofilament to test your feet.
People with chronic illnesses such as diabetes are at high risk for complications of the flu. The best way to protect yourself from getting the flu and possible complications is by getting an annual flu shot
People with diabetes are at risk for pneumonia. Getting vaccinated against pneumonia is good protection. If you're under 65 years of age and your doctor says you're at risk, you should get the pneumonia vaccine. Everyone who is older than age 65 should receive the vaccine.
Additional Educational Resources
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This web page was updated on January 14, 2020.