GOALS: optimal health!

•target Hemoglobin A1C (HgbA1C) is 6-7

•target glucose fasting/pre-meal is 80-130

•target glucose 2 hour after-meal <180

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FAA target glucose (requires Continuous Glucose Monitor)

70-250   at least 90% of the time

70-1180   at least 70% of the time

<54   <1% of the time

>250   <5% of the time

 

HYPOGLYCEMIA: GLUCOSE <70 -> orange juice, glucose tablet/gel, soda

SEVERE HYPOGLYCEMIA: GLUCOSE <54 -> glucose tablet/gel, glucagon pen, turn on side, call 911

 

Hgb A1C 5 -> 101 glucose 3 month average

HgbA1C 6 -> 136 glucose 3 month average

HgbA1C 7 -> 172 glucose 3 month average

HgbA1C 8 -> 208 glucose 3 month average

HgbA1C 9 -> 243 glucose 3 month average

HgbA1C 10 -> 279 glucose 3 month average

HgbA1C 11 -> 314 glucose 3 month average

HgbA1C 12 -> 350 glucose 3 month average

HgbA1C 13 -> 386 glucose 3 month average

 

RECOMMENDATIONS

1. Eat 3+ regular meals daily.
2. Exercise 30 minutes daily.
3. IF ON INSULIN, Test: before breakfast, lunch, dinner, bedtime, and if any symptoms (if not on insulin "home glucose monitoring offers no benefits") forever
4. IF ON INSULIN, Continuous Glucose Monitor | (less finger sticks with better control, well worth it, preferred to fingerstick testing) forever
5. Blood Tests | HgbA1C every 3 months forever
6. Rx | take all medications forever (insulin long-acting in AM, insulin short-acting before meals)
7. Diabetes Education | Scripps Whittier 10140 Campus Point Drive La Jolla 877.944.8843 if uncontrolled annually
8. Endocrinologist | if on pump or if uncontrolled annually
9. Ophthalmologist | annually
10. Conference | Take Care of Your Diabetes annually