Your Annual Diabetes Review
Chapelfield medical centre - A Guide for Patients
Keeping your diabetes under control is important for your long-term health. Your annual GP review is a key part of this!
This leaflet explains what to expect during your yearly check-up.
Why is an Annual Review Important?
Your annual review is a chance to:
- Check how your diabetes management is working.
- Identify any potential problems early.
- Discuss any concerns or questions you have.
- Receive personalised advice and support.
- Help prevent complications associated with diabetes.
What to Expect at Your Review:
Your review usually involves two parts: a blood test appointment and a consultation with your GP or practice nurse.
Part 1: Your Important Tests (usually done a week or two before your main consultation)
This appointment is crucial as it involves collecting information that helps us assess your diabetes management. You'll typically have:
Blood Tests – we will take and process these tests.
HbA1c (Glycated Haemoglobin): This is a key test that gives an average of your blood sugar levels over the past 2-3 months. It helps us see how well your sugar levels have been controlled over time.
Cholesterol and Lipids: This checks the levels of fats in your blood. People with diabetes are at higher risk of unhealthy cholesterol levels, which can affect heart health.
Kidney Function (eGFR and Creatinine): These tests tell us how well your kidneys are filtering waste from your blood. Diabetes can put a strain on your kidneys, so monitoring their function is very important.
URINE TEST – PLEASE READ AS WE NEED YOU TO BRING THIS TO YOUR HCA APPOINTMNET WITH YOU
Urine Albumin-to-Creatinine Ratio (ACR) : This simple urine test looks for tiny amounts of a protein called albumin. If albumin is found in your urine, it can be an early sign that your kidneys are being affected by diabetes. Catching this early means we can take steps to protect your kidneys.
Important: Please provide an early morning urine sample for this test. This means collecting the first urine you pass after waking up. This type of sample gives the most accurate result.
Other important checks at this appointment may include:
Weight and Height Measurement: To calculate your Body Mass Index (BMI).
Blood Pressure Check: High blood pressure is common with diabetes and needs to be managed to protect your heart and kidneys.
Part 2: Your Consultation with the GP or Practice Nurse
This is your main appointment where you'll discuss the results of your tests and your overall health.
They will usually:
Discuss your test results in detail: Explain what your HbA1c, cholesterol, kidney function, and urine ACR results mean for you.
Review your medication: Check if your current medication is right for you and if you're taking it correctly.
Talk about your lifestyle: Discuss diet, exercise, and any challenges you face in managing your diabetes day-to-day.
Check your feet: Look for any changes or problems, as diabetes can affect circulation and nerve function in the feet.
Check your eyes: Discuss your recent eye screening results (you should have a separate eye screening appointment each year with a specialist service).
Discuss your emotional wellbeing: Living with diabetes can be challenging, and support is available if you need it.
Set goals together: Work with you to set achievable goals for managing your diabetes in the year ahead.
Answer your questions: This is your opportunity to ask anything you're unsure about.
How to Prepare for Your Review:
To get the most out of your appointment, it's helpful to:
Attend your blood test and urine sample appointment a week or two before your main review. This ensures your results are ready for discussion. Remember to provide an early morning urine sample for your ACR test.
Think about any questions or concerns you have regarding your diabetes.
Bring a list of your current medications (including any over-the-counter medicines or supplements).
Be ready to discuss your diet and activity levels.
Your annual diabetes review is a vital part of staying healthy with diabetes. We look forward to seeing you!
If you have any questions before your review, please don't hesitate to contact the practice.