Diabetes figures

Personal Details

Date:
Name: Age:
Address:
Tel.:
Name of treating physician:
Tel.:
Diabetes Type:
Treatment Type:

Normal blood glucose level
Fasting	Lower than 99 mg/dl
After 2 hours from eating a meal	Lower than 140 mg/dl
Glycosylated haemoglobin (average blood glucose levels over three months)	Lower than or equals 5.6%

Diabetes
Glycosylated haemoglobin	More than or equals 6.5%
Fasting	More than 126 mg/dl
After 2 hours from eating a meal	More than 200 mg/dl

Treatment goals
Glycosylated haemoglobin	Lower than or about 7%
Blood glucose level before eating a meal	80-130 mg/dl
Blood glucose level two hours after eating a meal	Lower than 180 mg/dl
Blood pressure	Lower than 80/130 mg/dl
Total cholesterol	Lower than 200 mg/dl
Bad cholesterol	Lower than 100 mg/dl
Good cholesterol	For men, more than 40 mg/dl For women, more than 50 mg/dl
Triglyceride	Lower than 150 mg/dl

Diabetes measurements (for pregnant woman)
Fasting	Lower than 90 mg/dl
Blood glucose level two hours after eating a meal	Lower than 120 mg/dl

Daily check of blood glucose level
Date	Time	Breakfast		Lunch		Dinner		Before sleeping
Date	Time	Before	After two hours	Before	After two hours	Before	After two hours	Before sleeping

Please check your blood glucose at least twice a day.
(One is on a fasting basis and the other is two hours after eating)

Daily check of blood glucose level
Date	Time	Breakfast		Lunch		Dinner		Before sleeping
Date	Time	Before	After two hours	Before	After two hours	Before	After two hours	Before sleeping

Please check your blood glucose at least twice a day.
(One is on a fasting basis and the other is two hours after eating)

Diabetes Care

Visit your physician periodically
Take medication on time
Meet the diabetes educator on regular basis after Consultation
Visit a nutrition specialist
Check your feet daily and at every visit to the doctor
Have your eyes examined when diagnosed with diabetes, then do it every year
Have your teeth examined every six months
Perform a urine test (albumin for kidney functions) every year
Blood pressure should be less than 130/80 (mercury)
Avoid weight gain and maintain ideal weight
Avoid tension, anger and anxiety
Quit smoking and alcohol
Eat five to six small meals per day instead of two or three large meals
Eat three to four servings of fresh fruit and four to five servings of fresh vegetables
Eat food that is rich in fibres, such as green leafy vegetables, fresh fruits and whole grains such as brown bread
Eat moderately protein-rich foods such as meat, eggs, dairy products
Reduce salty food and the amount of salt added to food
Reduce fat intake and avoid fatty, creamy food, especially cholesterol-containing foods
Reduce foods and beverages with high sugar content such as sweets, chocolate, soft drinks and canned juices. Do not add sugar to fresh juices or tea and coffee
Take part in sport or exercise regularly, such as walking or jogging for 30 minutes at least three or four times a week, as this reduces the need for insulin