UMA Diabetes Self-Care Log Book

Transcription

1 BRING THIS WITH YOU ON EVERY VISIT UMA Diabetes Self-Care Log Book Name

2 MY INSTRUCTIONS FOR TESTNG MY BLOOD GLUCOSE My Doctor s name My Nurse s name Check your blood glucose: before breakfast before lunch before dinner before bed - every day alternate times of day during the week other And anytime you feel unusual or sick! Your blood glucose result goals are (depending on when you check your blood glucose): Between 90 & 130 before meals Between 110 & 150 before bed Less than 180 two hours after meals Other If your blood glucose is below Treat for low blood glucose with 15 grams of carbohydrate, such as: 4 oz (1/2 cup) juice, 4 oz (1/2 cup regular soft drink (not diet), 6 lifesavers or 4 glucose tablets If your blood glucose is higher than for 24 hours, or if other questions or concerns call UMA at ( ext 41931) M-F 8am-5pm. Select Option 2 for nurse line. After hours call , ask for UMA resident on call. Or Call at GOAL TRACKING Check ( ) your progress toward your goals every day. Goal 1 Tracking: Goal 2 Tracking: Goal 3 Tracking:

3 MY DIABETES GOALS Things I will do to manage my diabetes better (sample goals include eating breakfast every day, test and record my blood glucose once a day, eat five servings of fruits and vegetables 5 days a week) Goal 1: Notes: Diabetes Care Guidelines TEST HOW NORMAL Comments OFTEN VALUE Blood Each Less than pressure visit 130/80 Weight Each Discuss visit your target with MD Glycated Every 3 Target is Hemoglobin to 6 mos. 7% or below Goal 2: Notes: Goal 3: Notes: Urine Micro- Yearly Less than Albumin 30 mg Cholesterol Yearly Less than 200 LDL Yearly Less than 100 Men: Over 45 HDL Yearly Women: Over 55 Triglycerides Yearly Less than 150 Dilated Eye Yearly No sign of Exam retinopathy Foot Exam At least No sign of yearly decreased sensation

4 WEEK 1 Check your feet daily as instructed Advanced Diabetes Self-Care Pattern Management (For when you are ready to do more for your diabetes self-care) When you check your blood glucose circle the results in your logbook in RED when your numbers are lower than your target and in BLACK when they are higher than your target. Write down an average of your blood glucose readings in the chart comments column.

5 WEEK 2 Walk for at least 10 minutes at a time.

6 WEEK 3 Be sure to read food labels. WEEK 12 Include low-fat, high-fiber foods every day.

7 WEEK 11 Discard expired medications. WEEK 4 Brush and floss your teeth.

8 WEEK 5 Eat breakfast every day. WEEK 10 Be sure your dentist knows about your diabetes

9 WEEK 9 Take time to relax. WEEK 6 Eat 5 servings of fruits or vegetables.

10 WEEK 7 Get more sleep at least 8 hours per night. WEEK 8 Drink water regularly.