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Blood pressure

     According to the Indian Health Services National Diabetes Program, specific tests and exams are recommended annually to help provide consistent, quality care to diabetic patients.

Lab tests

     
Creatinine - this is done to screen for kidney function.

Complete UA/Microalbuminuria - a lipid panel should be done annually to assess cholesterol levels and risk of atherosclerosis.

Lipid Profile - a test for urine protein is performed to assess kidney function.

Immunizations - influenza and pneumonia are common, preventable infectious diseases associated with high mortality and morbidity in the elderly and in people with chronic diseases. Some patients with diabetes are at higher risk for complications, hospitalizations, and death.

Flu vaccine - given yearly before influenza season is the most effective measure.

Pneumovax - given at time of diabetes diagnosis. Revaccination is recommended 5 years after first dose.

Hepatitis B - vaccinate persons who are likely to be on kidney dialysis or transplantation.

TD - tetanus injection is given every 10 years.

PPD (TB skin test) - once after diagnosis unless pt has had previous positive reaction. PPD-positive people with diabetes have 5 times the risk of reactivating TB. If unable to take a PPD test then a chest x-ray is done.

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