W. Va. The level of glucose in the blood, if not closely controlled, can cause complications such as nerve damage, circulatory problems, blindness, kidney damage, and a much higher risk of heart attack and stroke. In some cases, says Pheasant, there are no symptoms. In caring for veterans with the disease, VA medical guidelines promote regular screenings and checkups. For instance, during an annual primary care visit at VA medical centers, a blood glucose screening is as routine as a check of blood pressure. In addition, patients with diabetes should be sure they receive an annual cholesterol check, foot exam, eye exam, and a urine microalbumin screening.
Education is critical to a person with diabetes.
The main thing we stress is that glucose control is important to decrease complications and increase quality of life, says Pheasant. At the Louis A. Johnson VAMC, a team of health care providers teaches patients how to self-manage their diabetes to avoid complications. They learn the importance of a proper diet, exercise, blood sugar monitoring and if needed oral medication or insulin. The families of the patients are also encouraged to attend the classes, adds Pheasant, since they are sometimes involved in the care of their loved ones. Family members learn how to take a blood sugar reading, give insulin injections, and fix meals that follow diet guidelines.