Also, cataracts and glaucoma are more common among diabetes. Good glucose control also slowed the progression in patients with early retinopathy. Timely laser photocoagulation therapy can prevent loss of vision. HgbA1C - Check HgbA1C at least twice a year. Regular foot exams - High blood glucose levels cause damage to blood vessels and nerves in the feet.
Visual inspection helps to identify cuts, blisters, cracks or ulceration in the skin.
Evaluate the circulation be checking pulses and check nerve damage using a monofilament. Also, consider referral to a podiatrist. Annual urine for microalbumin - Diabetes is the most common cause of ESRD in the United States. Early diabetic nephropathy starts with the presence of microalbuminuria. The progression of nephropathy can be significantly lowered with good glucose control and blood pressure control.