Diabetic Patients

You will be offered at least two appointments for diabetic clinic per year. These may be with either the practice nurses who have extra qualifications in diabetes management or with Dr Smart or Dr Martin.

Donna, the Health Care Assistant may also see you before a doctor’s appointment to perform your blood pressure check, your height and weight and your feet check.

You no longer need to bring a urine sample with you to clinic. You will be sent a blood test form through the post in the month of your diabetic clinic review. Please go and have this blood test at your earliest convenience.

Once the results have been received in the practice, Dr Smart and Dr Martin meet to discuss all the results. A plan for your care will be agreed and then an appointment will be made for you. You will be informed of your appointment by phone or by letter, but we hope to include email and text message soon.

About Blood Tests

The blood test, as before, is a fasting test, you need to fast for 12 hours before the test. We are routinely checking your:

  • HbA1c (glycosylated haemoglobin – target less than 7%). This test is a reflection of your overall diabetic control over the last 3 months. Research shows if we can keep this below 7% there is much less chance of complications of diabetes developing. If the level is raised, we will think about a change in the diabetic therapy (diet, tablets and insulins).
  • Lipid profile (total cholesterol, triglyceride, HDL). Targets: Cholesterol – less than 4.0 (but the lower the better).
  • Triglyceride – less than 2.0.
  • HDL (high density lipoprotein “good cholesterol” – more than 1.0.
  • Kidney function – as diabetes is known to cause problems here.
  • Liver function – to monitor for drug side effects.
  • Thyroid function – diabetics are more at risk of developing a problem here.