1. Diabetes Care Planning Interim Results
Name:
Address:
DOB:
Trust No:
NHS No:
GP:
You have recently had a number of tests done, looking at your diabetes. The results from some of these tests are enclosed. Please take time to read these results and have a think about what they mean to you. Any other results (including foot and eye screening) can be discussed at your appointment.
These are some of the questions you might like to think about before the appointment after consideration of your results.
What aspects of your diabetes would you like to discuss?
What aspects of your diabetes would you like more information about?
These are some of the things we know have an effect on you and your diabetes control. Which are most relevant to you?
Healthier eating
Eating the right amount
Medical check-ups
Avoiding sugary foods
Monitoring sugar levels
Giving up smoking
Regular physical activity
Taking medication
Alcohol within limits
Foot care

2. Care Planning Results - Interim
Your result was:
Diabetes control
Your HbA1c is an overall measure of glucose control over the past 8-10 weeks. A level 6.5 – 7.5% or mmol/mls associated with the lowest risk of complications.
HbA1c -
Blood pressure (BP)
A target blood pressure of below 140/80 lowers the risk of complications (a target of below 130/80 is used if you have kidney disease).
BP -
Cholesterol and blood fats
Lowering your cholesterol can reduce the risk of complications such as heart attacks and strokes. Whether or not you need treatment depends on your overall risk. If you are on treatment the target cholesterol is less than 5.
Cholesterol -
Kidney tests
Your kidneys are tested by looking at a blood test (creatinine) and the leak of protein from your kidney into your urine.
Creatine eGFR –
Urine ACR -
Weight & body mass index
Being overweight increases the risk of many medical conditions including heart disease, cancer, arthritis and premature death. It can also make your diabetes and blood pressure more difficult to control. The body mass index (BMI) is another way to look at your weight by adjusting for your height. A BMI between 19 and 25 is associated with the lowest risk to your health.
Weight –
BMI -
Smoking
Smoking causes problems with your health in many ways but is particularly damaging in people with
diabetes.
Smoker/Ex-smoker

3. Diabetes Care Planning Summary
Name:
Address:
DOB:
Trust No:
NHS No:
GP:
This is a summary of the care planning consultation on
with
The test results and comments are overleaf along with more details of the consultation where necessary.
This is the plan we agreed for your diabetes over the next year:
Further details of the consultation plan:
Your current treatments are:
Report completed by:
Date: Signed: