The American Diabetes Association recommends that you have these additional exams and tests every year after you have
type 1 diabetes for 3 to 5 years.1
When to start
Name of tests
After having diabetes for 3 to 5
ophthalmologist or an optometrist for a dilated eye exam (ophthalmoscopy). If you are at low risk for vision
problems, your doctor may consider follow-up exams every 2 to 3 years.
Have a foot exam to check for
diabetic neuropathy. Your doctor will
look at your feet for sores and calluses at every visit beginning at diagnosis.
At least once a year, have a test using a 10 g
monofilament to check for sensation in your feet. People with one or more foot
problems may need to have their feet examined more than once a
After having diabetes for 5 years
See your doctor and have a
microalbumin urine test, which evaluates your urine
for the presence of a protein called
albumin. Albumin is normally found in the blood.
Albumin is filtered by the kidneys and then returned to the bloodstream. When
the kidneys are working properly, albumin is not present in the urine. But
when the kidneys are damaged, small amounts of albumin leak into the urine.
This condition is called microalbuminuria. Either of the following tests may be
Elevated microalbumin urine results point to kidney
damage. One of the following tests may be done to find out the amount of
protein released in your urine and estimate how severe the kidney damage
Every year you will also have a blood
creatinine test. The blood creatinine test shows how
well your kidneys are working. A high creatinine level may mean your kidneys
are not working properly.
American Diabetes Association (2013). Standards of medical care in diabetes—2013. Diabetes Care, 36(Suppl 1): S11–S66.
July 16, 2013
E. Gregory Thompson, MD - Internal Medicine
& David C.W. Lau, MD, PhD, FRCPC - Endocrinology
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