After diagnosis of the diabetes, the Clinician and the patient should discuss to set a follow up plan. The aim of the follow up plan is to ensure that the patient is compliance with treatments and at the same time the patient should have a normal life as well.
Steps are as follows
1. Life style modifications
2. stick to treatment regime
3. regular assessment
4. patient education
Life style modification
Stop smoking
Moderate alcohol consumption or stop
Regular exercise
Dietary control
Stick to treatment regime
This is utmost important. Compliance should be assessed regularly. Regime can be changed to have a good glycemic control.
Regular assessment
This is very important to ensure the good blood sugar control. Clinical examination should be carried out to detect complications. Several investigations should be done regularly; eg
1. Fasting blood sugar
2. Lipid profile
Patient education
No longer is it satisfactory to provide patients who have diabetes with brief instructions and a few pamphlets and expect them to manage their disease adequately. An apt sports analogy would be the patient as the player on the field and the physician, nutritionist, diabetes educator, and other health professionals as spectators on the sidelines instructing and cheering on the patient.
Nonphysician health professionals usually are much more proficient at diabetes education and have much more time for this very important activity. Believing that diabetes education is limited to 1 or 2 encounters is misguided; it is a lifetime exercise.
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