DIABETESGUIDE Tips and advice from your pharmacist.

Rite Aid Pharmacists: Your Dedicated Diabetes Experts. American Diabetes Association Partnership

Rite Aid is committed to providing the everyday products and services that help our valued customers lead healthier, happier lives. An important part of that quality service is found in customer education. That’s why Rite Aid has worked together with the American Diabetes Association (ADA) to produce this valuable diabetes guide.

The ADA is the nation’s leading nonprofit health organization providing diabetes research, information and advocacy. Much of the information included in this guide is provided by the ADA. As Rite Aid continues its mission of ensuring that customers receive quality service that really makes a difference, the ADA has been an important resource in helping us to further that mission. The ADA does not endorse any particular pharmacy or commercial product within this booklet; it is dedicated to providing comprehensive educational information regarding diabetes.

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When traveling, pack at least twice as much medication and testing supplies as you think you need, and put at least half in your carry-on bag. (Check with your airline for travel restrictions.)

Pharmacists Trained in Diabetes Management

Our pharmacists are specially trained in diabetes and can answer any of your questions on:

• Diabetes care plans • Recommended prescription and over-the-counter medications • Medicare billing for diabetes testing supplies

In addition, we have Diabetes Care Specialists, pharmacists who have completed an advanced clinical training program in diabetes care, cardiovascular care, nutrition, and weight management. Their purpose is to help patients who need extra care, serve as a resource for other pharmacists, and promote diabetes awareness within the community.

A Hassle-Free Pharmacy Experience

The Rite Aid Pharmacy is diabetes-friendly by design. We’ve been billing Medicare Part B for diabetes supplies since 1997. We help make your testing a little easier by accepting assignment* of your benefits for:

• Blood glucose monitors • Blood glucose test strips • Lancets for finger sticks • Spring-powered lancet devices • Blood glucose monitor batteries • Calibrating solutions

You pay only your deductible or co-pay, and we’ll collect the rest from Medicare. Just present your Medicare Part B card to our pharmacy staff, tell us what you need, and we’ll do the rest.

* Quantities may be limited by Medicare guidelines. Ask your Rite Aid pharmacist for details.

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Riteaiddiabetes.com: A Trusted Source for Diabetes Information

Rite Aid has a website full of timely, trustworthy information about diabetes. Riteaiddiabetes.com (Spanish version at riteaiddiabetesespanol.com) offers advice on everything from insulin to healthy recipes. It also provides a link to the ADA’s website for even more information.

While you’re on our site, don’t forget to sign up for our free email newsletter with recipes, helpful tips, news about medical advances and special offers.

Diabetes At-A-Glance With the right diet, exercise, testing and medication, diabetes can be controlled, and patients can live long and healthy lives. In the next few pages, you’ll learn about the different types of diabetes, what the symptoms are, and tips and tools to help you live with this condition. But remember, the information in this guide should not take the place of talking to your doctor or health professional.

What is Diabetes? Diabetes is a disease in which the body either doesn’t produce insulin or doesn’t use insulin the way it should. Insulin is a hormone produced in the pancreas that helps the body convert glucose (sugar) to energy. When insulin isn’t produced or used properly, glucose builds up in the blood and may lead to complications. It’s estimated that 20.8 million children and adults in the United States have diabetes.

The types of diabetes It’s important to understand that there are different types of diabetes:

• Type 1: Usually occurs during childhood and adolescence and results from the body’s failure to produce insulin. It is estimated that 5-10% of Americans diagnosed with diabetes have Type 1.

• Type 2: The most common form of the disease, which can occur at any age and results from insulin resistance combined with relative insulin deficiency.

• Gestational Diabetes: Usually occurs halfway through pregnancy as a result of excessive hormone production in the body.

• Pre-diabetes: The stage before diabetes, where blood glucose levels are higher than normal, but not high enough to be diagnosed as diabetes.

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_____

in feet and inches in pounds

4’ 11”

5’ 0”

133

138

5’ 2” 5’ 3”

55’ 4” ’ 5”

147 152

162

5’ 1” 143

157

5’ 8” 5’ 9”

5’ 6” 167 5’ 7” 172

5’ 10” 188 5’ 11” 193

6’ 0” 199

6’ 2” 210 6’ 3” 216 6’ 4” 221

177 182

2046’ 1”

If you weigh the same as or more than the amount listed for your height, you may be at risk for diabetes.

*At-Risk Weight Chart *Body Mass Index

Height Weight

without shoes without clothing

4’ 10” 129

A family in your future? If you have diabetes and plan to become pregnant, you’ll need to take special precautions. To learn more, visit riteaiddiabetes.com/living.

Know Your Risk Factors There are certain factors that can put you at risk for diabetes. Obesity, poor eating habits and lack of exercise are the leading risk factors of diabetes.

And while diabetes occurs in people of all ages and races, some groups have a higher risk of developing the disease than others. These groups include African Americans, Native Americans, Asian Americans, Latino Americans,Pacific Islanders and senior citizens of all races.

Take the Test. Know Your Score. Take this test to see if you are at risk for having diabetes. Enter the points next to each statement that is true for you. If a statement is not true, put a zero. Then add your total score.

1. I am a woman who has had a baby weighing more than nine pounds at birth. Yes 1

2. I have a sister or brother with diabetes. Yes 1 _____

3. I have a parent with diabetes. Yes 1 _____

4. My weight is equal to or above that listed in the chart. Yes 5 _____

5. I am under 65 years of age and I get little or no exercise. Yes 5 _____

6. I am between 45 and 64 years of age. Yes 5 _____

7. I am 65 years old or older. Yes 9 _____

TOTAL Scoring 10 or more points You are at high risk for having diabetes. Only yourhealthcare provider can check to see if you have diabetes. See yours soon and find out for sure.

Scoring 3-9 points You are probably at low risk for having diabetes now. But don’t just forget about it. Keep your risk low by losing weight if you are overweight, being active most days, and eating low fat meals that are high in fruits and vegetables, and whole grain foods.

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Recognize the Symptoms Some of the most obvious symptoms of diabetes are:

• Frequent urination • Extreme hunger • Fatigue • Dry, itchy skin • Excessive thirst • Unexplained weight loss • Frequent infections • Slow wound healing

If you experience any of these symptoms, it’s important that you discuss them with your doctor or healthcare professional. It’s also important to understand that diabetes can be present without symptoms. Only a blood test can tell you for sure.

Taking it Day-By-Day Living with diabetes can be a challenge, but always remember, you’re not alone. Our pharmacists are specially trained in diabetes and can answer any questions. Plus, you can rely on your healthcare team and diabetes support groups for guidance. With the help of your support network and the knowledge you need to stay healthy, you’ll be ready to tackle the day-to-day management it takes to control your condition.

Tip the Scales in Your Favor Simple ways to help prevent diabetes

More than 54 million Americans have pre-diabetes, making them likely to develop diabetes within 10 years! Overall lifestyle changes reduce the risk by 58%, according to the Diabetes Prevention Program. But even losing a few pounds and eating better can help tip the scales in your favor.

Here are ten powerful tips to help you get there:

1. Lose a few pounds, gain real peace of mind. Dropping 5-10% of your weight can prevent or delay type 2 diabetes, according to the Diabetes Prevention Program. That’s just 10-20 pounds for a 200 lb. person! For details, see the Work it Out at Your Pace section of this guide.

2. Know your numbers. Always keep track of your weight and body mass index (BMI).

3. Activate your fat burning powers. Be active at least 30 minutes each day with moderate physical activity like walking at a brisk pace.

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What’s for dinner? For delicious, diabetes-friendly recipes and meal tips, go to riteaiddiabetes.com and click on the “Keeping Well With Diabetes” link.

4. Choose healthy foods. Eat fresh fruits and vegetables, fish, lean meats, dry beans, whole grains, low fat or fat free milk and cheese.

5. Substitute flavor for fat. Instead of frying in butter or oil, bake, broil, steam or grill your meals. Use a non-stick spray on pans. And try a sugar substitute for sweetening everything.

6. Drink nature’s perfect beverage. Water has no sugar, carbs or calories, just what your body needs!

7. Eat often instead of big. Eat three modest meals and a healthy snack or two daily.

8. Keep a daily diary. Keep track of foods and how they affect you. We’ve included a sample diary in the back to get you started.

9. Fight diabetes as a family. If your family eats healthier, that’s less temptation at home for you, and more protection from diabetes for them.

10. If you can’t be perfect, be your best! Just because you’re human and give in to temptation occasionally is no reason to give up the fight!

Take One Giant Step NOW.Take the Rite Weigh Challenge FREE!

The Rite Weigh Challenge is a FREE comprehensive program developed by the weight loss experts of Lindora Medical Clinics. You could pay hundreds of dollars for online services like these. But only Rite Aid offers it FREE. And the results can be priceless. So feel free to help yourself today!

• Enroll in a safe, effective 10-week online weight loss program developed by Lindora.

• Get help from online weight loss tools, such as sample menus, a weight tracker, daily action plans and more.

• Join online weight loss seminars hosted by top experts. • Take the Lindora Health Assessment questionnaire to help determine

your serious risks.

It just takes a few seconds to do a lifetime of good. So sign up for the FREE Rite Weigh Challenge right now at riteaid.com/riteweighchallenge.

Information and tips adapted from the National Diabetes Education Program and the Diabetes Prevention Program provided by our weight management partner – Lindora Medical Clinics. lindora.com.

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Diabetes Food Pyramid Servings Per Day

The Diabetes Food Pyramid divides food into six groups which vary in size. Use the chart at right as a guide. The minimum number of servings in each group contains about 1600 calories and the upper end of the range contains about 2800 calories. Most women would eat at the lower end of the range. Many men would eat in the middle to high

Sparingly

Fats, Oils and Sweets Meats, Meat Substitutes

and Other Proteins

Milk 4-6 ounces

2-3 servings

Vegetables Fruits

3-5 servings 2-4 servings

end of the range if they are very active. The exact number of

Breads, Grains and Other Starches 6-11 servingsservings you need depends on your diabetes goals, calorie and nutrition needs, your lifestyle, and the foods you like to eat. Divide the number of servings you should eat among the meals and snacks you eat each day.

The Diabetes Food Pyramid is a little different than the USDA Food Guide Pyramid because it groups foods based on carbohydrate and protein content instead of food classification. To maintain about the same carbohydrate content in each serving, the portion sizes are a little different too. Use the following as a guide, but for more details, visit the ADA at http://diabetes.org/nutrition-and-recipes/nutrition/foodpyramid.jsp.

• Potatoes, corn, peas, lima beans and other starchy vegetables are in the grains, beans and starch group instead of the vegetables group.

• A serving of pasta or rice is 1/3 cup in the Diabetes Food Pyramid and ½ cup in the USDA Pyramid.

• Fruit juice is ½ cup in the Diabetes Food Pyramid and ¾ cup in the USDA Pyramid. • Cheese is in the meat group instead of the milk group. Other meats and meat

substitutes include beef, chicken, turkey, fish, eggs, tofu, dried beans, cottage cheese and peanut butter.

• Choose from lean meats, poultry and fish and cut all the visible fat off. Keep your portion sizes small. Three ounces is about the size of a deck of cards. You only need 4-6 ounces for the whole day.

• Vegetable group serving size is 1 cup raw and ½ cup cooked. • Milk group serving examples include 1 cup non fat or low fat milk or 1 cup of yogurt. • Fats, oils and sweets like potato chips, candy, cookies, cakes, crackers, and fried

foods contain a lot of fat or sugar so save them for a special treat. Serving sizes include ½ cup ice cream, 1 small cupcake or muffin, or 2 small cookies.

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Exercise without exercising. Walking, gardening and housework are painless ways to get more beneficial heart activity into your day.

Work it Out at Your Pace An exercise routine is essential for controlling your diabetes. It can help lower your blood glucose and help your body be more responsive to insulin. Exercise can also help you shed unwanted pounds, and help lower your cholesterol and blood pressure. That’s in addition to the great way you’ll feel.

Important considerations before exercising:

• Consult your health team about which activities will be safe for you. Safe activities will depend on the condition of your heart, blood vessels, eyes, kidneys, feet and nervous system.

• Choose realistic activities, make specifics plans, keep track of your progress and reward yourself for your efforts.

• Check your blood glucose levels before and after exercise to see the effects it has on your blood sugar.

• Do not exercise if your blood glucose is greater than 300 mg/dl. If you have type 1 diabetes, do not exercise if your fasting glucose level is above 250 mg/dl and you have ketones (a chemical that can be tested with over-the-counter testing strips) in your urine.

• Learn how to avoid low blood glucose (hypoglycemia), which is more likely if you take insulin or diabetes pills, skip a meal, exercise a long time or exercise strenuously. Be aware that low blood glucose levels may occur during or well after physical activity.

• If low blood glucose is interfering with your exercise routine, eating a snack or adjusting your medication may help. Talk to your healthcare team about which is right for you.

• During your activity, if you feel nervous, hungry, shaky or sweaty, check your blood glucose level. If it is 70 or below, take two to five glucose tablets, 1/2 cup of fruit juice or 1/2 cup of a regular soft drink. After 15 minutes, check your blood glucose again. If it’s still below 70, have another serving and repeat these steps until your blood glucose is at least 70.

• Have water and snacks handy, and drink plenty of water before, during and after exercising. If you’re at risk for low blood glucose, carry a source of carbohydrate with you to treat any drops in glucose levels.

• Wear a medical identification bracelet, necklace or medical ID tag in case of emergency.

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Medications Made Easier Your Rite Aid Pharmacist can help you understand which insulin, prescription drug options and over-the-counter (OTC) medications are best for you. Remember, many OTC medications contain sugar, which could affect your blood glucose levels.

Oral Medications

When diet and exercise aren’t enough, type 2 diabetes can often be treated with an oral medication. These medications each work differently to help control blood glucose levels. There are five groups of medications. Ask your Rite Aid pharmacist which is right for you.

Insulin

Insulin is a hormone that helps the body use or store blood glucose. People with type 1 diabetes no longer make insulin, so they must use insulin injections to lower their glucose levels. People with type 2 diabetes don’t make enough insulin or may not respond to the insulin they do make. Over time, people with type 2 diabetes make less insulin and may eventually need to use insulin injections.

There are four main types of insulin. They differ in how quickly they work, when they reach their most effective peak, and how long they work. Combinations are also available. Ask your pharmacist about your options.

Choosing Over-The-Counter (OTC) Relief

There are many OTC choices to remedy common ailments. Some may be more appropriate for people with diabetes than others. Trust your Rite Aid pharmacist to help you make safe, effective choices.

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Say farewell to the flu. Getting sick is especially dangerous when you have diabetes. Ask your pharmacist about getting a yearly flu shot.

Rite Aid’s Over-the-Counter (OTC) Product Recommendations

PRODUCT TYPE PRODUCT NAME

Cough and Cold Provide temporary relief from cough

Diabetic Tussin, Robitussin Sugar Free, Halls Sugar Free Cough Drops, Rite Aid Sugar Free Cough Drops

Allergy Provide temporary relief from runny nose, sneezing, itching, and watery eyes

Benadryl, Rite Aid Complete Allergy, Claritin, Rite Aid Loratadine

Nasal Spray Provide temporary relief from dry nasal membranes

Ocean Nasal Spray, Rite Aid Saline Nasal Spray

Pain Relief Reduce fever and provide temporary relief of mild to moderate pain, inflammation

Tylenol, Rite Aid Acetaminophen, Bayer, St. Joseph Adult Aspirin, Rite Aid Aspirin, Advil, Rite Aid Ibuprofen, Aleve, Rite Aid Naproxen

Laxative Provide relief from constipation

Sugar Free Metamucil, Rite Aid 100% Natural Psyllium Husk Fiber Sugar Free, Colace, Rite Aid Col-Rite

Anti-Diarrheal Help control the symptoms of diarrhea

Imodium A-D, Rite Aid Anti-Diarrheal

Indigestion/Heartburn Provide temporary relief from heartburn and acid indigestion

Pepcid AC, Rite Aid Famotidine, Tagamet, Zantac, Rite Aid Ranitidine, Tums EX Sugar Free, Prilosec OTC

Please talk to your Rite Aid pharmacist for additional recommendations.

Monitoring Your Blood Glucose for Life Monitoring your blood glucose is the best way to determine how well you’re controlling your diabetes. Check with your insurance provider or your Rite Aid pharmacist to see if your insurance will cover the cost of a blood testing meter and testing strips. Experts feel that anyone who has diabetes can benefit from monitoring; but especially people who are:

• Taking insulin or diabetes pills or are on intensive insulin therapy • Pregnant and having a hard time controlling blood glucose levels • Showing severe low blood glucose levels • Noting ketones from high blood glucose levels • Experiencing low blood glucose levels without the usual warning signs

Monitoring is a part of life for people with type 1 diabetes. They are usually advised to check their blood glucose first thing in the morning (fasting), before meals and at bedtime. Type 2 diabetes patients are usually advised to monitor their blood glucose once or twice daily.

Readings at different times of day provide different information. The following chart explains how different testing times can help you meet your diabetes care plan goals.

Optimal Testing Times

TIME OF TESTING TELLS YOU...

First Thing in the Morning

...if your evening (or bedtime) insulin and snackare keeping your blood glucose levels at goal throughout the night.

Before Meals ...if you are taking the right amount of long-acting insulin (i.e., NPH or Lantus) and whether you need to alter your meal planning.

After Meals ...if you are taking the right amount of short-acting insulin (i.e., regular, aspart, or lispro) before that particular meal for the types of foods you are eating.

Before Bedtime ...if you need to adjust your diet to include a snack to prevent hypoglycemia (low blood glucose) during the night.

To help get you in the routine of testing, we’ve included a table at the end of this guide where you can record your readings.

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Read food labels. Ingredients are prioritized by weight, so watch for excessive fats, sugars and syrups, especially at the top of the list.

Managing the Highs and Lows The goal of diabetes management is to prevent peaks and dips in blood glucose levels. These conditions are known as hyperglycemia, or high blood glucose, and hypoglycemia, or low blood glucose.

High Blood Glucose

High blood glucose levels can damage your body over time and can also place you at immediate risk for serious conditions, especially if you have type 1 diabetes. If your blood glucose remains above 240 mg/dL for more than 24 hours, call your doctor.

What causes high blood glucose?

• Eating too much • Lack of physical activity • Sickness or stress • Not taking your diabetes medication or insulin

High blood glucose levels may make you thirsty and cause you to urinate more, as your body tries to get rid of the extra glucose. Be sure to drink plenty of water when your glucose is high.

When your blood glucose is high or when you’re ill, you may need to check your urine for ketones. Having ketones in the urine is a sign that your body is using fat for energy instead of glucose, because not enough insulin is available to convert the glucose into energy.

Sometimes people with type 1 diabetes develop diabetic ketoacidosis, a very serious condition that results from ketones building up in the blood. Contact your doctor or the emergency room immediately if you have high blood glucose readings and shortness of breath, breath that smells fruity, dry mouth, or nausea and vomiting.

Low Blood Glucose Low blood glucose may result from skipping meals, exercising, taking too much medication or insulin, or drinking alcohol. Talk to your diabetes team about what a healthy blood sugar level is for you. It’s important to recognize the warning signs of hypoglycemia so you can treat it before it gets worse.

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Symptoms include: • Shakiness • Fast or pounding heart • Sweating • Headache • Dizziness • Poor vision • Hunger • Fatigue • Inability to concentrate • Paleness

If your blood glucose drops very low, you may become confused, act strangely, or even pass out. Your warning signs may be different from someone else who has diabetes, or you may have low blood glucose with no symptoms at all.

If you do experience hypoglycemia, you should treat it by eating a fast-acting sugar source equal to 15 grams of carbohydrates.

Here are some good choices:

• 3-4 glucose tablets • 3 packets (1 tablespoon) sugar • 1 1/2 tubes of glucose paste • 1/2 cup orange or apple juice • 5 LifeSavers • 1/2 cup regular soda • 6 jelly beans • 1 cup low fat milk • 1 small box (2 tablespoons) raisins

Important Medication Note: If you take Glyset or Precose, you should use glucose tablets or milk to treat hypoglycemia. Candy, sugar or soda won’t work in this instance.

Hidden Dangers of Diabetes Diabetes is a serious disease that shouldn’t be ignored. Although you’ll still be able to lead a very happy, normal life with diabetes, you must follow your diabetes care plan. Uncontrolled diabetes can lead to very serious complications, including:

• Heart disease, stroke and blood vessel disease: Two out of three people with diabetes die from heart disease or stroke.

• High blood pressure: High blood pressure not only increases your risk of heart disease when you have diabetes, but also increases your risk of other complications including stroke, blood vessel disease, eye problems and kidney disease.

• Cholesterol: Having high LDL cholesterol and elevated triglycerides increases your risk of heart disease and stroke.

• Eye problems and blindness: Diabetes can cause eye problems, including cataracts, glaucoma, corneal disease and retinopathy, which may eventually lead to blindness.

• Kidney disease: Diabetes is the leading cause of kidney disease and end-stage renal disease.

• Nerve damage: One of the most common complications of diabetes is nerve damage, also referred to as diabetic neuropathy.

Take care from head to toe. To get more advice on how to protect your feet, mouth and skin, go to riteaiddiabetes.com/selfcare.

Help Yourself to Better Health Foot Care

People with diabetes are more likely to experience foot problems because of their increased risk of nerve damage, poor circulation and infections. Nerve damage may result in an inability to feel injuries on the feet. Poor circulation and nerve damage can result in slower or non-healing sores. Always take care of your feet and watch for abnormalities. If not treated quickly, sores and ulcers can become infected and may even result in amputation.

Follow these simple steps to keep your feet healthy:

• Check your feet every day for sores, cuts, bumps and red spots. • Wash your feet in warm (not hot) water every day with mild soap. • Apply an alcohol-free moisturizing lotion after washing your feet. • Cut your toenails straight across and file down sharp edges. • Do not cut calluses or corns yourself. • Wear thick, soft socks and make sure they fit well. • Call your healthcare provider if you notice any sores that won’t

heal or if you injure your feet.

Oral Hygiene

The most common problem affecting the gums and teeth of people with diabetes is gum disease, but diabetes also makes you prone to other mouth problems. Gum disease is usually painless, so you may not even be aware of it. If you notice any of the following signs of gum disease, see your dentist right away.

Warning signs of gum disease:

• Gums that bleed when you brush your teeth • Red, swollen or tender gums • Receding gums • Bad breath that doesn’t go away • Loose teeth • Pus between your teeth or gums • A change in the fit of partial dentures • A change in the way your teeth fit together when you bite

What you can do to prevent gum disease:

• Brush your teeth thoroughly at least twice daily and floss every day. • Eat a balanced diet and limit snacking between meals. • Get a professional dental cleaning every six months.

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Skin Care

People with diabetes are more likely to have skin problems, such as bacterial infections, fungal infections, and itching due to yeast infections, dry skin or poor circulation. Fortunately, most conditions can be prevented or, when caught early, easily treated.

Some skin conditions happen almost exclusively to people with diabetes, such as diabetic dermopathy, diabetic blisters and eruptive xanthomatosis. Almost one-third of people with diabetes will have a skin disorder caused or affected by the disease at some time in their lives. If you notice any changes in your skin or nails, contact your doctor immediately. Although the condition may be harmless initially, many infections can become life threatening if not appropriately treated.

Tips for preventing skin problems and infections: • Keep your diabetes well controlled. • Keep skin clean and dry, especially in warm, moist areas of the skin such

as between toes. • Treat cuts and sores immediately. • Moisturize regularly to prevent dry skin.

No Smoking, Please

Smoking is unhealthy for everyone, but especially for people with diabetes. Studies have shown that people with diabetes who also smoke are three times as likely to die from heart disease as nonsmokers with diabetes. Smoking is also related to the early development of long-term complications, such as kidney disease or nerve damage.

If you’re serious about quitting smoking, we can help. Ask your Rite Aid pharmacist about forming a plan and taking action.

Fight the Flu

When you have diabetes, illness can make it especially hard to manage your condition. That’s why it’s so important to get a flu shot. And Rite Aid is making it easier for you to receive an immunization in your community. For more information on when and where flu shots are available, talk to your pharmacist.

Get Routine Checkups

The best way to stay healthy is to get regular checkups. Besides a doctor, dentist, eye care specialist and pharmacist, your healthcare team might include a nurse, dietician, podiatrist and mental health professional with an interest in diabetes care. Keeping regular appointments will help you avoid complications.

People with diabetes should have at least two regular checkups per year, although four or more visits are recommended if you use insulin or are having trouble managing your glucose levels. Always bring your self-monitoring blood glucose log to your appointments.

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Keep in the know. Get the latest diabetes news and health tips when you register for our diabetes newsletter at riteaiddiabetes.com.

During each visit, your doctor should check your “ABCs”:

• A1C – A test that shows your average blood glucose level over the past two to three months. Generally A1C should be less than 7%. The ADA recommends A1C as close to normal (less than 6%) as possible without significant hypoglycemia.

• Blood Pressure – Your target blood pressure should be less than 130/80 mmHg. • Cholesterol – Test at least once yearly. Lower your LDL cholesterol to less

than 100 mg/dl.

Please refer to the following chart for other important tests.

Optimal Routine Medical Checkups

WHEN WHAT TEST?

At Diagnosis Kidney check (type 1 patients who have had diabetes for over 5 years; type 2 patients at diagnosis)

Eye examination by an eye specialist (type 1 patients within 5 years after onset of diabetes; type 2 patients at diagnosis)

Cholesterol (total cholesterol, LDL- goal less than 100 mg/dl; HDL- goal greater than 40 mg/dl for men and greater than 50 mg/dl for women; Triglycerides - goal less than 150 mg/dl)

A1C

Every 2-6 Months A1C (goal less than 7%) or every 6 months if previous value is normal

Blood pressure check (goal less than 130/80 mmHg)

Review of home blood glucose monitoring record

Dental exam and cleaning every 6 months

Every Year Foot exam (comprehensive) visual inspection should be done routinely

Kidney check

Cholesterol (total cholesterol, LDL, HDL, triglycerides) more often if needed

Eye examination by an eye specialist

As Needed Exercise stress test

Remember that you are not in this alone. Your Rite Aid healthcare team is here to help.

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Date: ______________

Breakfast Time: ____________________________ Foods eaten: ________________________________________________________

Mid-Morning Snack Time: ____________________________ Foods eaten: ________________________________________________________

Lunch Time: ____________________________ Foods eaten: ________________________________________________________

Afternoon Snack Time: ____________________________ Foods eaten: ________________________________________________________

Dinner Time: ____________________________ Foods eaten: ________________________________________________________

Evening Snack Time: ____________________________ Foods eaten: ________________________________________________________

Medication Guide

MEDICATION NAME DOSAGE REFILLS LEFT

_____________________________ ________________________ _____________

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_____________________________ ________________________ _____________

_____________________________ ________________________ _____________

_____________________________ ________________________ _____________

Food Diary

Other Helpful Guides

For additional copies of the Food Diary and Blood Glucose Test Results, visit riteaid.com and download additional pages from the Diabetes Guide.

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Blood Glucose Test Results (week at a glance)

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riteaid.com

#460864 Rev 10/07 Form # 2002