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What to doada targetsmy targetsmy results Date:my results Date:
AT EVERY OFFICE VISIT 
Review blood glucose numbers 
Before meals 80 to 130 mg/dL    
2 hours after the start of a meal Below 180 mg/dL    
Check blood pressure Below 140/90 mmHg    
Review meal plan    
Review activity level    
Check weight    
Discuss questions or concerns    
Check your feet    
AT LEAST EVERY 3 TO 6 MONTHS 
A1C, also reported as eAG Below 7% or below 154 mg/dL    
AT LEAST ONCE A YEAR 
Physical exam    
Dilated eye exam    
Flu shot    
Thorough foot exam    
ONCE 
Pneumonia vaccine    
What to doada targetsmy targetsmy results Date:my results Date:
AT EVERY OFFICE VISIT 
Review blood glucose numbers 
Before meals 80 to 130 mg/dL    
2 hours after the start of a meal Below 180 mg/dL    
Check blood pressure Below 140/90 mmHg    
Review meal plan    
Review activity level    
Check weight    
Discuss questions or concerns    
Check your feet    
AT LEAST EVERY 3 TO 6 MONTHS 
A1C, also reported as eAG Below 7% or below 154 mg/dL    
AT LEAST ONCE A YEAR 
Physical exam    
Dilated eye exam    
Flu shot    
Thorough foot exam    
ONCE 
Pneumonia vaccine    
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