Diabetic testing guidelines

James LiddellArticles, DiabetesLeave a Comment

Please share with others if you find this article helpful

Managing diabetes is about testing to see whether it’s under control. Please use the guidelines for general diabetic testing Recommended testing at doctors visits:

First diabetic examination

  • Fasting blood glucose
  • Weight
  • Blood pressure
  • Urine micro albumin
  • Urine ketones
  • Testing for bacteria in urine
  • HbA1C – Keep level under 6.0%
  • Vitamin D
  • Serum-Creatinine
  • Lipogram
  • Other markers to access cardiovascular risk: Fibrinogen, Lipoprotein A, Homoscysteine, High sensitivity CRP
  • Eye exams with pupil dilatation
  • Feet pulse
  • General examination and an ECG
  • Fructosamine – reflects blood sugar control for past 2-3 weeks

Three monthly diabetic recommended tests

  • Fasting blood glucose
  • Weight
  • Blood pressure
  • Urine micro albumin
  • Urine ketones
  • HbA1C – keep level under 6.0%

Annual testing

All of the above and a Vit B12 blood test if patient are on Metformin.

Additional tests that can be performed

Fructosamine – will give you an indication how well your blood sugar is controlled over 2-3 weeks. This test can be used to check new medication regimes or in pregnant women.

Dr James’s Diabetic Diet Tips

  • Protein (lean): grass fed free range beef, ostrich, game, lamb and fish
  • Low GI/GL vegetables and fruits: greens, cauliflower, broccoli, peppers, celery, berries, etc. (good carbs)
  • Fats: Olive oil, butter and coconut oil
  • Nuts: walnuts, pecans, cashews, almonds etc
  • Diabetic logbook history
  • Alcohol (29kJ/ml): Limit intake 1-2 drinks at special occasions: dry wine, whiskey, spirits and no sugar loaded coolers (better not to drink at all)
  • Drinks: good quality water and herbal teas
  • Sweeteners: cut eventually out of the diet
  • Dark chocolate (70% min) occasionally


Low Carb Diabetic Food Pyramid



  • All diabetics that are new to the low carb diet should reduce carbs to 30g per day until their blood sugar adjusts
  • While following a low carb meal – monitor blood glucose and reduce medication to prevent lows



To lose weight or maintain weight you should exercise 40-60 minutes daily – you can break it up if you are not fit.

The Benefits of Regular Exercise

1.  Musculoskeletal system

  • Increase muscle strength and muscle mass
  • Increases flexibility of muscles and range of joint motion
  • Produces stronger bones, ligaments, and tendons
  • Lessens chance of injury
  • Enhances posture, poise, and physique
  • Prevents osteoporosis

2. Heart and blood vessels

  • Lowers resting heart rate
  • Strengthens heart rate
  • Lowers blood pressure
  • Improves oxygen delivery throughout the body
  • Increases blood supply to muscles
  • Enlarges the arteries that provide blood to the heart muscle
  • Reduces the risk of coronary heart disease
  • Helps lower blood cholesterol and triglyceride levels
  • Raises levels of HDL the “good” cholesterol

3. Bodily processes

  • Improves immune function
  • Aids digestion and elimination
  • Increases endurance and energy levels
  • Promotes lean body mass; burn fat

4. Mental processes

  • Provides a natural release from pent-up feelings
  • Helps reduce tension and anxiety
  • Improves mental outlook and self-esteem
  • Helps relieve moderate depression
  • Improves the ability to handle stress
  • Stimulates improved mental function
  • Induces relaxation and improves sleep
  • Increases self-esteem
  • Improves sexual function in both men and women


Please share with others if you find this article helpful