Checks beyond HbA1c
Follow-up includes glucose, blood pressure, and cholesterol review, with kidney, eye, and foot checks at appropriate intervals. These can detect problems before symptoms develop. Arrange earlier review for repeated readings outside your agreed range or a new health concern, even if your next appointment is later.
Recognizing low glucose
Low glucose can cause shaking, sweating, hunger, or confusion. If awake and able to swallow, use a fast-acting sugar source and follow your agreed low-glucose plan. Unconsciousness, seizures, or inability to swallow require emergency help. Do not give food or drink by mouth in these situations.
Symptoms that need urgent assessment
Vomiting with inability to keep fluids down, deep rapid breathing, or fruity-smelling breath can signal diabetic ketoacidosis. Seek urgent assessment, especially with diabetes or marked thirst and urination. Severe confusion or loss of consciousness requires an immediate emergency call. Do not wait for a routine appointment.
Prepare for illness, fasting, and travel
Discuss illness, fasting, and travel in advance because food patterns and treatment needs may change. Ask for written guidance on glucose checks and when to contact your care team. If you are planning pregnancy, arrange a review of diabetes treatment and monitoring before conception.