General physical examination for people with Diabetes
People with Diabetes should visit their doctor as regularly as these recommend. On each visit, your doctor will perform a general physical examination that includes various checks and tests such as: height, weight, blood pressure, heart murmurs, lungs, stomach, blood flow using a stethoscope, pulse, temperature, ears, eyes, throat and reflections. Your doctor should also inspect your feet to check if you have any sores, blisters, any possible source of infection, or if they are swollen.
In some cases, your doctor may evaluate how your feet’s surface, tactile, thermal and algesic sensitivity is. To check for tactile surface sensitivity, a doctor will use a fine brush or frayed cotton, and considered that a person has lost tactile surface sensitivity, when they’re not able to feel the brush or frayed cotton. To check for surface thermal sensitivity, the doctor will use a thermal bar which will be placed on the sides of the foot, and a person will be considered as having lost surface thermal sensitivity when they can’t differentiate between cold and hot. To check for surface algesic sensitivity, the doctor will use a pin prick to determine the degree of pain the person feels based on their reaction.
It is particularly important to get a complete physical exam if you have just been diagnosed with Type 2 Diabetes. This type of Diabetes can usually go unnoticed for several years and its complications will begin long before it’s diagnosed. In this case, your doctor may order exams and additional lab tests to make sure all is well, or make all the necessary corrections, to try and delay or stop any damage that may have been caused by high blood glucose levels, over a long time prior to the diagnosis of Type 2 Diabetes.
The doctor can calculate your body mass index (BMI) based on your weight and height. The BMI tells whether a person is overweight or obese; when the person reaches or exceeds 25 percentile, it means the person is overweight, and the doctor may perform a test called waist circumference perimeter to determine their risk of insulin resistance or cardiovascular problems.
In your regular doctor’s visits, they will review your laboratory test results to make sure everything is well; otherwise, they could make changes in your treatment, nutritional diet, exercise program, and other lifestyle changes. They can also prescribe new medications if they notice any changes in certain tests such as cholesterol or triglycerides, or refer you to a specialist if this alteration can be seen in another kind of test, such as, protein in urine (Proteinuria), or high blood creatinine levels, in which case, you’ll be referred to a Nephrologist.
If you have Diabetes, your doctor will tell you what exams and tests are the most important for you to get, and how regularly you should get them. Do not hesitate to contact your doctor if you notice any changes in your health or any unusual symptoms.
When in doubt regarding your treatment, lifestyle changes, or special situations that may arise, you’ll need to check with your doctor, because he is the only one that can make the right decision to solve the problem. Visiting your doctor regularly will allow you to prevent health problems and maintain an optimal control of your Diabetes, so you can enjoy a healthier, more productive, and happier life.