How Often Should You Get Tested for Diabetes Risk? - Internal Medicine

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Questions related to diabetes testing?


Hello, doctor: I would like to ask how often the general public should get tested for the risk of diabetes.
If I am a diabetes patient, how often should I go to the hospital for check-ups? Is it the same as a routine health check-up, once a year, or should it be based on the recommendations given by different doctors? Thank you!

Miss A, 20~29 year old female. Ask Date: 2018/07/06

Dr. Lin Jianliang reply Internal Medicine


Generally, assessments should be based on individual circumstances such as age, weight, family history, medication history, symptoms, and the presence of other diseases.
This is also true for diabetes patients, who should be evaluated according to their specific conditions.
It is recommended that any related concerns be discussed in person with a qualified physician.
Thank you.

Reply Date: 2018/07/06

More Info


When it comes to assessing diabetes risk, the frequency of testing can vary based on individual risk factors and health status. For the general population, the American Diabetes Association (ADA) recommends that adults aged 45 and older should be screened for diabetes every three years. However, if you have risk factors such as obesity, a family history of diabetes, high blood pressure, or a sedentary lifestyle, you may need to be tested more frequently, potentially every year.

For individuals who are already diagnosed with diabetes, the testing frequency can differ based on the type of diabetes and the treatment plan. Generally, those with type 1 diabetes should have their blood glucose levels monitored multiple times a day, while those with type 2 diabetes may need to check their levels less frequently, depending on their management plan. Regular check-ups with a healthcare provider are essential to monitor blood sugar levels, assess the effectiveness of treatment, and make necessary adjustments.

In addition to routine blood glucose monitoring, people with diabetes should also have their hemoglobin A1c (HbA1c) levels checked at least twice a year if their blood sugar levels are stable and well-controlled. If there are changes in treatment or if blood sugar levels are not well controlled, more frequent testing may be necessary, possibly every three months.

It's also important to consider other health checks that are relevant for individuals with diabetes. These may include regular assessments of blood pressure, cholesterol levels, kidney function, and eye examinations to check for diabetic retinopathy. The frequency of these tests can depend on individual health conditions and the recommendations of your healthcare provider.

For those who are concerned about their risk for diabetes but have not yet been diagnosed, it is advisable to discuss your specific situation with a healthcare professional. They can provide personalized recommendations based on your health history, lifestyle, and any symptoms you may be experiencing.
In summary, for the general population, screening for diabetes should occur every three years starting at age 45, or sooner if risk factors are present. For those diagnosed with diabetes, regular monitoring of blood glucose and HbA1c levels is crucial, with the frequency determined by individual health status and treatment plans. Always consult with your healthcare provider for tailored advice and follow their recommendations for testing and monitoring.

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