Management Checklist

1.	Complete History and Physical	First visit and annually	Date: Result:
2.	Diabetes Education	Schedule with your doctor	Date: Result:
3.	Medical Nutrition Therapy	Schedule with your doctor	Date: Result:
4.	Exercise Counseling	Schedule with your doctor	Date: Result:
5.	Psychosocial Counseling	Schedule with your doctor	Date: Result:
6.	Lifestyle Changes	Talk to your doctor 1. Smoking cessation 2. Alcohol reduction	Date: Result:
7.	Weight	Every visit	Date: Result:
8.	Height	Every visit	Date: Result:
9.	Blood pressure	Every visit	Date: Result:
10.	Foot Inspection	Every visit	Date: Result:
11.	Growth and Development if suspected in children	Every visit	Date: Result: