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Screening schedule

How often should you be tested?

Not everyone with diabetes needs the same tests at the same intervals. This is the schedule the clinic works to, following the American Diabetes Association Standards of Care — the single most useful page on this site to keep bookmarked.

Step one

Which group
are you in?

Your doctor decides this with you. These are the features that place most patients in each group.

At goal and stable

  • HbA1c below 7%
  • Blood pressure below 130/80
  • Cholesterol at target
  • Kidney and urine tests normal
  • No complications so far
  • Treatment unchanged for some time

Not at goal, or risk factors

  • HbA1c above 7%
  • Treatment recently changed
  • Blood pressure or cholesterol above target
  • Diabetes for more than 5 years
  • Raised albumin in the urine
  • Overweight — more fat, less muscle

Established complications

  • Kidney disease
  • Heart or vascular disease
  • Neuropathy — nerve involvement
  • Retinopathy — eye involvement
  • A previous foot ulcer or amputation
  • Blood pressure or glucose not controlled

Step two

The schedule.

Tap a group to see only that column — useful on a phone. Your choice is remembered on this device.

Monitoring intervals — ADA Standards of Care in Diabetes, 2026
Test At goal & stable Not at goal Complications
HbA1cTwice a yearEvery 3 monthsEvery 3 months
Blood pressureEvery clinic visitEvery clinic visitEvery clinic visit
Weight and BMIEvery clinic visitEvery clinic visitEvery clinic visit
Lipid profileOnce a yearOnce a year, or sooner4–12 weeks after starting or changing a statin, then yearly
Kidney — eGFR and urine albumin-creatinine ratioOnce a yearOnce a yearTwo to four times a year
Dilated eye examinationEvery 1–2 yearsOnce a yearAs the eye specialist advises
Comprehensive foot examinationOnce a yearEvery 3–6 monthsEvery 1–3 months
Feet looked at by the doctorEvery visitEvery visitEvery visit
Sensor or CGM reviewAs advisedAs advisedAs advised

Where these come from. The intervals above follow the American Diabetes Association Standards of Care in Diabetes — 2026. Two starting points differ by type of diabetes: kidney and eye screening begin at diagnosis in type 2 diabetes, but five years after diagnosis in type 1. Thyroid function is checked at diagnosis in type 1 and periodically thereafter, and in type 2 where there is reason to. Where complications are already significant, your doctor decides the schedule — it is not set by this table. दुष्परिणाम जास्त असल्यास डॉक्टरांच्या सल्ल्याने तपासणी कधी करावी हे ठरवावे.

Step three

What you are
aiming for.

The targets behind the schedule. Yours may be different — your doctor will tell you if they are.

Blood glucose

Before meals80–130
1–2 h after a meal< 180
HbA1c< 7%

Blood pressure & weight

Blood pressure< 130/80
Higher heart or kidney riskSystolic < 120
Weight loss, if overweight5–7%

Cholesterol

LDL, with risk factors< 70
LDL, with heart disease< 55
Triglycerides< 150

If you use a sensor

Time in range 70–180> 70%
Time below 70< 4%
Time below 54< 1%

Glucose and cholesterol figures are in mg/dL. These follow the American Diabetes Association Standards of Care in Diabetes — 2026. They are the goals for most non-pregnant adults; targets are relaxed or tightened for pregnancy, for children, for older adults and where hypoglycaemia is a concern. Your own targets are set by your doctor.

Let's look at it together.

Call any of the clinic numbers before you visit to confirm timings. Existing patients — keep your Clinic ID handy so your records are ready before you arrive.

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