TESTPATIENT, Jimmy (Master) 
145, East Ferry Road, London, E14 

08-Jan-2015 

Dear Master Testpatient ,

Thank you for coming to the surgery for the first part of your diabetes annual review. We are enclosing the results from the tests that we took on that day with this letter.

What you need to do now
It is important that we discuss these results together so we can help you plan your care to stay healthy in the year ahead.  To make sure we are putting your needs at the centre of this process, please complete Your Goals sheet and bring it with you at your next appointment.

An appointment has been booked for you on qweqw at: qweqw. If this date does not suit you, to rebook, please call us on: 02073631111.

Please try to remember to bring all your medicine with you including any you may take for other health problems, and this letter with the enclosed form.  If you have blood glucose meter, please bring it with you, along with your blood sugar result book (if you have one).

Yours sincerely,

Results for Master Jimmy Testpatient 
These are the results of your diabetes tests.  We will discuss what the tests mean for you at your next appointment.  

	Blood Sugar
Keeping your blood glucose levels under control can help lower your risk of future complications. The HbA1C figure gives us an idea how well you are doing. The units have changed recently.

Better below 58	Your HbA1c

  	

	Blood Pressure
High blood pressure can put you at greater risk of having a heart attack or stroke

Better below 140/80 or 130/80 if you have heart or kidney disease	Your BP

21-Mar-2013  : 140/90  

14-Mar-2013  : 149/90  

	Cholesterol
Cholesterol is a fat in the blood. Protecting with a statin tablet for all patients with diabetes can limit the risk of heart disease.

Better below 4	Your Cholesterol

  	

	Weight and diet
Being overweight increases the risk of many medical conditions including heart disease and arthritis and can make your glucose and BP more difficult to control. The BMI figure is a way of looking at your weight adjusted for your height.

Better between 19 and 25	Your BMI

10-Oct-2012  : 16.9  

17-Sep-2012  : 56.5  

	Smoking
Smoking causes many problems with your health, but is particularly damaging in people with diabetes.

Stopping smoking is the single most important thing you can do.	Your Smoking Status

02-Apr-2013 Cigarette smoker : 10  	
	Exercise
Regular exercise will improve your health.	Your Exercise Rating

17-Nov-2011 GPPAQ physical activity index: moderately inactive

	Kidneys
We test your kidneys using a blood test and a urine test. Diabetes can damage the kidneys. We measure how well they are working to identify any problems at an early stage so that we can try to minimise further damage.
eGFR: better above 60

Urine albumin creatinine ratio: 
better below 2.6	Your Latest Kidney Tests

eGFR

Urine Albumin Creatinine Ratio

	Eyes
Diabetes is the commonest cause of blindness.  Blindness may be prevented if any changes in your eyes are detected early enough.  We measure how healthy your eyes are using a simple and painless test called retinal screening, usually once a year. You need to have a yearly digital retinal screen.  If your last test was more than a year ago, we will need to contact the screening department	Your last Retinal Screening

Right eye:
02-Jan-2013 O/E - no right diabetic retinopathy  

Left eye
02-Jan-2013 O/E - no left diabetic retinopathy  	

	Feet
Your feet need examining to check the blood flow and that there is no damage to your nerves or skin. We will give you an assessment of your current foot risk and details of how to access care in an emergency.	Your Last Foot Check

Left foot:

Right foot:

	Other Issues
If you have any other issues you would like to talk about at your next appointment, please write it down here.  For example how your diabetes affects:
Housing/Travel/Sport/Work/Family		
	Erectile Dysfunction
Erectile Dysfunction is a common problem amongst men who have diabetes.		
	Low Mood
Some people with diabetes feel low in mood. We’d like to try to help if you’re experiencing this.		

Your Goals
These are some of the things people often want to talk about related to their diabetes.
Circle those which you feel you would like to discuss or have some help with when we meet.
Medical check-ups                               Taking medication                                          Avoiding sugary foods

Monitoring glucose levels                    Healthier eating                                              Thinking of getting pregnant

Low mood, sadness or depression      Sexual function problems                              Family concerns

Feeling tired all the time                       Physical activity                              Smoking                      Weight
	
What sort of things would you like to work on?

	
What one thing do you want to achieve?

	
How important is it to you?

Not important     1      2     3     4     5     6      7     8      9     10     Important
	
What exactly are you going to do? (How, what, when, where)

	
What could get in your way to stop you achieving this goal?

	
What could you do to reduce this?