health professional

1. About how many times in the past 12 months have you

seen a doctor, nurse, or other health professional for your

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health professional
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diabetes?

2. A test for “A one C” measures the average level of blood

sugar over the past three months. About how many times

in the past 12 months has a doctor, nurse, or other health

professional checked you for “A one C”?

3. About how often do you check your blood for glucose or

sugar? Include times when Checked by a family member.

4. About how many times in the past 12 months has a health

professional checked your feet for any sores or irritations?

5. How often do you check your feet for any sores or irritation?

Include times when checked by a family memb

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