Hello

This is you annual diabetes check.

Step One

Please complete the eReview below.

To do this, you will have to record certain information including your height, weight and blood pressure. People have home blood pressure machines and these can be bought cheaply from any chemist or online. Please do not complete the form until you have this information.

Step Two

Call the practice to have your “Diabetic Bloods” taken. This is not urgent and can be arranged in the next few weeks.

Step Three

We will review your records and call or text you with any changes to your medication in the next few weeks.

Things you need to know:

  • Diabetes is a lifelong condition but you can get yourself into remission by improving your diet and lifestyle.
  • Stopping your medication is possible by changing your lifestyle.
  • The most frequent and serious complication of diabetes is heart disease.
  • A diabetic diet is much the same as a healthy diet for someone without diabetes.
  • You can lower blood pressure naturally with weight loss.
  • Stopping smoking always helps even if you have been smoking for a long time.

Diabetes Review
Enter Email
Please use format day/month/year e.g. 12/05/1979

Your Height and Weight

Weight

Unit of measurement *
cm
kg
ft
in
lbs

BMI

Underweight
Healthy
Overweight
Obese

Diabetes Review

Do you smoke? *
How active are you? *
Could you eat more healthy? *
Do you drive? *
Are you having problems with your feet? *
One of our clinicians will contact you on this number in the next couple of weeks.
e.g. problems with mood or erectile disfunction

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.