DIABETES - VISIT QUESTIONS
Name (optional):                         Visit date:
My main concern:
Current medicine list / where to find it:

Ask the team:
- What type of diabetes do I have, and how was that determined?
- Which tests were performed, and is confirmation or follow-up needed?
- Is A1C reliable in my situation?
- What goals and monitoring plan apply to me?
- Who manages prescriptions and refills?
- Which eye, kidney, foot, or other checks are due?
- Can an educator or dietitian help with my daily routine?
- What should I do during illness or low/high glucose?
- What requires urgent or emergency help?
- Who can help with cost, supplies, or an unworkable schedule?

Agreed next action:
Who is responsible:
When it will be reviewed:
Routine contact:
After-hours instructions / location of written care plan:

Use your clinician's plan for treatment, doses, and personal targets.
Source guide: https://yenra.com/diabetes/
Prepared September 5, 2026.