Diabetes Self-Management Plan
This one-page handout is an easy-to-use self-management plan for people with diabetes. It uses flags (green to show good health, yellow to give warnings, and red to indicate health emergencies) to help patients identify symptoms and understand what they mean, seek assistance before a crisis develops, and take appropriate action in the event of an emergency. The document provides blank spaces for people to write down their hemoglobin A1c (HgbA1c) goal and blood sugar range target, the blood sugar level that would warrant a call to their doctor, and instructions and contact information for their health care provider. The English version contains an additional fact sheet about diabetes that is not included with translations of this self-management plan.
This document should not be modified, or reproduced, displayed, or distributed for commercial purposes or financial gain. It is available for use by any organization, by request to Aging and Disability Services (ADS) - The Area Agency on Aging for Seattle and King County. It may be modified, adapted, or built upon for publication if credit is given to Aging and Disability Services.
The English language resource was created or reviewed by a medical professional for quality and accuracy.
This translation was evaluated by a representative or group from the community for accuracy and cultural relevance.