<prompt> All are recommended as pa of comprehensive medical care for patients with diabetes, exceptHbA1c testing, 2-4 times per yearAnnual nutrition educationBlood insulin levels annuallyAnnual lipid profile  <response>: Guidelines for Ongoing, Comprehensive Medical Care for Patients with DiabetesOptimal and individualized glycemic controlSelf-monitoring of blood glucose individualized frequencyHbA1c testing 2-4 timesyearPatient education in diabetes management annual; diabetes-self management education and suppoMedical nutrition therapy and education annualEye examination annual or biannualFoot examination 1-2 timesyear by physician; daily by patientScreening for diabetic nephropathy annualBlood pressure measurement quaerlyLipid profile and serum creatinine estimated GFR annualInfluenzapneumococcalhepatitis B immunizationsConsider antiplatelet therapy Ref: Harrison 19e pg: 2408 