Health Maintenance Guidelines
Age 50:
Men and women:
Colon cancer screening: Acceptable tests include a colonoscopy then every 10 years or flexible sigmoidoscopy every 5 years with annual FOBT (stool guiac card) and/or barium enema every 5-10 years
Cholesterol screen: Every 5 years (unless on medical therapy)
Diabetes screen: Glucose testing annually
Blood Pressure: Annually
Flu vaccine: Annually
Women only:
Pap smear: Every 1-3 years until age 65.
Mammogram: Yearly until 70.
Osteoporosis screening: DXA 5 years after menopause or at age 65 (which ever comes first).
Men Only:
Digital Rectal Exam and PSA blood test annually. (African American men possibly beginning at age 40)
Health Maintenance Guidelines
Age 65
Men and women
Colon cancer screening: Colonoscopy then every 10 years or flexible sigmoidoscopy every 5 years with annual FOBT (Stool guiac card) and/or barium enema every 5-10 years
Cholesterol screen: Every 5 years (unless on medical therapy)
Diabetes screen: Glucose testing annually
Blood Pressure: Annually
Flu vaccine: Annually
Pneumococcal vaccine: At age 65 or five years after the last Pneumovax (if given after age 60)
Shingles vaccine: At age 60 or above. Discuss with your physician.
Eye exam: Annual glaucoma screening
Women only:
Mammogram: Yearly until 70. Then discuss with your physician
Osteoporosis screening: DXA. If normal at 65, may repeat every 5 years
Men Only:
Digital Rectal Exam and PSA blood test annually until age 70. Then discuss with your physician
Health Maintenance Guidelines
Diabetes-Any age
Men and women
Cholesterol screen: Annually
Glucose monitoring: A1C (3 month glucose average) every 3-4 months
Blood Pressure: At every office visit
Flu vaccine: Annually
Pneumococcal vaccine: At the time diabetes was diagnosed or at age 65 (which ever was sooner). If first given before the age of 65, repeat at 65. (or five years after the first Pneumococcal vaccine was given)
Eye exam: Annually
Foot exam: At every visit
Urine micro-albumin: Annually. Tests for protein in the urine.