Diabetes
What is Diabetes?
Diabetes is a disease process that causes your blood sugar to be too high. There are two types:
Type 1: The body does not make any insulin.
Type 2: The body does not use insulin well.
Symptoms of Diabetes
Some people do not have any symptoms. Others may have:
increased hunger
poor appetite
increased thirst
the urge/need to pee more often
eyesight changes
feeling tired
fruity or sweet-smelling breath
abdominal pain
nausea or vomiting
How is Diabetes Diagnosed?
A lab test called hemoglobin A1C.
Normal A1C = 4 - 5.6%
Prediabetic A1C = 5.7 - 6.4%
Diabetic A1C = 6.5% or higher
Medications and Insulin
It is important to:
Take medications at the same time everyday
Never skip medications or insulin because you, “feel okay”
Never skip insulin unless your doctor tells you to
Keep insulin and other injectables in the refrige
Sick Day Routine
Blood sugar can still go up even if you are not eating. Talk with your doctor and develop a sick day routine or plan to control your blood sugar. Call your doctor if you are:
throwing up
cannot eat or drink anything
remaining above 300
Doctor Visits
Diabetics should have regular checkups to ensure their treatment plan is working. You should also call MD if you have:
foot wounds
feel weak or confused
run out of medications
Foot Care
Diabetics can lose sensation in their feet. This increases the risk of injuring them. Check your feet daily and take protective measures with proper footwear and care.
Stay Active
Moving your body helps lower blood sugar. Having a daily movement routine can improve sugar management. Be sure to monitor your blood sugar before and during exercise and have snacks available if your blood sugar gets too low.
Healthy Eating
Understanding how different foods affect your blood sugar is very important. Keeping a food journal along with your blood sugar log can provide helpful insight to you and your doctor. Some general rules to follow include:
Do not skip meals
Eat meals at the same time every day
Drink water throughout the day
Familiarize yourself with food labels (serving size, calories, carbohydrates, fats, and sugar)
Diabetes Risk Factors
family history
being over 45 years old
overweight
lack of exercise
insulin resistance
prediabetes
gestational diabetes
PMOS (polyendocrine metabolic ovarian syndrome) – formerly PCOS (polycystic ovary syndrome)
Why Control High Blood Sugar
Untreated high blood sugar can cause:
heart disease
stroke
kidney failure
vision loss
nerve damage
feet problems
amputations
Checking Blood Sugar
Blood sugar can be checked at home using a machine called a glucometer and performing a finger stick. Healthy Diabetic Blood Sugar Readings:
Before Meals = 80 - 130
After Meals = less than 180
Call the doctor if your blood sugar is below 70 or stays above 250.
How to Check Blood Sugar
Wash hands with soap and water for 20 seconds.
Follow glucometer instructions for inserting the test strip.
Use a lancet to prick the side of the finger. Avoid the tip and rotate fingers each check.
Gently squeeze the finger until a drop of blood appears and wipe away the first drop with a clean paper towel or gauze. Gently squeeze another drop.
Follow the glucometer instructions on how to apply blood onto the test strip.
Low Blood Sugar
Low blood sugar is less than 70. This should be treated right away following the 15:15 rule = 15 grams of fasting carbs, wait 15 minutes. Repeat 15:15 rule up to 3 times to increase sugar above 70 or seek help.
15g of carbs may be:
1 slice of bread
6 saltine crackers
4oz (120mL) fruit juice
1 tbsp honey
4 glucose tablets.
Once back to normal, eat a snack or meal within 1 hour.