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How to manage diabetes

How to manage diabetes
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How to manage diabetes

Jun 27, 2019

Source: Medical News Today

While there is no cure for diabetes, with treatment and self-management strategies, a person can live a long and healthy life.

Diabetes is a chronic disease that affects millions of people around the world. In the United States, 1.5 million people receive a diabetes diagnosis every year.

Diabetes also affects children and adolescents. Approximately 193,000 people younger than 20 in the country have diagnosed diabetes.

The American Diabetes Association (ADA) note in 2017 guidelines that self-management and education are crucial aspects of diabetes care.

Diabetes self-management can reduce blood sugar levels, mortality risk, and healthcare costs, as well as weight in people with excess weight.

In this article, we discuss strategies that people with diabetes can use every day to improve their health.

Self-monitoring

Two important indicators of diabetes control are levels of glycated hemoglobin and blood glucose. Measuring glycated hemoglobin requires a blood test in a doctor’s office, but a person can measure their blood glucose at home.

Doctors recommend that people using insulin check their glucose levels. The right frequency of these checks varies from person to person, but doctors usually recommend monitoring levels before and after meals, at bedtime, and before exercising.

People with diabetes who are not taking insulin should also check their blood sugar levels. Self-monitoring can provide information about the effects of dietary changes, physical activity, and medication on blood sugar levels.

With a blood glucose meter, a person can measure their blood sugar level at any time.

There are also continuous glucose monitors, which provide real-time information about blood sugar levels. These automatically measure levels every 5 minutes through a small sensor inserted under the skin.

When a person uses it appropriately, this type of technology can improve health outcomes.

A healthcare team can use at-home blood sugar readings to modify medication, nutrition, and self-management plans.

Maintain a healthy weight

It is important for people with diabetes or prediabetes to achieve and maintain a healthy weight. When doctors closely monitor weight loss progress, a person more likely to achieve their goals.

Research suggests that, among people with excess weight, modest, consistent weight loss can help manage type 2 diabetes and slow the rate at which prediabetes becomes diabetes.

They also noted that making dietary adjustments can lower glycated hemoglobin levels by 0.3% to 2% in adults with type 2 diabetes. Nutrition therapy can also lead to improvements in the quality of life.

To facilitate these lifestyle adjustments, the ADA recommend consulting a registered dietitian with expertise in diabetes and weight management.

Get good nutrition

Following a meal plan can be among the most challenging aspects of diabetes self-management. Developing a plan with a registered dietitian who is knowledgeable about diabetes-specific nutrition can help.

For some people, dietary changes alone are not enough to control blood sugar levels. Diabetes is a progressive disease, which means that it can worsen over time. The ADA recommend using a combination of medication and nutrition therapy to reach blood sugar targets.

The basis of meal planning involves portion control and favoring healthful foods. The diabetes plate method is one tool designed to help people control their calorie and carbohydrate intakes.

It involves mentally dividing the plate into three sections. Half of the plate should contain nonstarchy vegetables, a quarter can contain grain-based and starchy foods, and the remaining quarter should contain protein.

Exercise regularly

Research has shown that exercise can help control blood sugar levels, reduce cardiovascular risk factors, promote weight loss, and improve well-being.

Researchers behind one study found that engaging in a structured exercise program for at least 8 weeks lowered glycated hemoglobin levels by an average of 0.66% in participants with type 2 diabetes.

The ADA recommend exercising for at least 10 minutes per session and getting a total of at least 30 minutes of exercise on most days of the week.

If a person exercises every day — or lets no more than 2 days pass between workouts — this may help reduce insulin resistance.

Members of a diabetes healthcare team can help develop and tailor an exercise plan that is safe and effective.

In addition to exercising regularly, it is important to avoid spending long periods in a seated position. Breaking up sedentary periods every 30 minutes can help with controlling…

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