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Consumer Focus: Diabetes
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Diabetes

Image of the medicine symbolDiabetes is a serious disease characterized by high levels of blood glucose resulting from defects in insulin production or insulin action. It is the leading cause of death in the U.S. Diabetes affects over 18 million people. You may be one of the 5 million who don't know they have it!

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Understanding Diabetes

Image of a doctor talking with his handsThere is no cure for diabetes and resulting health complications can be very serious if left undiagnosed and/or untreated. But, if you have diabetes, you can take steps to control the disease and lower the risk of complications. The first step is to find out from your doctor what type of diabetes you have. Discuss with your doctor the various tests used for diagnosis of diabetes.

Type 1 Diabetes

Type 1 diabetes, formerly called juvenile diabetes or insulin-dependent diabetes, is usually first diagnosed in children, teens, or young adults. The body’s inability to make insulin means you must take insulin shots every day. Here are some symptoms of type 1 diabetes to look for:

  • Increased thirst
  • Increased urination
  • Increased hunger
  • Weight loss
  • Fatigue
  • Irritability
  • Blurred vision

Type 2 Diabetes

Type 2 diabetes, formerly called adult-onset or noninsulin-dependent diabetes, is the most common form of diabetes. People can develop type 2 diabetes at any age, even at childhood. Being overweight and inactive increases one’s chances of developing type 2 diabetes. If you have type 2 diabetes, your body cannot make enough insulin or correctly use it. This type of diabetes can often be controlled by the food you eat and regular physical activity. Some people may also need to take diabetes medication or insulin. Some symptoms of type 2 diabetes may include:

  • Any of the symptoms of type 1 diabetes
  • Increased number of infections
  • Cuts or bruises that heal slowly
  • Tingling or numbness in the hands or feet
  • Skin, gum or bladder infections that keep coming back

Risk factors contributing to the onset of type 2 diabetes may include:

Note: Anyone 45 years old or older should consider getting tested for diabetes, especially if your Body Mass Index (BMI) indicates that you are overweight. If you are younger than 45, are overweight, and have one or more of the risk factors, you should also consider testing.

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Image of a woman doctor

Getting Regular Care for Your Diabetes

People with diabetes should see their health care provider on a regular basis and work with him/her to make changes to their treatment plan when needed. Follow-up visits are important to monitor your diabetes. Ask for referrals to specialists such as nutritionists and diabetes educators who may be able to further assist you with special needs and in managing your care.

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Image of healthy fruits and vegetablesLearning to Control Your Diabetes

The number one goal of diabetes treatment is to control high blood sugar levels. It is important not only to target good behaviors, but also to consistently follow through with them. Monitoring your blood sugar level is a key component in treatment and management of the disease. Also, in many cases intensive lifestyle changes in diet and exercise actually can prevent, reduce or delay the risk of developing the disease. Develop a game plan for a healthier lifestyle.

Monitor Blood Sugar Levels

You may need to test your own blood sugar on a regular basis to help you control and manage your diabetes. Talk with your health care provider about:

  • What type of test to use
  • How to do the test the right way and how often to test
  • How often to report the test results
  • Getting the supplies you need to do the tests
Note: Other tests you should get on a regular basis include blood pressure checks, cholesterol tests and other blood fat tests.

Blood Glucose Monitoring Devices

When people with diabetes can control their blood sugar (glucose), they are more likely to stay healthy. People with diabetes use two kinds of management devices: glucose meters and other diabetes management tests. Glucose meters help people with diabetes check their blood sugar at home, school, work, and play. Some patients may need to test (monitor) more often than others do. How often you use your glucose meter should be based on the recommendation of your health care provider.

Eat Well-Balanced Meals

Healthy foods in the right amounts will keep your weight under control and help manage your diabetes - your body needs food from the four main food groups every day. By following the dietary guidelines, you can promote your health and reduce your risk for other chronic diseases as well such as heart disease, certain cancers, stroke and osteoporosis. Making wise food choices is important in lowering your risk of, or controlling, diabetes.

  • Take a hard look at your serving sizes - reduce serving sizes of main courses (such as meat), desserts, and foods high in fat. Increase the amount of fruits and vegetables.
  • Limit your fat intake
  • Evaluate your daily calorie intake
  • Keep a food (and exercise) log

Remember: Too much fat and cholesterol in your diet can be very harmful to people with diabetes. Foods that are high in fat include red meat, dairy products (whole milk, cream, cheese and ice cream), egg yolks, butter, salad dressings, vegetable oils and many desserts.

Exercise

Image of a man on a stair master Exercise is important for good diabetes control. It usually lowers blood sugar and may help insulin work better. Exercise and a healthy diet can also help you take off extra pounds if you are overweight. If you are overweight or obese, choose sensible ways to get in shape: avoid crash diets, increase your physical activity (build up to at least 30 minutes or exercise most days of the week), and set a reasonable weight-loss goal such as losing 1 pound a week (aim for a long-term goal of losing a specific percent of your total body weight). Be sure to choose activities you enjoy. Here are some ways to work extra activity into your daily routine:

  • Take the stairs rather than an elevator or escalator.
  • Park at the far end of the lot and walk.
  • Get off the bus a few stops early and walk the rest of the way.
  • Walk or bicycle instead of driving whenever you can.

Warning: Check with your doctor before starting any exercise program. You may need a snack before or during the activity to avoid having low blood sugar while you exercise.

Medications

Some people need medication to help control their blood pressure or cholesterol levels. If you do, be sure to take your medicines as directed. Ask your doctor if there are any medicines you can take to prevent type 2 diabetes.

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Other Resources

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