Wednesday, August 1, 2012

Managing Diabetes

Diabetes management aims to keep your blood sugar in control through various measures, from diet and lifestyle changes to medications and insulin injection. When it comes to diabetes, blood sugar control is often the central theme. After all, keeping your blood sugar level within your target range can help you live a long and healthy life. But do you know what makes your blood sugar level rise and fall?

Dietary Habit


By now you're probably getting bored of me stating the obvious, but healthy eating is the most important part of any diabetes management plan. It's not just about the quality and quantity of the foods you eat, the meal schedule matters too.

Blood sugar level peaks around two hours after meal then begins to fall after that. If you keep to a regular schedule by eating at the same time every day and dividing your total daily calories into several small meals at regular times, you can control the fluctuation of your blood sugar level.

Stick to the DASH (Dietary Approach to Stop Hypertension) eating plan because it's also the best diet for diabetes. It's well balanced, have the right mix of carbohydrate, fruits, vegetable, and lower fat. Always remember to coordinate your meals and your medication, especially if you're using insulin to avoid low blood sugar (hypoglycemia).

Physical Activity


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Staying physically active improves your body's response to insulin.
Regular exercise is another important part of your diabetes management plan. Regular physical activity improves your body's response to insulin. This is especially important in people with type 2 diabetes. When you exercise, your muscles take up the excess glucose and turn them into energy.

Pick the type of exercise that is appropriate with your condition. If you have a heart problem or sores in your feet, consult your physician first. Pay attention to your blood sugar levels before, during, and after exercise and recognize the signs of low blood sugar such as hunger, weakness, lightheadedness, anxiety, and fatigue. Bring an emergency snack or glucose pill with you when you're exercising. Drink plenty of water or isotonic fluids to prevent dehydration that can affect blood sugar levels.

Medication


Diabetes medications and insulin are used only when diet and exercise are not enough to control your blood sugar. If you have type 1 diabetes, then insulin must be included in your treatment plan. If you have type 2 diabetes, you may take either oral anti-diabetic medication (as a single drug or in combination) and/or insulin in combination.

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pre-filled insulin pen to deliver insulin
Insulin works by increasing glucose uptake into your cells. There are many types of insulin which differ in how they act and how long they stay in your body. Oral anti-diabetic agents may either increase the amount of insulin secreted by the pancreas, increase the sensitivity of your organs to insulin, or decrease the absorption of glucose from the gastrointestinal tract.

Anti-diabetic drugs, like other type of pharmacological agents, may interact with other medications such as anti-hypertensive agents and birth control pills. Always consult your doctor to find the right medications for you and minimize drug interactions and side effects.

Stress


Psychological stress increases the production of stress hormones in body. These hormones may prevent insulin from working properly and increase your blood sugar level. Learn to manage your stress by relaxation techniques, learning coping strategies, setting limits and prioritizing tasks.

Illness, menstruation, pregnancy, and menopause may also put your body under extra stress. Anticipate to take extra measures to control your blood sugar during any of these conditions.