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6 Tips to Get Your Diabetes Under Control

Make these expert suggestions for managing your diabetes top on your list.


Take your best shot. Get a flu shot every fall. People with diabetes are prone to complications if they get the flu. "They're more likely to be hospitalized for the flu than people who aren't diabetic," Campbell says. The flu can also cause blood sugar levels to skyrocket, which may trigger severe complications and slow healing. For added protection, Campbell recommends a pneumonia vaccine. Ask your doctor if you should get one.

Quit smoking . Smoking is especially harmful for people with type 2 diabetes. Smoking appears to increase insulin resistance and also causes blood vessels to narrow, limiting circulation to your legs and feet. Your doctor can help you make a plan to quit.

Know Your Type 2 Numbers

In addition to recording daily blood sugar levels, be sure to track other numbers, which tell you how well your treatment plan is working.

A1C This number measures your average blood glucose level over the previous two to three months. Aim for a number under 7%, and have your A1C tested at least twice a year.

Lipid levels Your cholesterol and triglyceride numbers offer valuable insights into heart health, which is critical because type 2 diabetes increases heart disease risk. Your target numbers and how often you should have these tests vary depending on your individual risk, so ask your doctor.

Blood pressure High blood pressure (a reading of 140/90 or higher) often goes hand-in-hand with diabetes and increases your risk of heart disease and diabetes complications. Have your blood pressure checked each time you visit the doctor.

Microalbumin This test checks for small amounts of protein in the urine, which is important for gauging kidney health. If caught early, kidney disease can be controlled by keeping A1C, blood sugar, and blood pressure in their target ranges.

Expert Tip

"Sugar-free foods aren't necessarily better. They're often made with sugar alcohols, such as sorbitol and mannitol, which have a laxative effect in some people." -- Amy Campbell, MS, RD, CDE

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Reviewed on July 15, 2012

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If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

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