"Diabetes is a very time-consuming disease to manage well," says
Karmeen Kulkarni, MS, RD, CDE, and former president of health care and
education for the American Diabetes Association. "The medication, the food, the physical activity -- you add life
in general to that whole picture and it ends up being quite
If you have diabetes, you probably know the warning signs of low blood sugar, or hypoglycemia. "It's been described best as a little like the feeling you get when you're sliding on ice in a car: panic, rapid heart rate, [and] sort of a sense of doom," says John Buse, MD, PhD, professor of medicine, chief of the division of endocrinology, and executive associate dean for clinical research at the University of North Carolina at Chapel Hill School of Medicine.
You also probably know that hypoglycemia...
Kulkarni and other experts shared these tips with WebMD to help you get
organized and manage your time while keeping up with all your diabetes care
Use a datebook, Palm Pilot, or other scheduling system to write in times
for important diabetes care tasks, such as checking your blood sugar, taking
medications, exercising, and doctor's appointments.
Reinforce your diabetes care schedule by putting up sticky notes or other
messages as reminders. "The more reminders around the home or office, the
better," Kulkarni says.
Keep all your medications, needles, test strips and other supplies in one
place in your home. That way, you won't waste time looking for things. And
you'll see at a glance which supplies are running low. Don't wait until the
last minute to get new supplies.
Take a diabetes care "travel kit" whenever you leave the house, not
just when you're on vacation. Pack the kit with all of your medical supplies,
snacks, and water. Don't forget to include glucose tablets or hard candy in
case you have low blood sugar. "Whenever
you leave home, you could be caught in a situation where your blood sugar
drops, and you're in an emergency situation," says Pamela J. Kelly, a
Chicago consultant who has counseled people with diabetes on managing their
If you're struggling to manage your diabetes, find a care partner, such as a
spouse or friend. "People with diabetes a lot of times will get very sad or
depressed. Either they're not managing their diabetes at all, or they're having
a tough time because it's a constant struggle," Kelly says. A care partner
can help. "They'll understand your situation, your medication, any other
diseases you have," Kelly says. "They'll understand what to look for
and how to help you."
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Your level is currently
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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