In every issue of WebMD the Magazine, we ask our experts to answer readers' questions about a wide range of topics. In our July/August 2012 issue, we asked WebMD's diabetes expert, Michael Dansinger, MD, about the link between diabetes and poor sleep.
Q: I have diabetes, and I'm not sleeping well. Are the two related, and what can I do?
A: Yes, people with diabetes often have reduced sleep quality and quantity. Sleep apnea, medications, lack of exercise, and abnormal glucose and hormone...
Your medical team is essential. But you're not in the doctor's office every day.
“You are your own doctor 99.9% of the time,” says Andrew Ahmann, MD. He's director of the Harold Schnitzer Diabetes Health Center at Oregon Health & Science University.
You’re the one in charge, so it’s up to you to watch your diet, exercise, and take your medication on schedule.
You can make better decisions about how to track and manage your diabetes by understanding how the disease works. Sign up for a class or a support group on managing diabetes.
“Not enough patients seek them out, and not enough doctors send their patients to them," Ahmann says. "Not only do these resources offer essential information, but they also bring together people who have the same challenges, giving them a place to meet and talk with each other."
2. Expecting Too Much Too Soon
It's a big step to shift your eating and exercise habits. You need to give it time to see results and for it to feel permanent.
“Most people expect something dramatic is going to happen right away,” says UCLA endocrinologist Preethi Srikanthan, MD. “But it has taken them a decade or two to get to this point, and it will take a while for them to even get to that initial 5% to 10% reduction in weight.”
To make a lasting change, take small steps, Ahmann says. If you try to do more than you can handle, you might quit.
Before you start a new exercise program, talk with your doctor, especially if you aren’t active now. They can help you set goals and plan a routine that’s safe and effective.
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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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