"It can seem overwhelming at first," Lawrence Phillips, MD, an endocrinologist with Emory University School of Medicine in Atlanta, tells WebMD. "Diabetes is a new world for most people. They are uncertain what the future holds for their health."
For most people, a bad shoe day means a blistered heel or painful arch that goes away quickly. But for people with diabetes, poor footwear can trigger serious problems, such as foot ulcers, infections, and even amputation.
Foot problems aren't inevitable, though. Ralph Guanci learned the hard way to pick his shoes with care and to stick with wearing them because they're good medicine for his feet.
Guanci, 57, a businessman in Carlisle, Massachusetts, was diagnosed with type 2 diabetes 25 years...
Diane Schafer, LDN/RD, is a certified diabetes educator at the Ochsner Clinic Foundation in New Orleans. She's counseled scores of patients. "Often they don't really hear what I say," she tells WebMD. "They're thinking, 'Why me? Why is God punishing me?'"
In today's medical world, type 2 diabetes is a manageable problem -- "it is not your fate," Phillips says. "You have the ability to control your destiny. This is a serious disease, it's a silent killer, and bad things can happen if we don't take care of it. But we know how to monitor the disease, and we're much better able to take care of it now. We know how to screen for and manage complications. The prognosis is very, very good."
Yet anger is often the first reaction: "This should not be happening to me," one woman told Schafer. "I watch what I eat, I get regular exercise, I don't understand this." Unfortunately, if a father or mother had type 2 diabetes, their child has an increased risk of developing the disease.
Denial is common: When the local football coach was diagnosed, Schafer talked to him once -- but hasn't seen him since. Turns out, his mother had diabetes, began taking insulin, yet she went blind, Schafer says. "Just because his mother had those experiences, that doesn't mean he will, too. But if he doesn't come back, he won't learn what he needs to do."
Guilt, depression, and anxiety are rampant: "This is terrible," said one man to Schafer. "It will affect the rest of my life."
Schafer says she feels empathy; she developed diabetes during a pregnancy. Her dad has type 2 diabetes. "I could get it back tomorrow," she says.
Get the latest Diabetes newsletter delivered to your inbox!
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.
Thank you for signing up for the WebMD Diabetes Newsletter!
You'll find tips and tricks as well as the latest news and research on Diabetes.
Did You Know Your Lifestyle Choices
Affect Your Blood Sugar?
Use the Blood Glucose Tracker to monitor
how well you manage your blood sugar over time.