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Get the Most Value From Your Diabetes Medicines

Learn how to work with your medicines to get the best care.
WebMD Health News

With some medicines, you can just swallow the pill and let it do its work. Diabetes medicines require a little effort on your part to get the full benefits.

Doctors urge people with diabetes to control their blood sugar as tightly as possible. Good control can greatly reduce the risk of having complications of the disease. "You take away complications, you take away the sting of diabetes," James Gavin, MD, chairman of the National Diabetes Education Program, tells WebMD.

Diabetes complications are not to be taken lightly. People with diabetes are at least twice as likely to die from a heart attack or stroke as others are. Diabetes can also lead to kidney failure, blindness, and amputation. Other complications include pain or numbness in the legs and feet, impotence, digestive problems, and gum disease.

For those with type 1 diabetes, controlling blood sugar means taking insulin several times a day. Those with type 2, who make up the vast majority of people who have the disease, often take one or more diabetes medicines, sometimes with insulin, too.

Exercise + Diabetes Medicine = Better Control

No matter what you take, a healthy lifestyle should be the cornerstone of your treatment. Diabetes medicines are designed to work together with a good diet and regular exercise. "Every medication that has been approved for diabetes is approved first and foremost as an adjunct to diet and exercise," Gavin says.

If you're sedentary and not eating right, "You're working against a self-imposed gradient of difficulty," he says.

In type 2 diabetes, blood sugar levels are high because the body lacks sensitivity to insulin, which transports sugars from the bloodstream into cells. "There is no better way to sensitize the body to insulin than exercise and weight loss," Paul Jellinger, MD, president of the American College of Endocrinology, tells WebMD.

Just how much and what kind of exercise you should do depends on your unique circumstances, but Jellinger says, "It has to be a substantive program -- not just a casual walk."

Typically that means 30 minutes of moderate-intensity exercise on most days of the week, if not every day.

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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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