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Type 1 Diabetes: Recently Diagnosed - Treatment Overview

The focus of your treatment for type 1 diabetes is to keep your blood sugar level within a target range. This is called tight control. It is the best way to reduce your risk of diabetes complications. But some people-such as those whose blood sugar drops too low with tight control-may need to set a different target range with their doctor. The A1c goal for Canada is 7% or less, but in the US it is less than 7%. Corrected the text for this overlooked error . 12/7/10 CB

To keep your blood sugar in a target range, your daily treatment includes:

  • Testing your blood sugar several times every day. Do additional blood sugar testing whenever you have symptoms of high or low blood sugar, and now and then test during the night. It is possible for your blood sugar level to change while you are sleeping. Testing at night will help you see if this is happening to you. If it is, your doctor may change your treatment plan. For more information, see:
    Diabetes: Checking Your Blood Sugar.
    Diabetes in Children: Checking Blood Sugar in a Child.
  • Taking (several) insulin injections or using an insulin pump. Even children can use an insulin pump. For more information, see:
    Diabetes: Giving Yourself an Insulin Shot.
    Diabetes in Children: Giving Insulin Shots to a Child. At some point your child can learn to give an insulin injection. Talk to your doctor and your child to find out when is a good time to start teaching your child to give an insulin injection.
  • Spreading carbohydrate throughout the day to prevent high blood sugar levels after meals. For more information, see:
    Diabetes: Counting Carbs if You Use Insulin.
    Diabetes: Using a Plate Format for Eating.
  • Doing moderate activity at least 2� hours a week. (Teens and children-starting at age 6-should do moderate to vigorous activity at least 1 hour every day.) Some tips for exercising safely may be helpful. Drink plenty of water before, during, and after you are active. This is very important when it?s hot out and when you do intense exercise. It may also help to keep track of your exercise on an activity logform.gif(What is a PDF document?). Children with type 1 diabetes can participate in sports just like children who do not have diabetes. But children who use insulin are at risk of low blood sugar. Some tips on safe exercising for your child with type 1 diabetes can help prevent low blood sugar. For more information, see the topic Fitness.
  • Starting a routine. Your sugar levels may be easier to control if you have a routine where you eat and exercise about the same amounts and at about the same times every day.
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WebMD Medical Reference from Healthwise

Last Updated: November 05, 2010
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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If the level is below 70 and 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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