Create a plan of treatment for diabetes
Type 1 diabetes
Always consult a doctor before starting your treatment plan. Type 1 diabetes, also called juvenile diabetes, is a chronic disease that, despite its name, can affect people of any age. This type of diabetes can occur suddenly and without warning. Your symptoms, if left untreated, can be severe and even put lives at risk. Because of this, it is important to seek the advice of a specialist physician qualified to decide on a plan to fight diabetes. The content of this article refers only to general cases and is not intended to replace the doctor’s opinion.
Although neither type 1 diabetes or type 2 diabetes can be cured completely, if you commit for life with your treatment plan, these diseases can be managed to the point of being able to live a normal life. The sooner you start this treatment plan after developing diabetes better. If you think you might have diabetes, do not delay in consulting a doctor. Because the initial symptoms of Type 1 diabetes can be severe, it is not uncommon to have to stay in hospital for a short time after your diagnosis.
Take insulin every day. The bodies of people with type 1 diabetes can not produce insulin, a chemical compound that is used to break down sugar (glucose) in the bloodstream. Without insulin, the symptoms of Type 1 diabetes worsen rapidly and, eventually, will cause death. To clarify: type 1 diabetics need to take insulin every day die. 2 Thy precise daily dose of insulin will vary based on your size, diet, activity level and genetics, which is so important to consult a doctor for a thorough evaluation before starting your treatment plan for diabetes. Insulin is generally available in several varieties, each of which is formulated for specific purposes. These are: 3
Insulin “for meals” (bolus): fast-acting insulin. It is usually taken just before a meal to prevent high levels of blood glucose after eating.
Basal insulin: slower-acting insulin. It is usually taken between meals over twice a day to control glucose levels in the blood at rest.
Premixed insulin: a combination of bolus and basal insulin. It can be taken before breakfast and dinner in order to maintain low levels of blood glucose after meals and throughout the day.
Do exercise. In general, people with diabetes should aim to be fit. Physical exercise has the effect of lowering glucose levels in the body, sometimes up to 24 hours. 4 Because the most damaging effects of diabetes are caused by high levels of blood glucose, exercise is a valuable tool that allows people with diabetes maintain glucose to manageable levels. In addition, exercise also provides the same benefits to those diabetics who are not; specifically, better overall health, weight loss, increased strength and endurance, higher energy levels and moods, and more.
The centers for diabetes generally recommend exercise at least several times a week. Most centers recommend a healthy mix of cardio, strength training, and balance and flexibility exercises. Read the article “exercise” for more information.
Although low and manageable levels of glucose are generally good for diabetics, exercise with low levels of blood sugar can cause a condition called hypoglycemia, in which the body does not have enough blood sugar to fuel their life processes and the muscles being exercised. Hypoglycemia can cause dizziness, weakness and fainting. To counteract hypoglycemia, carry a fast-acting carbohydrate sugar, crackers as an isotonic drink, while you work. 5
Minimize stress. Whether the cause is physical mind, stress is known to cause sugar levels in the blood fluctuate. 6 Continued and prolonged stress can cause levels of blood sugar to rise in the long term, which means that you may need to use more drugs more often to exercise to stay healthy. In general, the best cure for stress is preventive: avoid stress in the first instance by exercising frequently, sleeping well, avoiding stressful situations whenever possible and talking about your problems before they become serious.
Other stress management techniques include seeing a therapist, practicing meditation techniques, eliminate caffeine from your diet and have healthy pastimes. Read the article “Coping with stress” for more information.
Avoid sick. As a real physical ailment as an indirect source of stress, illness can cause your blood sugar to fluctuate. Prolonged disease may even require serious changes in how you take your medications for diabetes on diet and exercise routines that you have to maintain. Although the best policy when it comes to diseases is to avoid living a life that is as healthy, happy and stress-free as possible, when you do you fall sick, be sure to take the rest and medication you need to get better as quickly as possible.
If you have a common cold, try drinking plenty of fluids, take nonprescription drugs for colds (but avoid sugary cough syrups) and rest enough. Because a cold can ruin your appetite, you should make sure to consume about 15 grams (0.5 ounces) of carbohydrates every hour. 7 While having a cold usually raises levels of blood sugar, refrain from eating, as it may seem natural, it can cause your blood sugar reaches dangerously low levels.
Serious diseases require the advice of a doctor, but handle serious diseases in patients with diabetes medications and may require special techniques. If you are diabetic and you think you might have an illness that is more serious than a common cold, see your doctor immediately.
Modify your diabetes considering plans to menstruation and menopause. Diabetic women have unique challenges when it comes to handling the levels of blood sugar during their menopause. Although diabetes affects every woman differently, many women report having high levels of blood sugar in the days before their periods, which may require using more insulin change your diet and exercise habits to compensate. 8 However, sugar levels in the blood during your menstrual cycle may be different, so talk with your doctor gynecologist for a specific orientation.
Additionally, menopause can change how fluctuating levels of sugar in the blood. Many women report that their glucose levels become more unpredictable during menopause. 9 menopause can also cause weight gain, loss of sleep and temporary vaginal problems, which can increase levels of stress hormones in the body and raise levels of blood glucose. 10 If you are diabetic and you are going through menopause, talk to your doctor to find a treatment plan that is right for you.
Schedule regular checkups with your doctor. Right after you diagnose type 1 diabetes, you probably need to meet with your doctor regularly (up to once a week) to get an idea about the best way to control your glucose levels. It may take a few weeks to develop an insulin therapy regimen that fits your diet and activity level. Once your routine treatment for diabetes is established, you will not meet with your doctor as often. However, you must plan to keep a good relationship with your doctor, meaning semi regular schedule appointments follow. Your doctor is the best person to detect discrepancies in your glucose levels in the blood before they become serious, and is a valuable resource for when you need to manage diabetes during times of stress, illness, pregnancy, etc.
In general, as type 1 diabetes, once your routine is set, you should expect to see your doctor once every 3-6 months. eleven
Consult your doctor before starting treatment. If you have type 2 diabetes, your body is able to produce some insulin, unlike any, but has a decreased ability to produce ability can not use it properly. Because of this crucial difference, symptoms of type 2 diabetes may be milder symptoms of type 1, may have a more gradual onset and may require less drastic treatment (although there may be exceptions). However, as with type 1 diabetes, see your doctor before starting any treatment plan anyway is essential. Only qualified medical professional has the knowledge to definitively diagnose your diabetes and design a treatment plan that is tailored to your personal needs.
If you can, you manage your diabetes with diet and exercise. As mentioned above, people with type 2 diabetes have one (but not nonexistent) decreased ability to produce and use insulin naturally. Because their bodies do produce some insulin, in some cases it is possible for people with type 2 diabetes manage their disease without using any artificial insulin. This is usually done through a careful diet and exercise, which means minimizing the amount of sugary foods eaten, maintaining a healthy weight and exercising regularly. Some people with mild cases of type 2 diabetes can potentially lead lives basically “normal” if you are careful about what they eat and how much exercise performed.
It is important to remember, however, that some cases of type 2 diabetes are more severe than others and can not be managed only with diet and exercise but may require insulin or other medications.
Note: Read the sections below for more information regarding diet and medication.
Get ready to explore options for more aggressive treatment over time. Type 2 diabetes is known to be a progressive disease. This means it can get worse over time. It is believed that this is because the cells of the body that are responsible for producing insulin are “exhausted” having to work particularly hard on people with type 2 diabetes 12 As a result, cases of type 2 diabetes that once required options relatively lower treatment may eventually require more drastic treatment, including insulin therapy after several years. This is often not the fault of the patient.
As with type 1 diabetes, you should keep in touch with your doctor if you have type 2 diabetes testing and regular checkups can help detect progression of type 2 diabetes before they become more serious.
Consider bariatric surgery if you are obese. Obesity is a major cause of diabetes type 2. However, being overweight can make any case of diabetes is more dangerous and difficult to handle. The additional pressure that obesity has on the body can make it extremely difficult to keep blood sugar at healthy levels. In cases of type 2 diabetes where patients have high rates (generally greater than 35) body mass, doctors sometimes recommend weight reduction surgeries to quickly control the patient’s weight. Two types of surgery for this purpose are generally employed: 13
Gastric Bypass stomach reduced to the size of a thumb and shortens the small intestine so that fewer calories from food are absorbed. This change is permanent.
Laparoscopic gastric band (Lap-Band): a band around the stomach is wrapped so that you feel fuller with less food. This band can be adjusted if necessary removed.
Check your levels of blood sugar every day. Because the potentially harmful effects of diabetes are triggered by high levels of blood sugar, it is important for diabetics to check their blood sugar in the blood fairly regular basis. Today, this is done with a small portable machine that measures your blood sugar from a small drop of blood. The exact answers as to when, where and how you should check your blood sugar levels in the blood may depend on your age, the type of diabetes you have and your condition. Therefore, you should talk to your doctor before starting to monitor your levels of blood sugar. The tips below are for general cases and are not intended to replace the advice of a physician:
A type 1 diabetics often are instructed to check your levels of blood sugar three times a day. This is often done before after certain meals, before and after exercise, before bedtime and even overnight. If you are sick you are taking new medications, you may need to monitor your levels of blood sugar even more closely. 14
Type 2 diabetes, on the other hand, usually do not have to check your levels of blood sugar as often; They may be instructed to do so more times a day. In cases where type 2 diabetes can be treated with drugs other than insulin alone with diet and exercise, your physician may not even require you to check your levels of blood sugar every day. fifteen
Become an A1c test several times a year. Just as it is important for people to monitor their levels of blood sugar diabetes every day, it is also important to have a “panoramic” view of the long-term trends in the levels of blood sugar. People with diabetes generally should have a special test called an A1c at regular intervals; your doctor may instruct you to do these tests every month every two to three months. These tests monitor the average level of blood sugar over the past months instead of giving a “snapshot” picture and, therefore, can provide valuable information on whether the treatment plan is not working well.
The A1c tests work by analyzing a molecule in the blood called hemoglobin. When glucose enters your blood, some of it is attached to these hemoglobin molecules. Because hemoglobin molecules generally live for about 3 months, analyzing the percentage of hemoglobin molecules that are attached to glucose can provide a picture of how high were the levels of blood sugar over recent months . 16
Tests for the presence of ketones in your urine if you have symptoms of ketoacidosis. If your body lacks insulin and can not break down glucose in the blood, organs and tissues quickly be deprived of energy. This can lead to a dangerous condition called ketoacidosis, in which the body begins to break down their fat reserves to feed the important processes. While this will keep your body functioning, this process produces toxic compounds called ketones, which, if allowed to accumulate, may endanger your life. 17 If you have two consecutive readings of blood sugar above 250 mg / dL samples symptoms below, immediately get tested ketoacidosis (this can be done with a strip of urine without a prescription). If the test shows you have a high amount of ketones in your urine, call your doctor immediately and seek treatment emergency. Symptoms of ketoacidosis include: 18
Unexplained weight loss
Become feet and eye tests regularly. Because that type 2 diabetes can progress so gradually that it is hard to detect, it is important to be aware of possible complications of the disease so that you can address them before they become serious. Diabetes can cause nerve damage and change the flow to certain parts of the body, especially the feet and eyes. Over time, this can result in a loss of blindness feet. Both Type 1 diabetics such as type 2 risk of these complications. However, because type 2 diabetes can progress gradually without being noticed, it is particularly important to schedule regular eye and foot exams to prevent any of these diseases develop.
The complete dilated eye exams detect diabetic retinopathy (vision loss from diabetes) and usually should be scheduled about once a year. During pregnancy a disease, it is likely that a higher frequency is required. 19
Tests at the foot checked the pulse, the feeling and the presence of any ulcer sore on his foot, and should be scheduled about once a year. However, if you had prior foot ulcers, it may be necessary to get tested every 3 months. 20
Always defers to the advice of your nutritionist. When it comes to managing diabetes, diet is crucial. Carefully manage the types and amounts of food you consume lets you manage your blood sugar levels in the blood, which has a direct effect on the severity of your diabetes. The tips in this section are of respectable centers for diabetes, but every plan for diabetes should be individually made for you based on your age, size, activity level, condition, and genetics. Therefore, the advice in this section are intended to be general advice only and should never replace the advice of a qualified doctor nutritionist.
If you’re unsure about how to obtain personalized information about your diet, talk to your family doctor doctor. He she can guide your diet plan refer to a qualified specialist.
Aim for a diet low in calories and high in nutrients. When people eat more calories than you burn, the body responds by creating an increase in blood sugar. 21 Because the symptoms of diabetes are caused by high levels of blood sugar, it is undesirable for people suffering from diabetes. Therefore, people with diabetes generally encourages them to take so many diets that provide essential nutrients as possible by keeping the number of calories consumed per day at a sufficiently low level. Therefore, food (like many types of vegetables) that are packed with nutrients and are low in calories can form a good part of a healthy diet for diabetes.
Low calorie diets high in nutrients and are also useful for diabetes because they ensure that you stay at a healthy weight. Obesity is known to significantly contribute to the development of type 2 diabetes 22
Prioritizes healthy carbohydrates such as whole foods. Recently, there has been much fuss about the dangers of carbohydrates for health. The truth is that most centers for diabetes recommends consuming controlled amounts of carbohydrates; specifically, healthy and nutritious varieties. In general, people with diabetes should limit their intake of carbohydrates to moderately low levels and ensure that we do consume carbohydrates are comprehensive and high in fiber. Read on for more information:
Many carbohydrates are cereal products such as wheat, oats, rice, barley and related grains. Products derived from cereals can be divided into two categories: whole and refined. Whole grains contain the entire grain, including external parties that are rich in nutrients (called the bran and germ), while refined products contain only the inner starchy portion (called endosperm), which is less rich in nutrients. For a given amount of calories, whole grains are much richer in nutrients than refined, so try to prioritize on whole grains breads, pasta, rice, etc., “white”.
Consume foods rich in fiber. Fiber is a nutrient containing vegetables, fruits and other foods derived from plants. Fiber is mostly indigestible; when eaten, most of it passes through the gut undigested. Although fiber does not provide many nutrients, it does provide a variety of health benefits. For example, it helps control hunger, facilitating eat healthy amounts of food. It also contributes to digestive health and is known to help “keep you regular”. 23 Foods high in fiber are a great choice for diabetics, because they facilitate eating a healthy amount of food every day.
Foods high in fiber include most fruits (especially raspberries, pears and apples), whole grains, bran, legumes (especially beans and lentils) and vegetables (especially artichokes, broccoli and green beans). 24
Consume lean sources of protein. The protein is often praised (rightly) as a healthy source of energy and nutrition for muscle development, but sources of protein may come loaded with fat. For a smarter choice, choose sources of lean protein high in nutrients, low in fat. In addition to providing the nutrients needed for a strong and healthy body, protein is also known to produce greater and more lasting feeling of fullness that other sources of calories.
Lean proteins include white meat skinless chicken (dark meat has a little more fat, while the skin is high in fat), most fish, dairy products, beans, eggs, sirloin pork and lean red meat varieties. 25
Consume some “good” fats, but enjoy them in moderation. Contrary to popular belief, dietary fat is not always bad. In fact, certain types of fats, particularly monounsaturated and polyunsaturated fats (including omega-3 fatty acids), are known to provide health benefits, including lowering levels of LDL (low density lipoprotein, for short English) “bad” cholesterol. 26 However, all fats are high in calories, so you should enjoy them in moderation to maintain a healthy weight. Try adding small portions of “good” fats to your diet without increasing your overall calorie load per day; your nutritionist doctor can help with this.
Foods rich in “good” fats (monounsaturated and polyunsaturated fats) include avocados, most nuts (including almonds, pecans, cashews and peanuts), fish, tofu, flaxseed and more . 27
On the other hand, foods high in “bad” fats (saturated fats and trans fatty acids) are fatty meats (including beef Regular ground beef, bacon, sausage, etc.), fatty dairy products (including cream, ice cream, whole milk, cheese, butter, etc.), chocolate, butter, coconut oil, skins poultry, processed snacks and fried foods.
Avoid foods high in cholesterol. Cholesterol is a lipid (a type of fat molecule) that occurs naturally in the body to serve as an important part of cell membranes. Although the body naturally requires a certain amount of cholesterol, high levels of cholesterol in the blood can cause health problems, especially for people with diabetes. High levels of cholesterol can cause a variety of serious problems, including cardiovascular disease and stroke. People with diabetes are naturally predisposed to have cholesterol levels that are unhealthy, so it is particularly important for those suffering from diabetes monitor their intake of cholesterol, more than it is for people without this disease. 28 This means choosing foods carefully to limit cholesterol intake.
Cholesterol comes in two forms: low density lipoprotein (LDL “bad” cholesterol) and high density lipoprotein (HDL, for its acronym in English, “good” cholesterol). Bad cholesterol can build up on the inner walls of the arteries, eventually causing problems such as stroke, heart attacks, while the good cholesterol helps remove bad cholesterol from the blood. Therefore, diabetics should maintain their level of consumption of “bad” cholesterol as low as possible while consuming healthy amounts of “good” cholesterol. 29
Sources of “bad” cholesterol include fatty dairy products, egg yolks, liver and other organ meats, fatty meats and skin from poultry.
The sources of “good” cholesterol include oatmeal, nuts, most fish, olive oil and foods with plant sterols. 30
Use alcohol cautiously. Alcohol is often called a source of “empty calories” and with good reason: alcoholic beverages such as beer, wine and liquor contain calories but few actual nutrients. Fortunately, most diabetics can still enjoy these entertaining sparingly (if not nutritious) beverage. According to the American Diabetes Association, the “moderate” alcohol consumption actually has little effect on glucose control and does not contribute to cardiovascular disease. 31 Therefore, people with diabetes usually encourages them to follow the same guidelines as people without diabetes when it comes to alcohol: men can enjoy up to 2 drinks daily, while women can take 1. 32
Notes that, for medical purposes, “drinks” are defined as portions of standard size drink in question: about 350 ml (12 ounces) of beer, 150 ml (5 ounces) of wine 45 ml (1, 5 ounces) of liquor. 33
It also notes that these guidelines do not take into account sugary mixtures and additives that can be added to cocktails and can have a negative impact on the glucose level of a diabetic.
Use intelligent control portions. One of the most frustrating things about any diet, including diabetes diet is that eating too much of any food (even healthy and nutritious food) can cause weight gain, which causes health problems. Because it is important for diabetics to keep your weight at a healthy level, portion control is a serious concern. In general, for a big meal, and dinner, diabetics should eat enough nutritious vegetables rich in fiber along with controlled amounts of lean protein grains and starchy carbohydrates.
Many centers offer diabetes food guide shows to help teach the importance of portion control. Most of these guides offer tips that greatly resemble the following: 34
Assign half your plate with non-starchy vegetables and rich in fiber, such as kale, spinach, broccoli, green beans, Chinese cabbage, onion, peppers, turnips, tomatoes, cauliflower and many more.
Assigns a quarter of your plate with healthy starches and grains, such as whole grain breads, oatmeal, pasta, potatoes, beans, peas, grits, pumpkin and popcorn.
Assigns a quarter of your plate with lean protein like skinless turkey, fish, seafood, lean pork beef, tofu and eggs.
Talk to your doctor before taking any medication for diabetes. Diabetes is a serious condition that may require special medications for treatment. However, if used incorrectly, these drugs can cause serious problems that can be alone. Before taking any medicine for diabetes, talk to your doctor to develop a plan that takes into consideration all treatment options (including diet and exercise). As all serious disease, one case of diabetes requires the advice of a qualified professional. The information in this section is purely illustrative and should not be used to formulate doses choosing drugs.
Additionally, you should not necessarily stop taking any medications you are currently taking if you find that you are diabetic. A doctor should assess all the variables involved, including medications you currently take, to develop a plan to treat your diabetes.
The effects of taking too few medications for diabetes can be serious. For example, an overdose of insulin can cause hypoglycemia, leading to dizziness, confusion and even coma in severe cases.
Use insulin to control your blood sugar. Insulin is perhaps the best known drug for diabetes. The doctors prescribe insulin for diabetics is a synthetic form of a natural chemical produced by the pancreas to process sugar in the blood.