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Diabetes: Introduction
PREVENT DIABETES PROBLEMS: KEEP YOUR DIABETES UNDER CONTROL
On this page:
What are diabetes problems? Too much glucose (sugar) in the blood for a long time can cause diabetes problems. This high blood glucose (also called blood sugar) can damage many parts of the body, such as the heart, blood vessels, eyes, and kidneys. Heart and blood vessel disease can lead to heart attacks and strokes. You can do a lot to prevent or slow down diabetes problems. [Top] Will I have diabetes problems? Maybe. You may have one or more diabetes problems or none at all. It is hard to know if or when your diabetes will cause problems. If you get diabetes when you are young, you may not have diabetes problems for many years. If you find out you have diabetes as an adult, you may already have diabetes problems. Either way, keeping your blood glucose, blood pressure, and cholesterol under control can prevent diabetes problems. [Top] What should my blood glucose numbers be? Keeping your blood glucose on target can prevent or delay diabetes problems. For most people, target blood glucose levels are shown here:
Talk with your health care provider about what your blood glucose numbers should be and write them here:
Talk with your health care provider about when you need to check your blood glucose using a blood glucose meter. You will do the checks yourself. Your health care provider can teach you how to use your meter. Keep track of your blood glucose checks using the record page in this booklet on page 16. Make copies yourself or ask your health care provider for a blood glucose record book. Your blood glucose check results will help you and your health care provider make a plan for keeping your blood glucose under control. Always bring your record book to your doctor visits so you can talk about reaching your glucose goals. [Top] How can I find out what my average blood glucose is? Ask your health care provider for the A1C test. This blood test shows the average amount of glucose in your blood during the past 2 to 3 months. Have this test done at least twice a year. If your A1C result is not on target, your health care provider may do this test more often to see if your result is improving as your treatment changes. Your A1C result plus your blood glucose meter results can show whether your blood glucose is under control. Aim for a result below 7 percent. If your A1C test result is below 7 percent, then your blood glucose is in a desirable range and your diabetes treatment plan is working. The lower your A1C is, the lower your chance of having health problems. If your result is more than 8 percent, you may need a change in your diabetes plan. Your health care team can help you decide what part of your plan to change. You may need to change your meal plan, your diabetes medicines, or your physical activity plan.
[Top] What should my blood pressure be? Normal blood pressure will help prevent damage to your eyes, kidneys, heart, and blood vessels. Blood pressure is written with two numbers separated by a slash. For example, 120/70 is said as "120 over 70." The first number should be below 130 and the second number should be below 80. Keep your blood pressure as close to these numbers as you can. If you already have kidney disease, ask your doctor what numbers are best for you. Meal planning, medicines, and physical activity can help you reach your blood pressure target. [Top] What should my cholesterol be? Normal cholesterol and blood fat levels will help prevent heart disease and stroke, the biggest health problems for people with diabetes. Keeping cholesterol levels under control can also help with blood flow. Have your blood fat levels checked at least once a year. Meal planning, physical activity, and medicines can help you reach your cholesterol targets:
[Top] What does smoking have to do with diabetes problems? Smoking and diabetes are a dangerous combination. Smoking raises your risk for diabetes problems. If you quit smoking, you'll lower your risk for heart attack, stroke, nerve disease, and kidney disease. Your cholesterol and your blood pressure levels may improve. Your blood circulation will also improve. If you smoke, ask your health care provider for help in quitting. [Top] What else can I do to prevent diabetes problems? There are other things that you can do either each day or one or more times a year to prevent diabetes problems. For example, to keep your feet healthy, check them each day. Ask your health care team whether you should take a low dose aspirin every day to lower your risk for heart disease. To keep your eyes healthy, visit an eye care professional once a year for a complete eye examination that includes using drops in your eyes to dilate the pupils. Once a year, your urine should be tested for protein. At least once a year, your blood creatinine level should be checked. Also once a year, your health care provider should do a complete foot exam. See Things to Do Every Day for Good Diabetes Care for what you can do each day to stay healthy with diabetes. See Things for Your Health Care Provider to Look at Every Time You Have a Checkup for other things for your health care provider to check for good diabetes care. [Top] Things to Check for Good Diabetes Care Taking care of diabetes is a team effort between you and your health care team (doctor, diabetes nurse educator, diabetes dietitian educator, pharmacist, and others). You are the most important member of the team. Take charge of your diabetes by learning what to do for good diabetes care:
You can prevent or slow down diabetes problems by reaching your blood glucose, blood pressure, and cholesterol goals most of the time. [Top] Things to Do Every Day for Good Diabetes Care
Things for Your Health Care Provider to Look at Every Time You Have a Checkup
Things for You or Your Health Care Provider to Do at Least Once or Twice a Year
How to Use the Daily Diabetes Record Page Use copies of the record page to keep track of blood glucose checks, medicines, and notes about things that affect your blood glucose. Make one copy of the record page for each week. This record will help you see whether your diabetes plan is working. Review your record with your health care providers. Blood Glucose Checks Talk with your health care provider and decide on the best times to check blood glucose. You may be checking blood glucose before meals, after meals, or at bedtime. Write down your results. If needed, draw a line in the boxes under "Breakfast," "Lunch," and "Dinner" to make room for blood glucose check results before and after a meal, like this example: See "What should my blood glucose numbers be?" for information about target blood glucose levels. Medicines Under the heading marked "Medicine," write the name of your diabetes medicines and the amounts taken. Notes Write down things that affect your blood glucose level. Some examples are
View and print a daily diabetes record page. My Health Care Provider Team Members Print out this chart and record names, addresses, and phone numbers.
or More Information Diabetes Teachers(nurses, dietitians, pharmacists, and other health professionals) To find a diabetes teacher near you, call the American Association of Diabetes Educators toll-free at 1-800-TEAMUP4 (1-800-832-6874), or look on the Internet at www.diabeteseducator.org and click on "Find an Educator." Dietitians To find a dietitian near you, call the American Dietetic Association toll-free at 1-800-366-1655, or look on the Internet at www.eatright.org and click on "Find a Nutrition Professional." To get more information about taking care of diabetes, contact National Diabetes Information Clearinghouse 1 Information Way Bethesda, MD 20892-3560 Phone: 1-800-860-8747 Fax: 703-738-4929 Email: ndic@info.niddk.nih.gov Internet: www.diabetes.niddk.nih.gov National Diabetes Education Program 1 Diabetes Way Bethesda, MD 20892-3600 Phone: 1-800-438-5383 Fax: 703-738-4929 Internet: www.ndep.nih.gov American Diabetes Association 1701 North Beauregard Street Alexandria, VA 22311 Phone: 1-800-342-2383 Internet: www.diabetes.org Juvenile Diabetes Research Foundation International 120 Wall Street New York, NY 10005-4001 Phone: 1-800-533-2873 Internet: www.jdrf.org [Top] More in the Series The "Prevent Diabetes Problems" series includes seven booklets that can help you learn more about how to prevent diabetes problems. The Prevent Diabetes Problems series of booklets
National Diabetes Information Clearinghouse 1 Information Way Bethesda, MD 20892-3560 Phone: 1-800-860-8747 Fax: 703-738-4929 Email: ndic@info.niddk.nih.gov These booklets are also available at www.diabetes.niddk.nih.gov on the Internet. [Top] Acknowledgments The National Diabetes Information Clearinghouse thanks the people who helped review or field-test this publication. For American Association of Diabetes Educators Lynn Grieger, R.D., C.D.E. Arlington, VT Celia Levesque, R.N., C.D.E. Montgomery, AL Teresa McMahon, Pharm.D., C.D.E. Seattle, WA Barbara Schreiner, R.N., M.N., C.D.E. Galveston, TX For American Diabetes Association Phyllis Barrier, M.S., R.D., C.D.E. Alexandria, VA Linda Haas, Ph.C., R.N., C.D.E. Seattle, WA Kathleen Mahoney, M.S.N., R.N., C.D.E. Drexel Hill, PA Randi Kington, M.S., R.N., C.S., C.D.E. Hartford, CT For Centers for Medicare & Medicaid Services Baltimore, MD Jan Drass, R.N., C.D.E. For Diabetes Research and Training Centers Albert Einstein School of Medicine Norwalk Hospital Norwalk, CT Jill Ely, R.N., C.D.E. Sam Engel, M.D. Pam Howard, A.P.R.N., C.D.E. Indiana University School of Medicine Indianapolis, IN Madelyn Wheeler, M.S., R.D., F.A.D.A., C.D.E. VA/JDF Diabetes Research Center Vanderbilt School of Medicine Nashville, TN Ok Chon Allison, M.S.N., R.N.C.S., A.N.P., C.D.E. Barbara Backer, B.S. James W. Pichert, Ph.D. Alvin Powers, M.D. Melissa E. Schweikhart Michael B. Smith Kathleen Wolffe, R.N. For Grady Health System Diabetes Clinic Atlanta, GA Ernestine Baker, R.N., F.N.P., C.D.E. Kris Ernst, R.N., C.D.E. Margaret Fowke, R.D., L.D. Kay Mann, R.N., C.D.E. For Indian Health Service Albuquerque, NM Ruth Bear, R.D., C.D.E. Dorinda Bradley, R.N., C.D.E. Terry Fisher, R.N. Lorraine Valdez, R.N., C.D.E. Red Lake, MN Charmaine Branchaud, B.S.N., R.N., C.D.E. For Medlantic Research Center Washington, DC Resa Levetan, M.D. For Texas Diabetes Council Texas Department of Health Austin, TX Luby Garza-Abijaoude, M.S., R.D., L.D. [Top] |
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