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Keep Your Blood Sugar Level Under Control

Controlling blood sugar (glucose) levels is one of the most important aspects of diabetes management. It will make you feel better in the short-term and it will help you to stay fit and healthy in the long term.

The National Committee on Prevention Detection Evaluation, the chromium and many interesting articles. People who do not have diabetes keep their blood glucose levels within a narrow range for most of the time. The beta cells in the pancreas are able to produce just the right amount of insulin at the right time and they are constantly fine-tuning the blood glucose level. People with diabetes do not have this fine control over their blood glucose levels.

This might be because the beta cells have been destroyed and there is no insulin production at all, as in Type 1 diabetes. Alternatively, it may be that the body does not respond to the insulin and/or not enough insulin is produced when it is needed, as in Type 2 diabetes. The approach to managing Type 1 and Type 2 diabetes is slightly different, but whichever type of diabetes you have, you will still need to step in and take over that fine-tuning of your blood glucose level.

Controlling blood glucose levels is a bit like trying to lasso an unruly animal. Blood glucose is dynamic; it changes constantly and it is influenced by a host of factors including your choice of food, how much you eat, the timing of your medication or insulin, your emotions, illnesses, your weight, and your body's resistance to insulin.

Some of these factors are relatively constant from day to day and are quite easily accounted for; some factors are more variable. No two days are ever exactly the same, or entirely predictable, and this makes it difficult. So, blood glucose is not easily lassoed.

In practical terms, you will need to learn about those things that raise your blood glucose level and those things that lower your blood glucose level. Then you will need to balance these factors on a day-to-day and possibly even hour-by-hour basis. This means coordinating medication, food and activity levels, whilst making appropriate allowances for stress, illness or changes in your daily activities.

You will be aiming to avoid the extreme highs and lows, trying to manipulate your blood glucose toward the normal range. You will be doing regular finger-prick blood glucose tests and using these results to help balance those things that make your blood glucose rise with those that make it fall. When you have evened out your blood glucose level you will still need to keep an eye on it and continue to make adjustments.

Controlling blood glucose is a continuous process and it will require your attention from now on, for the rest of your life. Don’t worry! It may sound daunting to you right now, but it will soon become second nature.

People who do not have diabetes have blood glucose levels between 4 and 8 mmol/l for most of the time. In general, people with diabetes should try to aim for test results between 4 and 10 mmol/l most of the time. Some people – pregnant women, for example – will need to aim for tighter control. Other people – young children, the elderly, or those at risk of severe hypoglycemia, for example – will need to aim for higher levels.

Your diabetes team will give you individual guidance on the blood glucose levels that you should be aiming for.

In the short term, controlling blood glucose levels is important in order to avoid diabetic emergencies – very high or very low blood glucose levels. Both of these conditions are unpleasant and can be dangerous, so they should be avoided if at all possible.

High blood glucose levels in Type 1 diabetes, if caused by a lack of insulin, can lead to a condition known as diabetic ketoacidosis or ‘DKA’ which can be fatal if it is not treated in time.

It Pays to be Prepared

Having diabetes can change to life of person entirely. From the way one chooses the foods that he will eat to the way he lives his daily life, everything will change. For someone who doesn’t know much about diabetes there are a lot of webs sites, magazines, and books that can help you understand better of the nature of diabetes.

The greatest problem for diabetics is not being able to access medication when emergency situations occur. That is why, it is important to always have an emergency kit at hand. To keep the medicines from expiring, use them from time to time and replace them with new refills. The emergency kit can include cold medications, antacids, cough syrup, test strips and insulin with syringes if you use one and blood glucose monitoring supplies. If you will purchase over the counter medicines, make sure to read the label before using it. If there is a warning that diabetic people should consult their doctor before using the product, then do so. If you have these emergency kits at home, try to also have it at work or at school.

It is also essential to include in the emergency kit your medical history, prescription medications and emergency contacts. To keep them from getting wet, keep them in a water proof bags. If you are using insulin keep extra syringes, glucagons emergency kit and urine ketone strips. A glucagon emergency kit consists of a syringe filled with liquid which must be mixed with a powder. This kit is only used in case of a Severe Hypoglycemic Emergency. Try also to keep the insulin in a cool place as much as possible to keep it from being damaged.

For people who got caught in the Katrina and Rita hurricane disaster, being prepared made the difference between life and death. And for people with diabetes, being prepared is important to their own personal safety and health. Hence, the best thing a diabetic person can do to prevent any problem with diabetes is to live a healthy lifestyle. It is important to eat healthy foods and have a regular exercise to keep blood pressures at normal and reduce the risk of heart disease and other serious conditions. And most importantly, have emergency kits close at hand at all times.

Get Rid of Your Diabetes

Today, there are at least 20 million people living with diabetes in America and the sad part is that it is possible to prevent and heal pre-diabetes and diabetes type 2 naturally with balanced nutrition, and basic exercise.

People at risk of getting the disease drop by a staggering 60 percent if they manage to lose just 10 pounds by following a healthy diet and engage in regular exercise such as walking, according to a report published in the New England Journal of Medicine. (May 3, 2001).

Pre-diabetes

This term means that you are at risk for getting type 2 diabetes and also heart disease.

The good news is if you have pre-diabetes you can reduce the risk of getting diabetes type 2 and even return to normal blood glucose levels if you follow the guidelines in this article.

Type 2 diabetes

Formerly called adult-onset diabetes, this is the most common form of diabetes. This form of diabetes usually begins with insulin resistance, a condition in which the body cannot use insulin properly. People can develop this type of diabetes at any age and is usually associated with today’s modern lifestyle of fast food, stress and no exercise.

Being overweight and inactive increases the chances of developing type 2 diabetes dramatically. Traditional treatment includes taking diabetes medicines, aspirin daily, and controlling blood pressure and cholesterol with prescription drugs.

But with modest weight loss and moderate daily physical activity, you can delay or even prevent type 2 diabetes and lead a normal life. Lets look at a few steps you can use straight away in your daily life that will make a big difference to your condition.

Strength Training - Researchers have reported a 23% increase in glucose uptake after four months of strength training. Because poor glucose metabolism is associated with adult onset diabetes, improved glucose metabolism is an important benefit of regular strength exercise.

Nowadays you do not have to live in a gym to put on functional muscle. Short High Intensity sessions performed once a week is all that is required to improve glucose metabolism and lose weight.

The strength training technique I use requires just twenty to thirty mins per week. Gone are the days of the five-day a week program with 6 to 12 sets per body part that, method has never worked. One short intense strength-training workout a week will elevate your metabolism more than you ever thought possible.

The two main components of this technique are the intensity of the exercise and the recovery after the exercise. Infrequent, short, high intensity weight training sessions, followed by the required amount of time to recover and become stronger is what is needed to increase functional lean muscle and improve glucose metabolism.

Nutrition - The way to lose body fat and maintain muscle is to have a food program for life. Quality food and more energy output are the basics you'll need to go for. Bulk foods that fill you up and don't fill you out, foods that are low in fat and sugar which

aren't refined should be the ideal.

Small frequent meals should be consumed during the day each containing a little protein to maintain muscle and energy levels. Foods with vital vitamin and mineral supplements should also be taken on a daily basis. A high quality broad-spectrum vitamin and mineral supplement should also be taken on a daily basis.

As before get the calories from high quality food but if you can’t, utilize a blender to make concoctions from skim milk with whatever additives you want to use, just as long as you keep count of the calories for your daily total.

Now use these blender mixtures and solid food for your daily feedings. Spread it out over many small meals a day instead of the traditional three meals a day. The way to keep track of weight loss is to buy a calorie counter and record your daily calorie intake for a week.

Exercise - Fat is burned from the body when cells oxidize to release energy in the form of exercise. When the exercise is done slowly to moderately then the majority of energy is taken from the fat stores.

The key to effective aerobic training that burns off maximum fat is long-term consistency not intensity. It doesn’t matter if you run a mile, jog a mile or walk a mile you will burn exactly the same amount of calories.

The best exercise by far for the purpose of fat-loss is fast walking either indoors on the treadmill or outdoors. Other aerobic activities are the treadmill, bike, climber or any other training gear found in or out of the Gym.

You can do a lot to lower your chances of getting diabetes. By exercising regularly, reducing fat from your diet and losing weight can all help you reduce the risk of developing type 2 diabetes.

How is Diabetes Managed?

Before the discovery of insulin in 1921, everyone with type 1 diabetes died within a few years after diagnosis. Although insulin is not considered a cure, its discovery was the first major breakthrough in diabetes treatment.

Today, healthy eating, physical activity, and taking insulin are the basic therapies for type 1 diabetes. The amount of insulin must be balanced with food intake and daily activities. Blood glucose levels must be closely monitored through frequent blood glucose checking. People with diabetes also monitor blood glucose levels several times a year with a laboratory test called the A1C. Results of the A1C test reflect average blood glucose over a 2- to 3-month period.

Healthy eating, physical activity, and blood glucose testing are the basic management tools for type 2 diabetes. In addition, many people with type 2 diabetes require oral medication, insulin, or both to control their blood glucose levels.

Adults with diabetes are at high risk for cardiovascular disease (CVD). In fact, at least 65 percent of those with diabetes die from heart disease or stroke. Managing diabetes is more than keeping blood glucose levels under control--it is also important to manage blood pressure and cholesterol levels through healthy eating, physical activity, and use of medications (if needed). By doing so, those with diabetes can lower their risk. Aspirin therapy, if recommended by the health care team, and smoking cessation can also help lower risk.

People with diabetes must take responsibility for their day-to-day care. Much of the daily care involves keeping blood glucose levels from going too low or too high. When blood glucose levels drop too low--a condition known as hypoglycemia--a person can become nervous, shaky, and confused. Judgment can be impaired, and if blood glucose falls too low, fainting can occur.

A person can also become ill if blood glucose levels rise too high, a condition known as hyperglycemia.

People with diabetes should see a health care provider who will help them learn to manage their diabetes and who will monitor their diabetes control. Most people with diabetes get care from primary care physicians--internists, family practice doctors, or pediatricians. Often, having a team of providers can improve diabetes care. A team can include:

- a primary care provider such as an internist, a family practice doctor, or a pediatrician

- an endocrinologist (a specialist in diabetes care)

- a dietitian, a nurse, and other health care providers who are certified diabetes educators--experts in providing information about managing diabetes

- a podiatrist (for foot care)

- an ophthalmologist or an optometrist (for eye care)

and other health care providers, such as cardiologists and other specialists. In addition, the team for a pregnant woman with type 1, type 2, or gestational diabetes should include an obstetrician who specializes in caring for women with diabetes. The team can also include a pediatrician or a neonatologist with experience taking care of babies born to women with diabetes.

The goal of diabetes management is to keep levels of blood glucose, blood pressure, and cholesterol as close to the normal range as safely possible. A major study, the Diabetes Control and Complications Trial (DCCT), sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), showed that keeping blood glucose levels close to normal reduces the risk of developing major complications of type 1 diabetes.

This 10-year study, completed in 1993, included 1,441 people with type 1 diabetes. The study compared the effect of two treatment approaches--intensive management and standard management--on the development and progression of eye, kidney, nerve, and cardiovascular complications of diabetes. Intensive treatment aimed to keep A1C levels as close to normal (6 percent) as possible. Researchers found that study participants who maintained lower levels of blood glucose through intensive management had significantly lower rates of these complications. More recently, a follow-up study of DCCT participants showed that the ability of intensive control to lower the complications of diabetes has persisted more than 10 years after the trial ended.

The United Kingdom Prospective Diabetes Study, a European study completed in 1998, showed that intensive control of blood glucose and blood pressure reduced the risk of blindness, kidney disease, stroke, and heart attack in people with type 2 diabetes.