So far, there is no “cure” for either type of diabetes, although there are many ways of keeping diabetes under control. Diabetes treatments are designed to help the body to control the sugar levels in the blood. Studies have shown that good control of blood sugar is the key to avoiding complications.
Type 1 diabetes requires insulin. Injected insulin replaces the insulin missing in the body. You will need to learn how to balance your insulin with your food intake and your physical activity. It is important that you work with a diabetes educator and are under the care of the diabetes doctor.
Type 2 diabetes treatment will vary dependent on your blood sugar levels. Many patients are counseled to change their lifestyle and lose weight. It is important to work with a diabetes educator and dietitian. Treatment begins with changing certain food choices and beginning an exercise program. Diabetes is a progressive disease, and the treatment may change over time, requiring oral medication; if you are already taking medication, you may need an increased dose or multiple medications, and eventually you may need to start on insulin.
See your doctor regularly (every month) until your blood sugar is in control, once it’s under control, your numbers and medication regimen should be reviewed every six months.
The A1C test provides you and your doctor with an assessment of the overall control of your diabetes. In simple terms, this test measures the sugar coating on red blood cells. The life of a red blood cell is three months, so this test should be done every three to six months to assess your blood sugar control. Your daily blood sugar results will also provide you with helpful information on the impact of foods, physical activity, and medications. Together these tests should help you manage your diabetes.
Although you may not feel sick, high blood sugar levels are damaging blood vessels and your organs. Complications of diabetes are preventable if you keep your blood sugar as close to normal as possible. The goal is an A1C level between 6.5% -7%. It is important to take care of yourself. Be sure you work with your doctor.
Weight and blood pressure
Review all medications and supplements
Review lifestyle changes, physical activity, how you are coping with your diabetes at home and at work.
Discuss changes that may be necessary in the future.
Review problems: vision, numbness, tingling in your hands or feet, low blood sugar reactions, digestive problems and sexual problems.
Complete physical exam, foot exam, creatinine, cholesterol, triglycerides, and urine micro albumin tests.
Electrocardiogram and/or a stress test by a Cardiologist
Dilated eye exam by an Ophthalmologist.
Referral to a diabetes educator or Nutritionist
Referral for a foot check by specialized Foot Orthotist