Friday, February 5, 2016

The ABC's of Diabetes Care

Today's post is from one of our student volunteers, Erika! She has put together a helpful explanation of all the aspects of diabetes care, how often they should be monitored, and why. We know it's a lot to do, but knowing why it matters can help keep you focused!



Introducing the "ABC’s" of Diabetes Care

There are many aspects to diabetes care and it can be difficult to remember each one. Here is a list of important tests or aspects of diabetes care, how often they should be done, and why. These are goals for most patients with diabetes but your diabetes care team may give you personal goals to follow.

Exam
How often
Goal
Why


A1C


Every 3-6 months


Less than 7%
This is the average blood glucose for the last 2-3 months; your doctor can see changes and make adjustments if needed.


Blood Pressure

Every doctors visit

140/80mm Hg
Uncontrolled blood pressure can lead to heart problems including heart disease.



Cholesterol


Every year
LDL: less than 100mg/dL
HDL: men -above 40mg/dL, women-above 50mg/dL
Triglycerides: less than 150mg/dL

Diabetes lowers the HDL and raises LDL and triglycerides, leading to heart disease and stroke.

Dental exam

Every 3-6 months

Healthy teeth and gums
Diabetes increases the risk of gum disease, this infection also interferes with blood sugar control.


Eye exam

Every year
Detect early signs of glaucoma, cataracts, retinopathy or other damage
Poorly controlled blood sugar increases pressure in the eyes and causes damage.



Foot care

Every year by a doctor, every day at home

Look for wounds and pay attention to any numbness or weakness
Diabetes reduces the skins ability to heal and your ability to feel your feet causing wounds to go unnoticed.


Glucose monitoring

Before and after meals
Before meal: 70-130mg/dL
After meal: less than 180mg/dL
Continual checking allows for better blood sugar control and reduces risk of extreme highs and lows.


Health Maintenance – Diabetes education
Every year, more often for complications
Understanding of diabetes and lifestyle changes to make to maintain healthy blood glucose
Proper nutrition and exercise can improve blood glucose control and reduce need for medications.

Immunizations
Flu shot every year, pneumonia and hepatitis B as needed
Reduce risk of getting the flu, pneumonia and hepatitis B
People with diabetes have a higher risk of death if they contract the flu or pneumonia.

Jogging/Exercise
3-5 days a week
150 minutes aerobic exercise each week, strength training twice a week
Exercise helps reduce or maintain weight, increases insulin uptake and lower blood glucose.


Kidneys

Every year
Urine sample shows no sign of protein
Uncontrolled blood sugar can damage the kidneys and lead to kidney failure



Does that help clear it up? What part of diabetes care is the hardest for you to get done? Share in the comments below! 

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