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How Do You Take Care Of Diabetes?

Daily Diabetes Care: Sleep, Weight, Checking Blood Sugar, And More

Daily Diabetes Care: Sleep, Weight, Checking Blood Sugar, And More

Lighten the stress on your hips, knees, ankles, and feet Give you more energy and let you breathe easier Check with your doctor before you start a weight loss plan. Then, talk with a diabetes educator or nutritionist to figure out some healthy changes that you can stick with for a lifetime. A better diet and exercise routine can be a big help. But if those habits havent worked for you, ask your doctor if weight loss medications or surgery might be a good option. Not getting enough rest is a struggle for anyone, but it might be an even bigger issue for someone with diabetes: Poor ZZZs may mean worse blood-sugar control, some research shows. And its not just about the amount of sleep you get -- the quality of it can make a difference when it comes to improving blood sugar in people with type 2 diabetes. If you have a hard time falling or staying asleep, ask your doctor about some ways to get better rest. She can help you figure out why youre losing sleep. If a medical problem is keeping you awake, she can recommend some treatments that can help, like medications for neuropathy or a breathing machine for sleep apnea. Practice relaxation techniques or breathing exercises right before bed. Get regular exercise, but try to finish your workout at least 3 hours before you hit the sack. Dont smoke or drink caffeine or alcohol in the evening. Get up and do something else outside your bedroom when you cant sleep. Dont go back to bed until youre drowsy. Think About Supplements and Natural Treatments Do your homework before you try a supplement. Some might help control your blood sugar, but others can be harmful for people with the condition. Remember that the FDA doesnt regulate them the same way it does medications. Be wary when you consider the claims listed on bottles and label Continue reading >>

Type 2 Diabetes - Self-care

Type 2 Diabetes - Self-care

You may not have any symptoms. If you do have symptoms, they may include: Hunger Thirst Urinating a lot, getting up more often than usual at night to urinate Blurry vision Infections Trouble having an erection Red skin rashes in parts of your body Tingling or loss of sensation in your feet You should have good control of your blood sugar. If your blood sugar is not controlled, serious problems called complications can happen to your body after many years. Learn the basic steps for managing diabetes to stay as healthy as possible. Doing so will help keep the complications of diabetes away. Steps include: Also, be sure to take any medicine or insulin as instructed. Your provider will also help you by ordering blood tests and other tests. These help make sure your blood sugar and cholesterol levels are each in a healthy range. Also, follow your provider's instructions about keeping your blood pressure in a healthy range. Your doctor will likely ask you to visit other providers to help you control your diabetes. These providers include a: Dietitian Diabetes pharmacist Diabetes educator Foods with sugar and carbohydrates can raise your blood sugar too high. Alcohol and other drinks with sugar can also raise your blood sugar. A nurse or dietitian can teach you about good food choices. Make sure you know how to have a balanced meal with protein and fiber. Eat healthy, fresh foods as much as possible. Don't eat too much food at one sitting. This helps keep your blood sugar in a good range. Managing your weight and keeping a well-balanced diet are important. Some people with type 2 diabetes can stop taking medicines after losing weight (even though they still have diabetes). Your provider can let you know a good weight range for you. Weight-loss surgery may be an option if you a Continue reading >>

Diabetes: 7 Principles For Good Diabetes Care

Diabetes: 7 Principles For Good Diabetes Care

7 Principles for Good Diabetes Care These principles, or steps, will help you manage your diabetes and live a long and active life. Every person who has diabetes has different needs. Talk to your health care team about a treatment plan that is best for you. Diabetes affects almost every part of the body and good diabetes care requires a team of health care providers. They include doctors, diabetes educators, nurses, dietitians, pharmacists, mental health workers, eye specialists, foot specialists, dentists, and social workers. Print out and take this information with you when you visit your doctor or other members of your team to talk about your treatment plan. It Is Important to Control Diabetes Taking good care of diabetes can lower the chances of getting: eye disease that can lead to a loss of vision or even blindness nerve damage that may cause a loss of feeling or pain in the hands, feet, legs, or other parts of the body and lead to problems such as lower limb amputation or erectile dysfunction kidney failure As you read through this information, look for things with a to help you take action to control your diabetes. Principle 1: Learn as Much as You Can About Diabetes The more you know about diabetes, the better you can work with your health care team to manage your disease and reduce your risk for problems. You should know what type of diabetes you have. If you do not know, ask your doctor whether you have type 1 or type 2 diabetes. Type 1 diabetes. People who have this type of diabetes need to take insulin every day. This type of diabetes used to be called juvenile diabetes. Type 2 diabetes. Diet and daily physical activity help to control type 2 diabetes. Most people also need to take diabetes pills or insulin. Type 2 diabetes is very common and used to be cal Continue reading >>

How To Look After Your Feet

How To Look After Your Feet

Your feet are important especially if you have diabetes. With diabetes, it means you’re much more likely to develop problems with your feet – problems that could end up as amputations. But most amputations can be prevented – four out of five in fact. If you take good care of your feet and check them regularly, you can reduce your risk of developing foot problems. So watch our video and take a look through our simple steps to having healthy feet every day . Need some help checking your feet? Watch our video to learn how. Simple steps to prevent foot problems If you want a few pointers on looking after your feet, then take our simple steps to healthy feet: Tips for everyday foot care Looking after your feet on a daily basis can be tough especially if you’ve lost any sensation in them. If this is the case, it’s a good idea to speak to your healthcare team as you may need help from a podiatrist. We’ve put together some everyday tips which should help you keep your feet in check. A trained professional should check your bare feet once a year. It’s a good chance to check anything you might have spotted with them yourself. But don’t wait a whole year to ask them. If you notice a problem – get it seen as soon as you can. Once you’ve had your annual foot check, you need to find out your risk of developing a serious foot problem. If you’re moderate or high risk, your healthcare professional should explain exactly what this means. They’ll also tell you if you need to see a foot specialist. Feel free to ask them questions. The more you know, the more you can keep an eye on any changes in your feet. Because of your diabetes, foot problems can get worse quickly. That’s why we’ve got some guidance on what signs to look out for when you check your feet. Whet Continue reading >>

Diabetes & Home Care | Interim Healthcare | Since 1966

Diabetes & Home Care | Interim Healthcare | Since 1966

Home > Services > Specialized Home Care > Diabetes Diabetes is a widespread disease that affects people of all ages, races and genders across the U.S. According to the American Diabetes Association, about 25.8 million Americans have diabetes, which makes up 8.3 percent of the country's population. Interim HealthCare can customize a program that helps you: Understand your disease and what causes it to have greater or lesser impact on your health and well-being. Know how to monitor the disease and what to do when levels aren't where they should be. Manage your medications - all of them, not just your insulin. See the impact of behaviors on your diabetes. Well cover nutrition topics as well as other lifestyle items. Learn to watch for signs that your diabetes might be having a negative impact on skin or nerve feelings. Help you communicate effectively with your physician. Diabetes is a chronic disease in which the levels of glucose, or sugar, in the blood are higher than they should be, and there is not enough insulin, a hormone produced by the pancreas, to control it. The disease can be caused by too little insulin, a resistance to insulin or both. There are three major types of diabetes: Type 1 can occur at any age, but is most often diagnosed in children, teens or young adults whose bodies make small amounts of insulin or none at all. Type 2 Diabetes is the most frequently diagnosed, typically during adulthood. However, it is being increasingly diagnosed in teens and young adults because of high obesity rates. Gestational Diabetes refers to the development of high blood sugar in pregnant women who did not previously have the disease. In all cases of diabetes, patients may experience similar symptoms, such as blurry vision, excess thirst, fatigue, frequent urination, hu Continue reading >>

Foot Care When You Have Diabetic Peripheral Neuropathy

Foot Care When You Have Diabetic Peripheral Neuropathy

For people with diabetes, the smallest blister, bug bite or foot sore could lead to a difficult-to-heal foot infection, a skin ulcer and even the possibility of amputation. Risks are high – with diabetes, your lifetime risk for a foot ulcer is 25%.1 And between 9 and 20% of foot ulcers lead to amputations in the US..2 The causes: Nerve damage due to peripheral diabetic neuropathy that can rob you of protective skin sensations plus circulation problems and high blood sugar that can interfere with rapid healing. That is why diabetes experts recommend that everyone with type 1 or type 2 diabetes protect their feet with daily foot checks, smart choices in socks and shoes, and comprehensive foot exams by a healthcare practitioner at least once a year. These strategies could save your feet: In one study of 352 people with diabetes from the Regenstrief Institute for Health Care in Indianapolis, those who learned and practiced good self-care for their feet for a year were 59% less likely to have a serious foot wound than those who didn’t .3 And they’re recommended for everyone with diabetes, not just people who already know they have nerve damage. The reason? Diabetic peripheral neuropathy can cause a dangerous loss of protective sensation before you realize it. In an Australian study of 32 people with diabetes, researchers found that just one in four could detect a foot injury like a small blister -- but 78% of study volunteers thought their feet were still sensitive to small problems.4 An Easy Plan To Help Protect Your Feet Do a Daily Foot Check. Sit down, take off your shoes and socks and check the top, bottom and all parts of the toes of both feet every day. Use a mirror or ask your spouse or partner to help if you have trouble seeing all areas of your feet. Check for Continue reading >>

Taking Care: Diabetes Forecast

Taking Care: Diabetes Forecast

My husband and I are at a social gathering, when the talk turns to a woman who died of complications of diabetes. Our eyes meet, and I can almost hear a telepathic message flowing between us: Here it comes. And usually it doesa deep sigh, and then the words Well, you know, she never took care of herself. What is it about diabetes that makes people so quick to blame? In my 46 years of living with type 1 diabetes , Ive heard the didnt take care of himself mantra more times than I can count. It frustrates me because, so often, the person saying it really doesnt understand the challenges of living with this disease. When I was diagnosed at age 7, I was told that diabetes was something I could control; it didnt have to control me. This is a positive thing, yet its a double-edged sword, this idea of control. The word comes up so often: Are your blood sugars in control? How do you control your disease? How wonderful that we have some control over our bodyand yet there is a dark side to this. Its a huge responsibility to try to manage something as slippery as blood sugars. When control is elusive, its logical for the person with diabetes to think, If Im the one in control, then the problem must lie with me. Feelings of frustration when things wont go right in spite of everything one is doing can lead to depression, learned helplessness, and even despair. Add to this the constant judgment from others, many of whom dont know what theyre talking abouteven health care providers. Once when I was visiting someone in the hospital, a nurse noticed my insulin pump. She said one of her coworkers wore one. Shaking her head, she added: Unfortunately, she doesnt take care of herself. Really? I said. How do you know that? (I could just hear my husband thinking: Here we go again!) Well, the Continue reading >>

How To Take Care Of A Diabetic Patient

How To Take Care Of A Diabetic Patient

Two Parts: Making Lifestyle Changes Together Helping Your Loved One Manage Diabetes Community Q&A Diabetes is a condition that occurs when the pancreas either makes not enough insulin or not enough insulin at all. This makes it difficult for the body to regulate the person's blood sugar. If you are caring for someone with diabetes you can help them by offering support, making lifestyle changes together, and helping them manage their medications. [1] Provide emotional support. If a loved one has just received a diagnosis of diabetes, they are probably feeling upset and overwhelmed. You can provide emotional support and help them learn to manage their diabetes by: [2] Listening. Your loved one may be worried about how the diagnosis may change their life. If your loved one is ready to talk about concerns and fears, listen and when they are ready, help make a plan for how to deal with the issues. Provide reassurance that diabetes is fully manageable and will not prevent them from living a long and full life. Educating yourself about the condition. This may involve reading books and pamphlets about the disorder. You can also find information online at the American Diabetes Association. Your doctor may even be able to suggest a diabetes education course for you and your loved one. The more educated you are, the better you will be able to anticipate what help might be needed. Offering help when you see something that you can do. Even small things like providing a ride to a doctors appointment may mean a lot. Make dietary changes together. Your loved one may be told eat a healthier diet. You can both change your eating habits together. This will reduce the amount of unhealthy food you have in the house and lessen feelings of isolation. Eating healthier will also benefit you. S Continue reading >>

Diabetes Foot Care Guidelines

Diabetes Foot Care Guidelines

Diabetes can be dangerous to your feet—even a small cut can produce serious consequences. Diabetes may cause nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, you may not notice a foreign object in your shoe. As a result, you could develop a blister or a sore. This could lead to an infection or a nonhealing wound that could put you at risk for an amputation. To avoid serious foot problems that could result in losing a toe, foot or leg, follow these guidelines. Inspect your feet daily. Check for cuts, blisters, redness, swelling or nail problems. Use a magnifying hand mirror to look at the bottom of your feet. Call your doctor if you notice anything. Bathe feet in lukewarm, never hot, water. Keep your feet clean by washing them daily. Use only lukewarm water—the temperature you would use on a newborn baby. Be gentle when bathing your feet. Wash them using a soft washcloth or sponge. Dry by blotting or patting and carefully dry between the toes. Moisturize your feet but not between your toes. Use a moisturizer daily to keep dry skin from itching or cracking. But don't moisturize between the toes—that could encourage a fungal infection. Cut nails carefully. Cut them straight across and file the edges. Don’t cut nails too short, as this could lead to ingrown toenails. If you have concerns about your nails, consult your doctor. Never treat corns or calluses yourself. No “bathroom surgery” or medicated pads. Visit your doctor for appropriate treatment. Wear clean, dry socks. Change them daily. Consider socks made specifically for patients living with diabetes. These socks have extra cushioning, do not have elastic tops, are highe Continue reading >>

Caring For Your Body With Type 2 Diabetes

Caring For Your Body With Type 2 Diabetes

Moisturizer, toothpaste, a water bottle, and sunglasses: These might sound like things to pack for a weekend getaway, but they're actually an essential part of a diabetes hygiene plan that covers you from head to toe and keeps you healthy. That’s because, when you have diabetes, your blood vessels help transport glucose and insulin throughout the body. But when you have unmanaged high blood sugar, these blood vessels can also become damaged, which can in turn cause damage to various parts your body. So if you have diabetes, caring for your entire body is essential to help protect your overall health. Here's how to give yourself some serious TLC to help avoid many possible diabetes complications related to: Your skin. Getting enough water is important to good skin care with diabetes. That's because skin dries more easily with poorly controlled blood sugar, says Dianne Brown, CDE, a certified diabetes educator with the Adult Diabetes & Endocrinology Clinic, part of the Harold Hamm Diabetes Center at the University of Oklahoma in Oklahoma City. Dry skin is a concern because it can develop cracks. "This can allow bacteria to enter and cause a skin infection,” Brown says. Keep you skin hydrated and healthy by drinking plenty of water throughout the day, eating a diet that’s rich in omega-3 fatty acids, avoiding bathing in very hot baths and showers, using mild soaps, moisturizing immediately after bathing. If you do notice any skin problems, be sure to tell your doctor. Your eyes. Diabetes is the leading cause of new cases of adult blindness, according to the U.S. Centers for Disease Control and Prevention. Diabetes also increases your likelihood of developing cataracts and glaucoma. But there are steps you can take to help avoid eye complications related to diabetes. Continue reading >>

Diabetes Care: 10 Ways To Avoid Diabetes Complications

Diabetes Care: 10 Ways To Avoid Diabetes Complications

Diabetes care is a lifelong responsibility. Consider 10 strategies to prevent diabetes complications. Diabetes is a serious disease. Following your diabetes treatment plan takes round-the-clock commitment. But your efforts are worthwhile. Careful diabetes care can reduce your risk of serious — even life-threatening — complications. Here are 10 ways to take an active role in diabetes care and enjoy a healthier future. 1. Make a commitment to managing your diabetes Members of your diabetes care team — doctor or primary care provider, diabetes nurse educator, and dietitian, for example — can help you learn the basics of diabetes care and offer support along the way. But it's up to you to manage your condition. Learn all you can about diabetes. Make healthy eating and physical activity part of your daily routine. Maintain a healthy weight. Monitor your blood sugar level, and follow your doctor's instructions for managing your blood sugar level. Ask your diabetes treatment team for help when you need it. 2. Don't smoke Smoking increases your risk of various diabetes complications, including: Reduced blood flow in the legs and feet, which can lead to infections, ulcers and possible removal of a body part by surgery (amputation) Heart disease Stroke Eye disease, which can lead to blindness Nerve damage Kidney disease Talk to your doctor about ways to help you stop smoking or using other types of tobacco. 3. Keep your blood pressure and cholesterol under control Like diabetes, high blood pressure can damage your blood vessels. High cholesterol is a concern, too, since the damage is often worse and more rapid when you have diabetes. When these conditions team up, they can lead to a heart attack, stroke or other life-threatening conditions. Eating a healthy, reduced-fat d Continue reading >>

4 Steps To Manage Your Diabetes For Life

4 Steps To Manage Your Diabetes For Life

This publication has been reviewed by NDEP for plain language principles. Learn more about our review process. Actions you can take The marks in this booklet show actions you can take to manage your diabetes. Help your health care team make a diabetes care plan that will work for you. Learn to make wise choices for your diabetes care each day. Step 1: Learn about diabetes. What is diabetes? There are three main types of diabetes: Type 1 diabetes – Your body does not make insulin. This is a problem because you need insulin to take the sugar (glucose) from the foods you eat and turn it into energy for your body. You need to take insulin every day to live. Type 2 diabetes – Your body does not make or use insulin well. You may need to take pills or insulin to help control your diabetes. Type 2 is the most common type of diabetes. Gestational (jest-TAY-shun-al) diabetes – Some women get this kind of diabetes when they are pregnant. Most of the time, it goes away after the baby is born. But even if it goes away, these women and their children have a greater chance of getting diabetes later in life. You are the most important member of your health care team. You are the one who manages your diabetes day by day. Talk to your doctor about how you can best care for your diabetes to stay healthy. Some others who can help are: dentist diabetes doctor diabetes educator dietitian eye doctor foot doctor friends and family mental health counselor nurse nurse practitioner pharmacist social worker How to learn more about diabetes. Take classes to learn more about living with diabetes. To find a class, check with your health care team, hospital, or area health clinic. You can also search online. Join a support group — in-person or online — to get peer support with managing your Continue reading >>

Tips For Managing Type 1 And 2 Diabetes At Home

Tips For Managing Type 1 And 2 Diabetes At Home

Diabetes home care management facts Diabetes mellitus is a chronic condition associated with abnormally high levels of sugar (glucose) in the blood. The main types of diabetes mellitus are type 1 (insulin deficiency; formerly called juvenile diabetes) and type 2 (insulin resistance). Type 1 diabetes requires insulin therapy as well as controlled nutrition and exercise. Type 2 diabetes is best treated with weight reduction, the proper diabetic diet, and exercise. When these measures do not control the blood sugar, oral medications and/or injectable therapies (including insulin) are prescribed. The main goal of diabetes care is to control blood glucose levels in order to prevent the serious complications of diabetes. Glucose levels should be lowered into the normal range, while avoiding low blood sugar whenever possible. It is essential to monitor the effects of treatment on blood glucose levels to avoid overtreatment or undertreatment. Two kinds of home blood glucose monitoring exist. The first type uses a reagent strip. The second type uses a reagent strip and glucose meter. Use of the glucose meter has become more common due to higher reliability than strips alone. Glucose can also be measured in the urine but no longer has a significant role in home testing. Ketoacidosis is a serious but preventable complication from inadequate treatment of diabetes. This dangerous condition is identified by testing for the urine for ketones. People with diabetes should discuss monitoring in detail with their health-care professional, and have clearly defined goals for blood sugar control. Choices for blood glucose meters should be discussed with your physician and any caregivers. The optimal meter accounts for characteristics of the patient which impact usability, such as visual impa Continue reading >>

Standards Of Medical Care For Patients With Diabetes Mellitus

Standards Of Medical Care For Patients With Diabetes Mellitus

Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications. Diabetes care is complex and requires that many issues, beyond glycemic control, be addressed. A large body of evidence exists that supports a range of interventions to improve diabetes outcomes. These standards of care are intended to provide clinicians, patients, researchers, payors, and other interested persons with the components of diabetes care, treatment goals, and tools to evaluate the quality of care. While individual preferences, comorbidities, and other patient factors may require modification of goals, targets that are desirable for most patients with diabetes are provided. These standards are not intended to preclude more extensive evaluation and management of the patient by other specialists as needed. For more detailed information, refer to Skyler (Ed.): Medical Management of Type 1 Diabetes (1) and Zimmerman (Ed.): Medical Management of Type 2 Diabetes (2). The recommendations included are diagnostic and therapeutic actions that are known or believed to favorably affect health outcomes of patients with diabetes. A grading system (Table 1), developed by the American Diabetes Association (ADA) and modeled after existing methods, was utilized to clarify and codify the evidence that forms the basis for the recommendations. The level of evidence that supports each recommendation is listed after each recommendation using the letters A, B, C, or E. CLASSIFICATION, DIAGNOSIS, AND SCREENING Classification In 1997, the ADA issued new diagnostic and classification criteria (3). The classification of diabetes mellitus includes four clinical classes: Type 1 diabetes (results from β Continue reading >>

Diabetes: Skin Care

Diabetes: Skin Care

If you have diabetes, there are some steps you can take to help prevent skin problems. Consider the following tips for good skin care: Keep your diabetes under control. Follow your healthcare provider's advice about nutrition, exercise, and medication. Keep your blood glucose level within the range recommended by your health care provider. Keep your skin clean and dry. When bathing or showering, use warm water and a mild, moisture-containing soap. After washing, make sure to rinse and dry yourself well (pat your skin dry; do not rub). Check places where water can collect, such as under the arms, under the breasts, between the legs, and between the toes. Look at your body after you wash. Make sure you don't have any dry, red, or sore spots that could become infected. Avoid bathing in hot water and taking long baths or showers. Also avoid bubble baths, which often contain detergents that can be drying. Avoid scratching dry skin. Apply moisturizer instead. Keep your skin moist by using a lotion or cream after you wash. Ask your healthcare provider to suggest a good lotion. Keep a bottle of lotion near the sink so you can use it after washing your hands. You should use a fragrance-free and dye-free moisturizer. Apply lip balm to prevent chapped lips. Limit the products you use on your skin to decrease your chances of having a reaction. Treat cuts right away. Wash them with soap and water. Avoid antiseptics, iodine, or alcohol to clean cuts, because they are too harsh. Ask your healthcare provider to recommend an antibiotic cream or ointment to use on minor cuts. Drink lots of fluids, especially water, to keep your skin moist and healthy. To prevent dry skin when the temperature drops, use a room humidifier to add moisture to heated, indoor air. To protect your skin from the Continue reading >>

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