Newly Diagnosed Diabetes

The Patient With Newly Diagnosed Diabetes

Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find the Diabetes (Diabetes Mellitus) article more useful, or one of our other health articles. The initial management of someone who has just been diagnosed as having diabetes mellitus can have a big effect on the course of the illness. It is essential to establish a clear understanding of the disease, the benefits of all aspects of management and to allay unnecessary fears and myths quickly. See also the separate Management of Type 1 Diabetes and Management of Type 2 Diabetes articles. Assessment Indications for hospital referral at initial presentation include: Children and young people presenting with suspected diabetes should always be referred urgently, on the same day, for admission to hospital for initiation of insulin therapy. Adults who are clearly unwell, or who have ketones in their urine, or who have a blood glucose level greater than 25.0 mmol/L, should also be referred urgently for admission to hospital on the same day. Those who present with diabetic ketoacidosis or hyperosmolar hyperglycaemic state will require immediate treatment in hospital. Young adults (aged under 30 years) should also be referred to a specialist diabetes team. Clinical examination and investigations Measure height and weight, and calculate body mass index (BMI). Urinalysis: ketones and proteinuria. Arrange midstream specimen of urine (MSU) if protein is present. Identify any long-term complications of diabetes already present: Cardiovascular assessment, including smoking status, blood pressure, lipids and ECG. Examine feet for diabetic complications, including cardiovascular disease, diabetic neuropathy Continue reading >>

I Have Diabetes; Now What? – Guidelines For Newly Diagnosed Diabetes Patients

There was a time when it was considered not unusual to be diagnosed with Type 2 diabetes at fifty. The poor lifestyle choices, processed diet and nearly thirty years of work-life stress were expected to impact us by that age. These days, people are being diagnosed with type 2 diabetes at forty and with every passing year, the bar is lowered further, with the millennials now being diagnosed in their thirties and even their twenties! While a Diabetes Type 2 diagnosis can be overwhelming, it’s important to know that you aren’t alone. Try to think of this diagnosis as the first step towards learning how to control your blood sugar levels and take charge of your life. Our guidelines for newly diagnosed diabetics will help you navigate your way through all the lifestyle and diet changes you need to make, gain a better understanding of your disease, educate yourself on how to manage it, and how to find the right support you need. I Have Diabetes, Now What ? A new diagnosis of type 2 diabetes is sure to take you on an emotional roller coaster ride. It is completely natural to feel low after your diagnosis. Emotions run amok as you face the reality of future complications like heart disease, kidney failure and vision related problems, all while you grieve for lost health. Diabetes can be a tough condition to accept, so feelings of anger, shock, resentment, betrayal, shame and denial are completely normal. Studies show that it is not uncommon for newly diagnosed diabetics to go through a period of depression. But you can learn to deal with the emotions that come up with a diabetes diagnosis. We are not going to lie to you; you will need to commit to making changes so you can live a better life with diabetes, and that requires work. Since your body is no longer able to respond Continue reading >>

Newly Diagnosed

Being newly diagnosed with diabetes can be confusing and overwhelming with all the new things you have to learn and understand. This page provides a synopsis of the most important information and answers to commonly asked questions. What is Diabetes? Find out about diabetes: the terminology, symptoms, diagnosis and goals of treatment. Learn how the body keeps the blood sugar in balance. Types of Diabetes There are many type of diabetes. Learn more about your type of diabetes or look at the classification table to see a comprehensive list. Insulin given by injection is the central treatment for type 1 diabetes. There are fast acting and long acting insulin formulations. It is important to understand when to use these different formulations and the concepts behind choosing the right insulin dose. There is one other injected medication for type 1 diabetes, Symlin, that may be given in addition to insulin. The treatment for type 2 diabetes may be a simple as lifestyle changes (diet, exercise and weight management) with one or two pills to many different pills and/or insulin or other injected medications. Your medical team will help you decide the best choices for you. Find out if the treatment is working Blood sugar monitoring lets you know if the treatment plan is working and you are achieving the goals of therapy. And keeping a logbook helps everyone review and assess the results. Eating a healthy and balanced diet is another important part of living with diabetes. The first think you need to understand is which foods have sugar and starch (carbohydrates). When the blood sugar is uncontrolled When your blood sugar is too high or too low, you need to understand the symptoms and what to do. Some situations require urgent medical attention. When your blood sugar is not contr Continue reading >>

Just Diagnosed With Diabetes? Here's Help

Hearing the words you have diabetes scares some, upsets others, and overwhelms most. Yes, it's serious, and yes, you'll need to make some adjustments. But diabetes is a disease you can control, says Kim DeCoste, RN, CDE, a spokesperson for the American Association of Diabetes Educators. "An important first step for the newly diagnosed is to realize that you can be a healthy person living with diabetes. A few lifestyle changes can help you manage your blood sugar and feel better day to day. You can lead a very normal, healthy life." Here, six expert-recommended tips to help set you on a path for success: 1. Ignore the horror stories. Tell people you have diabetes and inevitably you hear about so-and-so's great aunt who had her leg amputated or the friend of a friend who almost went blind. True, these are real complications, but our knowledge about preventing them is so much better today, says Robert Henry, MD, president of medicine and science at the American Diabetes Association. Get your information from a reliable source: A good primary care physician or certified diabetes educator will help you best understand the disease, without overloading you with too much at once. You can also do some research on your own—visit the ADA at diabetes.org, or call (800) DIABETES. 2. Walk a little more. It's an easy way to boost physical activity, which lowers blood sugar for two reasons: Research shows that your body uses insulin more efficiently when you exercise, and working out helps you lose weight. Start with the old standards, says Henry: Take the stairs instead of the elevator, park in the farthest spot in the lot, get off the bus a stop early. Eventually work up to 30 minutes 5 days a week. For people with type 2, establishing a regular fitness routine may reduce or even e Continue reading >>

Newly Diagnosed With Diabetes

We understand this can be a frightening time for you. We want you to know we can help. We have some basic information here on this page and we have also created the Succeeding in Your First 30 Days With Type 2 Diabetes guide designed to help you navigate the essentials of diabetes self-management.This comprehensive guide will allow people with newlydiagnosed type 2 diabetes as well as those that still have questions on proper control to take a fresh look at daily diabetes management. Written by certified diabetes educators, this guide helps you eat right, learn how to test your blood sugar, discusses medicines, teaches basic exercises, and even helps you deal withthe emotional aspects of a diabetes diagnosis. You can find out more information about the guide here . A number of chronic diseases fall under the classification of Diabetes Mellitus. They all are metabolic disorders in which the body cannot properly metabolize carbohydrates, fats, and proteins because of defects in insulin secretion and or action. Diabetes develops when the body cannot produce or normally use insulin made by the body. Insulin is an essential hormone made in the pancreas. Insulin is necessary to move glucose (the key source of energy for metabolism) from the blood into most cells of your body. Exceptions include liver and brain cells, which are not insulin dependent. When glucose builds up in the bloodstream, blood glucose (or blood sugar) rises, causing a condition known as hyperglycemia. When blood glucose gets high, people may experience a variety of symptoms. When a person has type 2 diabetes, a number of systems may not be functioning normally. It sometimes takes up to 5-10 years for type 2 diabetes to develop.The following problems may happen over this time period: Beta cells in your pa Continue reading >>

Newly Diagnosed | Diabetes Victoria

Find out more information about blood glucose monitoring . What can happen if I dont manage my diabetes? If your blood glucose levels remain high for prolonged periods of time it can lead to problems such as kidney damage, heart attack, stroke and blindness. These are very serious conditions. Managing diabetes well will help reduce these risks. How can I look after my diabetes? 6 steps to good health Ask your GP to refer you to a diabetes educator and dietitian. This can be at the local community health centre or private services. All people with diabetes should visit a dietitian and diabetes educator to learn how to manage their diabetes. The advice you get will be tailored for your needs. They will teach you how to make these changes part of your life. Certainly you will feel better with time Monitor your blood glucose levels regularly and record your results Always take the medications or insulin that has been prescribed for you Your diabetes healthcare team - A lifelong condition like diabetes is best managed by you with the support of a diabetes team, which may include your GP, diabetes educator, dietitian and podiatrist. Depending on your needs, the team may also include medical specialists, an exercise physiologist or counsellor. Membership with Diabetes Victoria gives you the support you need to manage your diabetes Attend one of our education events for people living with type 2 diabetes Call the Diabetes Helpline on 1300 437 386 to speak to a health professional Meet other people with diabetes at one of our support groups Check out some of the resources we have for free and in our online shop Continue reading >>

Newly Diagnosed - Diabetes Ireland : Diabetes Ireland

When newly diagnosed with type 2 diabetes it can be overwhelming. Understanding what is happening in the body when a person has diabetes can help make sense of the advice your diabetes care team will provide you with. Diabetes is a long term condition where the amount of glucose in the blood is too high because the body cannot use it efficiently for energy. To use glucose for energy, your body needs insulin. Type 1 diabetes occurs when the pancreas completely stops producing insulin. This occurs most frequently in children and young people. Type 2 diabetes occurs when the body is making some insulin but not enough to meet the bodys needs or when the insulin produced does not work efficiently (insulin resistance). When insulin is not present or does not work efficiently, glucose cannot get in to the cells and builds up in the bloodstream. There is no cure for diabetes, but it can be managed. Balancing the carbohydrate foods (sugars and starches) you eat with physical activity and medicine (if prescribed) can keep your blood glucose in a healthy range. As you get older, your pancreas which produces insulin may not be working as efficiently as it did when you were younger Type 2 diabetes may be more common in your family Your may have had diabetes during a pregnancy or a baby that weighed over 10lbs Continue reading >>

Top 10 Tips For People Newly Diagnosed With Type 2 Diabetes

twitter summary: Ten tips for newly diagnosed T2 #diabetes: act NOW for long-term benefits, use healthy eating, exercise, meds + structured blood glucose testing short summary: This article offers ten tips for people newly diagnosed with type 2 diabetes: 1) Know that developing type 2 diabetes does not represent a personal failing; 2) Start to take care of your diabetes as soon as you’re diagnosed (and even better, before, if you know you have prediabetes); 3) Recognize that type 2 diabetes is a progressive disease; 4) Keep in mind that food has a major impact on blood glucose; work to optimize your mealtime choices; 5) Exercise is a powerful and underutilized tool which can increase insulin sensitivity and improve health – use it as much as possible; 6) Use blood glucose testing to identify patterns; 7) Don’t forget that needing to take insulin doesn’t mean you failed; 8) Keep learning and find support; 9) Seek out the services of a Diabetes Educator; and 10) Review our Patient's Guide to Individualizing Therapy at www.diaTribe.org/patientguide. Know that developing type 2 diabetes does not represent a personal failing. It develops through a combination of factors that are still being uncovered and better understood. Lifestyle (food, exercise, stress, sleep) certainly plays a major role, but genetics play a significant role as well. Type 2 diabetes is often described in the media as a result of being overweight, but the relationship is not that simple. Many overweight individuals never get type 2, and some people with type 2 were never overweight. At its core, type 2 involves two physiological issues: resistance to the insulin made by the person’s beta cells and too little insulin production relative to the amount one needs. These problems can lead to high bl Continue reading >>

Guideline Approach To Therapy In Patients With Newly Diagnosed Type 2 Diabetes

Both the prevalence and incidence of type 2 diabetes are increasing worldwide in conjunction with increased Westernization of the population's lifestyle. Type 2 diabetes is still a leading cause of cardiovascular disease (CVD), amputation, renal failure, and blindness. The risk for microvascular complications is related to overall glycemic burden over time as measured by A1C (1,2). The UK Prospective Diabetes Study (UKPDS) 10-year follow-up demonstrated a possible effect on CVD as well (3). A meta-analysis of cardiovascular outcome in patients with long disease duration including Action to Control Cardiovascular Risk in Diabetes (ACCORD), Action in Diabetes and Vascular Disease: Preterax and Diamicron MR Controlled Evaluation (ADVANCE), and Veterans Affairs Diabetes Trial (VADT) suggested that in these populations the reduction of ~1% in A1C is associated with a 15% relative reduction in nonfatal myocardial infarction (4). Most antihyperglycemic drugs besides insulin reduce A1C values to similar levels (5) but differ in their safety elements and pathophysiological effect. Thus, there is a need for recommending a drug therapy preference. While the positive effects on prevention of microvascular complications were demonstrated with the various antihyperglycemic drugs (1,2,6,7), several questions are left open regarding this therapy in newly diagnosed type 2 diabetes: What is the comparative effectiveness of antihyperglycemic drugs on other long-term outcomes, i.e., β-cell function and cardiovascular morbidity and mortality? What is the comparative safety of these treatments, and do they differ across subgroups of adults with type 2 diabetes? Should we combine antihyperglycemic drugs at the time of diagnosis according to their pathophysiological effect to address the diff Continue reading >>

Newly Diagnosed Diabetes And Stress Glycaemia And Its Association With Acute Coronary Syndrome

Newly Diagnosed Diabetes and Stress Glycaemia and Its Association with Acute Coronary Syndrome 2Ss Cyril and Methodius University of Skopje, Faculty of Medicine, University Clinic for Cardiology, Skopje, Republic of Macedonia 2Ss Cyril and Methodius University of Skopje, Faculty of Medicine, University Clinic for Cardiology, Skopje, Republic of Macedonia 2Ss Cyril and Methodius University of Skopje, Faculty of Medicine, University Clinic for Cardiology, Skopje, Republic of Macedonia 1University Goce Delchev, Faculty of Medical Sciences, Clinical Hospital Shtip, Shtip, Republic of Macedonia 2Ss Cyril and Methodius University of Skopje, Faculty of Medicine, University Clinic for Cardiology, Skopje, Republic of Macedonia *Correspondence: Dr. Marija Vavlukis. UC of Cardiology, ICCU, Mother Theresa 17, Skopje 1000, Republic of Macedonia. Phone: 003892 3113116. Fax: 003892 3164134. E-Mail: [email protected] Received 2015 Sep 20; Revised 2015 Sep 23; Accepted 2015 Sep 24. Copyright : 2015 Gordana Kamceva, Marija Vavlukis, Darko Kitanoski, Sashko Kedev. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This article has been cited by other articles in PMC. Diabetes is diagnosed in 10-20% of patients with acute coronary syndrome (ACS) not known to be diabetics. Elevated blood glucose is an independent risk factor for cardiac events, regardless of presence of diabetes. Evaluating the prevalence of new-diagnosed DM among patients with ACS, and assessing the relationship between stress glycaemia and new diagnosed DM with in-hospital cardiac events. Prospective observational study, in patient Continue reading >>

Recently Diagnosed – Type 2 Diabetes Patient Where Do I Begin?

First Steps to take after diagnosis of Type 2 Diabetes. First and foremost, don’t panic you are not the only one with type 2 diabetes! There are more than 382 million people diagnosed with diabetes worldwide.1 Secondly, and on a positive note there are tons of resources and tools that will assist you in the management of the symptoms and control of your diabetes. You do need to start early and here are some step by step ideas to help in your journey: #1 Powerful Triad of Sources The three key sources: Diabetes Educator, Diet and Exercise are the mainstays of an effective diabetes management strategy. They are essentially like three wheels that engage together to move the whole engine smoothly. Collectively this three triad model is the principle influence for a holistic management of your symptoms and blood sugar levels. Diabetes Educator is the initial point of call and support when first diagnosed with diabetes. These health professionals specialize in ‘everything diabetes related’ and a fantastic source of information, motivation and support to meet all your needs for management of diabetes and helping you along the way to prevent its complications. Infact in our triad model of sources, Diabetes Educator is the main gear setting the other two wheels in motion in the right direction. Initially, when you are diagnosed with type 2 diabetes the Diabetes Educator will provide personalized advice on means and ways of improving your blood sugar levels to stay within the target range. Diabetes Educator can help you delay requiring medication and assist in the shift to using medication when insulin levels in your body eventually diminish. Indeed, these specialists are lifesavers and invaluable source in the entire journey of a diabetic patient. Diet is by far the most i Continue reading >>

Newly Diagnosed With Diabetes

A comprehensive, curated set of diabetes materials for patients who are newly diagnosed, this collection answers common questions, such as how diabetes will affect one's life, how to monitor blood sugar levels, what to eat, and much more. This booklet provides an overview of the treatment options available for people who have diabetes, and stresses the importance of working with the health care professional and diabetes care team to find the right medicine. Literature is sent in a quantity of 10 per pack. A 3-month diary allows people with diabetes to easily record: blood sugar results before and after each meal and before bedtime; diabetes medicines, carbohydrate intake, activity, and ketone test results (if applicable). Literature is sent in a quantity of 10 per pack. This fact sheet provides an insulin and type 2 diabetes overview for patients. It outlines types of insulin used to manage diabetes and explains to patients how they can work with their health care professional to come up with an insulin plan that works best for them. Continue reading >>

Newly Diagnosed With Type 2

Tweet The diagnosis experience of people with type 2 diabetes can vary quite significantly. Some people are given a good introduction to what type 2 diabetes is and access to well run diabetes education courses. However, we’re aware that some people newly diagnosed with type 2 diabetes have been given a prescription for tablets and been told to get on with it! Our guide here provides important information as to what type 2 diabetes is and how you can get on top of the condition and start controlling it at an early stage. What is type 2 diabetes? Type 2 diabetes is a condition which develops if your body can no longer respond effectively enough to its own insulin to prevent your blood glucose levels from going too high. The good news is that you can fight back against this and get your body to respond better to insulin. Our Low Carb Program shows you how you can achieve this and, since we launched it in 2015, many thousands of people have improved their ability to control their diabetes. Coming to terms with type 2 diabetes Diabetes can be a tough condition to accept but the good news is that it is a condition which, with a bit of dedication, can be well controlled. It’s fair to say that there are a good number of people with type 2 diabetes that have actually been pleased to have got a diagnosis of type 2 diabetes because it has explained why they were feeling less than well and has given them the chance to take achievable steps to feel better than they have in a long time. The Diabetes Forum has thousands of posts from people with type 2 diabetes and there is no better place to find support and share your experiences. If you are finding the diagnosis of type 2 diabetes to be a shock, or are struggling to come to with your diagnosis, read our guide on accepting a di Continue reading >>

Newly Diagnosed With Diabetes

Save for later Diabetes is a lifelong condition that means your body can't produce enough insulin, or the insulin that is produced doesn't work properly. If untreated, it can cause serious health problems. Find out more Call our helpline on 0345 123 2399 Explaining diabetes © Diabetes UK 2017 A charity registered in England and Wales (no. 215199) and in Scotland (no. SC039136) A company limited by guarantee. Registered in England (no. 339181) Registered office: Wells Lawrence House, 126 Back Church Lane, London, E1 1FH. Continue reading >>

Newly Diagnosed With Diabetes

Being diagnosed with diabetes can be a shock When newly diagnosed with diabetes, most people find themselves in a state of shock. However, being diagnosed with diabetes doesn't prevent you from leading a 'normal' life. There are stories on the Diabetes Forum from people who have had all sorts of experiences when being diagnosed. Most people receive great care from their GP and healthcare team, although some people report having just been given some tablets and been told to get on with it. If this happens to you, make sure your doctor finds time to discuss your condition with you, or refer you to someone who can answer your questions better than they can. No matter what your experience is when being diagnosed, the Forum is full of people who understand what you are going through because they have lived through it and been in your shoes. Feel free to bring up any topics or questions there and the community will do their best to help you out. If you know the type of diabetes you have, read further guidance related to your diabetes type: There are also guides for those newly diagnosed with LADA , MODY or Diabetes insipidus . You will know that diabetes means that your blood has higher amounts of glucose/sugar in than normal. However, you may have other questions about why this is the case and how diabetes will affect you. Our guide on what is diabetes will help to answer some basic questions. Want to know how diabetes could affect your daily life? Read our guide on having diabetes . The diet you have may depend on your diabetes type. If youve been diagnosed with type 1 diabetes , you will need to be aware of how much carbohydrate is in meal times in order to balance your insulin doses. Many people with diabetes find carbohydrate counting courses to be very helpful, with th Continue reading >>