Diabetes is not a death sentence, but you have to manage it properly to minimize your long-term risk. It is a known fact that diabetics that have changed their lifestyle and eating habits, have come off prescription medication. The more you are prepared to change, the less medication you will have to take.
In 2014, we had 422 million diabetics globally and by 2030 that figure will increase to 552 million. We know that diabetes is a serious disease but it is within your power to prevent many of the major complications. Diabetes kills double the amount of people per annum compare to Aids. In 2011 we saw 4 million diabetes related deaths globally. Act now!!
Frequent blood sugar tests
By monitoring your blood sugar and keeping it as close to normal can reduce your risks for complications dramatically.
This is the single most important move you can make to take control over your disease.
The right diet is the most important step you can take to control your weight.
Exercise is equally important to weight and blood sugar control.
There are a few options available today that can even eliminate the need for insulin injections. Diet and exercise are indispensable, but when you need diabetic medicine – take it because it can slow the progression of the disease.
Worth the effort
Diabetic studies have proven that close monitoring can reduce the following:
- Eye disease with 76%
- Nerve disease by 60%
- Kidney disease by 50%
- Cardiovascular disease by 35%
Major Complications of Diabetes
Heart disease and stroke; high blood pressure; blindness; kidney disease; nervous system diseases; amputations; periodontal disease; pain; depression and auto immune diseases like thyroid disease and inflammatory conditions.
Frequent testing has the following benefits
- You will see how different food affect your blood sugar and that will allow you adjust your diet according to your glucose levels.
- Detect hypoglycemia – which is a very common treatment complication.
- Determine the effect of medicine on your blood sugar so that dosages can be adjusted.
- Understanding how blood sugar levels can change when you are taking insulin, or when you are sick, exercising or drinking alcohol so that you can take the right steps to get levels back to a normal range.
- Provide your doctor with history of day-to-day changes so that you can be supplied with optimal advice.
Setting blood-sugar goals
Before eating: 4.4 to 6.6mmol/L
After eating: less than 10mmol/l
At bedtime: 5.5 to 7.7mmol/L
How often should I check my blood sugar?
It will depend on your type of diabetes.
Testing time table for diabetics
Suggested test schedule
|Type 1 diabetes and taking insulin||Test four times daily, before meals and at bedtime|
|Type 2 diabetes and require no insulin or medication||Test twice daily, when you get up in the morning and before dinner|
|Type 2 diabetes and taking insulin||Test four times daily, before meals and at bedtime|
|Type 2 diabetes and taking medication||Test three times daily, when getting up, before dinner and bedtime|
Consumer reports on blood glucose meters
The four best ones (rated on ease of use, features, accuracy and consistency)
- One Touch Ultra
- Freestyle (TheraSense)
- One Touch SureStep (LifeScan)
Tips to improve bleeding for testing
- Light exercise before testing or wash hands in warm water before testing.
- Adjust lancet for deeper penetration.
- Swinging of arms before testing will improve blood flow to fingers before testing.
- Wait after testing for blood to make a droplet – do not squeeze blood out right away.
- When everything has failed – put a rubber band on the base of the finger to prevent blood from flowing out and take band off as soon as you get the blood.
Tips on minimizing discomfort
- Prick on the sides – more blood vessels and less nerve endings.
- After the prick, put a little lotion on the prick site to soothe it.
- Use mild soap and warm water instead of alcohol – warm water will increase blood flow in fingertips.
- Use an adjustable lancet to adjust penetration according to skin thickness.
Use your logbook whenever testing. Record the following: time, day, date, reading, what you ate, exercise for the day, emotional wellness, physical wellness – all this recorded information will assist your healthcare practitioner and yourself to control your blood sugar levels better.
Seven steps for the best results
Calibrate each batch of test strips.
Check your strips
When readings are inconsistent with how you feel – check expiry dates and see whether package has not been tampered with.
Run a test
Use a calibrated solution where the glucose level has been predetermined to assess accuracy of your meter.
Compare with a fasting reading
Next time you do a fasting test; take your meter with an also do a testing that you can compare when the results are available. Your results should not differ more than 15%.
Do a self-check
Are you following the directions how to use meter; are your hands clean or are you using too much blood.
Check the meter
Clean meter according to instructions and check batteries.
Call customer service hotline
When your readings seem to be malfunctioning sometime – report problem to hotline.
Future testing – what is new
Laser beam zaps a small hole in your finger – you still feel it, but much less painful. The cons are that the meter is bulky and costly.
New meters requires less blood
GlucoWatch Biographer (FDA approved)
No pricks – blood is drawn through skin with an electric current. The only downside here is that it takes 20 minutes for meter to calculate a reading.
Implants – Medtronic MiniMed Continuous Glucose Monitoring System
Sensor implanted under skin and it measures glucose every 5 minutes. It can monitor information up to three days. Information can then be downloaded on PC. The problem here is that the immune system will attack sensors – hopefully in time to come new sensors will be developed which can be kept under the skin for a long time. This will then function like an artificial pancreas.
Do not let uncontrolled diabetes dictate your health, manage it properly and you can live a long life without heart attacks and amputations. Do you need guidance for better diabetic control or are you at risk for diabetes? Contact your Integrated Healthcare Provider for assistance now.
Please subscribe to the South African Journal of Diabetes: Tel no: 0880117879366 or 011-787-9366
For more information contact The Centre for Diabetes on 011-712-6000 // 0861113913
Join the Diabetes South Africa Network at 011-792-9888/7 or www.diabetessa.co.za
- New Optimum Nutrition Bible – Patrick Holford
- Prescription Alternatives – Earl Mindell
- The SA Journal of Natural medicine
- Herbal Medicine – expanded commission E Monographs
- Genesende Voeding – Dr Willem Serfontein
- Gesondheid vir `n leeftyd – Dr Christiaan
- Stopping diabetes in its tracks – Richard Liliberte
- Food is better medicine than drugs – Patrick Holford
- Food remedies – Selene Yeager
- Alternative cures – Bill Gottlieb
- Beat Diabetes Naturally – Michael Murray & Michael Lyon
- Discovery Summer 2011 issue 41