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 Take Control - Good control requires both diligence and a willingness to try new strategies.  

Learn as much as you can about diabetes.  Ask as many questions as it takes for you to feel comfortable with managing your diabetes. 

Read as much as you can to educate yourself.

Visit diabetes related websites such as those hosted by the American Diabetes Association at http://www.diabetes.org/, or the National Diabetes Education Program at http://www.ndep.nih.gov/ or the Centers of Disease Control and Prevention at www.cdc.gov/diabetes/index.htm.

 

 

Be your own detective!

There are two tests that are important to the overall control of diabetes; A1C and glucose testing.

A1C - is a test that indicates your overall glucose control during a 2 to 3 month period.  It should be measured when diabetes is diagnosed and at least twice a year thereafter.  If you change your care plan, start a new medicine, or have trouble meeting your goals, your healthcare provider will want to check it more often.  This test is measured as a percentage.  For people without diabetes it is usually less than 6 percent.  For those with diabetes a general goal of less than 7 percent and an individual goal to get as close to the normal range as you safely can.

Glucose Testing - checking your glucose with a monitor give you a snapshot blood glucose level at the time you check it. 

How often and when you monitor your blood glucose depends on the type of diabetes you have and the therapies you use,so follow your healthcare provider's advice.  Be sure to record your results.  This will allow you and your provider to make changes to target any patterns of high or low blood glucose that may occur. 

Remember to work with your health care team to set individual goals. 

Follow a meal and physical activity plan.

Eating right and being physically active are two keys to controlling blood glucose even when other strategies are used. 

A dietitian can help you develop a personal meal plan that includes healthy food choices and matches the timing and size of your meals to your medicines.  In general, the best plans include fresh fruits and vegetables and whole grains.  Spread carbohydrates through-out the day, and limit foods high is saturated and trans fat.

Exercise is also crucial.  Getting 30 to 60 minutes of daily activity has been shown to lower blood glucose, blood pressure, and cholesterol.  It also makes diabetes medicines more effective and helps with weight control.

We know that many people with diabetes do not get or sometimes do not understand the information they need regarding their medicines.  It's important that you are as involved as you want to be in decisions about your treatment.  So you should be able to ask questions that will give you the information you need.

All of your medicines will come with a patient information leaflet and this may help to answer some of your questions.  Healthcare professionals also want you to be involved in treatment choices so they welcome questions.

It is important that you are clear about what any diabetes treatment means for you.  If you are unsure, ask more questions, or ask for more time to think about it.  There is no such thing as a stupid question if it helps you understand your medicines better and use them safely and effectively. 

For information about individual medicines visit the Medicine Guides website at http://www.medguides.medicines.org.uk/


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Bermuda Diabetes Association
46 Point Finger Road
Paget, DV 04 Bermuda
Phone: 441-236-3668
Fax:     441-236-3969
Email: bda@northrock.bm

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