Your First 9 Steps Toward Managing Your Diabetes
So you've recently been diagnosed with diabetes... now what? Here's a handy guide on the first steps you should take to manage your condition.
Whatever type of diabetes you have, the first thing you need is a blood glucose meter. It will tell you whether your blood glucose, also known as blood sugar, is just right, too high, or two low. But don’t start by going to a drug store or online! Too many people make this costly mistake, as I did when I was diagnosed. Instead, check what brands of meters your health insurance’s formulary covers.
Get a prescription from your doctor for the meter and test strips that your insurance covers and that your doctor prefers. Take this prescription to your pharmacy or ask your doctor to fax it there. This is better because you won’t have to wait as long at the counter. If you can get a prescription for a three-month supply of test strips, this would be better yet, because the cost per strip can be less.
The blood glucose meters in insurance formularies generally have more features and can be more accurate. But since most of us need to limit our expenses and those meters may not be much better than cheaper ones, you might want to consider the lower priced house brands of stores like Walmart, namely “ReliOn” and Target, namely “up & up.”
Different doctors and diabetes organizations have quite different ideas what your blood sugar level should be. The basic guide is that they should be as low as possible without becoming dangerously low, which we call “going hypo.” This is a level of 70 mg/dl or lower.
Unless your doctor or nurse has specific advice, you can follow the guidance of the Joslin Diabetes Center at “Goals for Blood Glucose Control.” It says that your level should be below 100 mg/dl before breakfast and below 140 mg/dl two hours after the first bite of your meals. Start the timer two hours after the first bite of your meal.
Checking in pairs before and after a meal is the best guide to telling you what you should avoid or minimize to keep your blood sugar level where it should be. If it’s too high, you will have to cut back on how much carbohydrates you eat. The fat you eat doesn’t change your level, and protein will raise it only a tiny bit.
Of the foods that people here commonly eat, those that raise your blood sugar level the most are the high-glycemic carbs: potatoes, wheat (including bread and anything else made from it), rice, the other grains, and breakfast cereals. Cutting out these foods entirely or at least cutting way back on them will help you the most.
Knowledge of diabetes will give you the power over it that you need to manage it. You can read my articles here. Then study two outstanding books: Dr. Bernstein’s Diabetes Solution by Dr. Richard K. Bernstein and The First Year: Type 2 Diabetes by Gretchen Becker. Diabetes is a disease that more than any other that depends on us more than on our doctor, and only you can manage it effectively.