Diabetes management requires awareness. Know what makes your blood glucose level rise and fall — and the way to regulate these day-to-day factors.
Keeping your blood glucose levels within the range recommended by your doctor is often challenging. That’s because many things make your blood glucose levels change, sometimes unexpectedly. the subsequent are some factors that will affect your blood glucose levels.
Healthy eating may be a cornerstone of healthy living — with or without diabetes. But if you’ve got diabetes, you would like to understand how foods affect your blood glucose levels. it isn’t only the sort of food you eat but also what proportion you eat and therefore the combinations of food types you eat.
What to do:
Learn about carbohydrate counting and portion sizes. A key to several diabetes management plans is learning the way to count carbohydrates. Carbohydrates are the foods that always have the most important impact on your blood glucose levels. And for people taking mealtime insulin, it’s crucial to understand the number of carbohydrates in your food, so you get the right insulin dose.
Learn what portion size is acceptable for every sort of food.
Simplify your meal planning by writing down portions for the foods you eat often. Use measuring cups or a scale to make sure proper portion size and an accurate carbohydrate count.
Make every meal well-balanced. the maximum amount as possible,
plan for each meal to possess an honest mixture of starches, fruits, and vegetables, proteins and fats. It’s especially important to concentrate on the kinds of carbohydrates you select. Some carbohydrates, like fruits, vegetables, and whole grains, are better for you than are others. These foods are low in carbohydrates and contain fiber that helps keep your blood glucose levels more stable. ask your doctor, nurse, or dietitian about the simplest food choices and therefore the appropriate balance of food types.
Coordinate your meals and medications.
Too little food in proportion to your diabetes medications — especially insulin — may end in dangerously low blood glucose (hypoglycemia). an excessive amount of food may cause your blood glucose level to climb too high (hyperglycemia). ask your diabetes health care team about the way to best coordinate meal and drugs schedules.
Avoid sugar-sweetened beverages. Sugar-sweetened beverages — including those sweetened with high fructose syrup or sucrose — tend to be high in calories and offer little within the way of nutrition. and since they cause blood glucose to rise quickly, it is best to avoid these sorts of drinks if you’ve got diabetes.
The exception is that if you’re experiencing a coffee blood glucose level. Sugar-sweetened beverages, like soda, juice, and sports drinks, are often used as an efficient treatment for quickly raising blood glucose that’s too low.
Physical activity is another important a part of your diabetes management plan. once you exercise, your muscles use sugar (glucose) for energy. Regular physical activity also helps your body use insulin more efficiently.
These factors work together to lower your blood glucose level.
The more strenuous your workout, the longer the effect lasts. But even light activities — like housework, gardening, or being on your feet for extended periods — can improve your blood glucose.
What to do:
Talk to your doctor about an exercise plan. Ask your doctor about what sort of exercise is acceptable for you. generally, most adults should exercise a minimum of half-hour each day on most days of the week. If you have been inactive for an extended time, your doctor might want to see your overall health before advising you. He or she will recommend the proper balance of aerobic and muscle-strengthening exercise.
Keep an exercise schedule. ask your doctor about the simplest time of day for you to exercise in order that your workout routine is coordinated together with your meal and drug schedules.
Know your numbers.
ask your doctor about what blood glucose levels are appropriate for you before you start to exercise.
Check your blood glucose level. Check your blood glucose level before, during, and after exercise, especially if you’re taking insulin or medications that lower blood glucose. Exercise can lower your blood glucose levels even each day later, especially if the activity is new to you, or if you’re exercising at a more intensive level. remember of warning signs of low blood glucose, like feeling shaky, weak, tired, hungry, lightheaded, irritable, anxious or confused.
If you employ insulin and your blood glucose level is below 100 milligrams per deciliter (mg/dL), or 5.6 millimoles per liter (mmol/L), have a little snack before you begin exercising to stop a coffee blood glucose level.
Stay hydrated. Drink many water or other fluids while exercising because dehydration can affect blood glucose levels.
Always have a little snack or glucose tablets with you during exercise just in case your blood glucose level drops too low. Wear a medical identification bracelet when you’re exercising.
Adjust your diabetes treatment plan as required.
If you’re taking insulin, you’ll get to reduce your insulin dose before exercising or wait awhile after exercise to inject insulin. Your doctor can advise you on appropriate changes in your medication. you’ll also get to adjust treatment if you’ve increased your exercise routine.
Insulin and other diabetes medications are designed to lower your blood glucose levels when diet and exercise alone aren’t sufficient for managing diabetes. But the effectiveness of those medications depends on the timing and size of the dose. Medications you’re taking for conditions aside from diabetes can also affect your blood glucose levels.
What to do:
Store insulin properly. Insulin that’s improperly stored or past its expiration date might not be effective. Insulin is particularly sensitive to extremes in temperature.
Report problems to your doctor. If your diabetes medications cause your blood glucose level to drop too low or if it’s consistently too high, the dosage or timing may have to be adjusted.
Be cautious with new medications. If you’re considering an over-the-counter medication or your doctor prescribes a replacement drug to treat another condition — like high vital sign or high cholesterol — ask your doctor or pharmacist if the medication may affect your blood glucose levels. Liquid medications could also be sweetened with sugar to hide their taste. Sometimes an alternate medication could also be recommended. Always ask your doctor before taking any new over-the-counter medication, so you recognize how it’s going to impact your blood glucose level.
When you’re sick, your body produces stress-related hormones that help your body fight the illness, but they can also raise your blood glucose level. Changes in your appetite and normal activity also may complicate diabetes management.
What to do:
Plan ahead. Work together with your health care team to make a sick-day plan. Include instructions on what medications to require , how often to live your blood glucose and urine ketone levels, the way to adjust your medication dosages, and when to call your doctor.
Continue to take your diabetes medication. However, if you’re unable to eat due to nausea or vomiting, contact your doctor. In these situations, you’ll got to adjust your insulin dose or temporarily stop taking your medication due to a risk of hypoglycemia.
Stick to your diabetes hotel plan . If you’ll , eating as was common will assist you control your blood glucose levels. Keep a supply of foods that are easy on your stomach, like gelatin, crackers, soups and applesauce. Drink many water or other fluids that do not add calories, like tea, to form sure you stay hydrated. If you are taking insulin, you’ll got to sip sugar-sweetened beverages, like juice or a sports drink, to stay your blood glucose level from dropping too low.
The liver normally releases stored sugar to counteract falling blood glucose levels. But if your liver is busy metabolizing alcohol, your blood glucose level might not get the boost it needs from your liver. Alcohol may result in low blood glucose shortly after you drink it and for as many as 24 hours more.
What to do:
Get your doctor’s okay to drink alcohol. Alcohol can aggravate diabetes complications, like nerve damage and disease . But if your diabetes is in check and your doctor agrees, an occasional alcoholic drink is ok . Moderate alcohol consumption is defined as no quite one drink each day for ladies of any age and men over 65 years old and two drinks each day for men under 65. One drink equals a 12-ounce beer, 5 ounces of wine or 1.5 ounces of distilled spirits.
Don’t drink alcoholic beverages on an empty stomach.
If you’re taking insulin or other diabetes medications, make certain to eat before you drink or drink with a meal to stop low blood glucose .
Choose your drinks carefully. lager and dry wines have fewer calories and carbohydrates than do other alcoholic drinks. If you favor mixed drinks, sugar-free mixers — like diet soda, diet tonic, soda water or seltzer — won’t raise your blood glucose .
Tally your calories. Remember to incorporate the calories from any alcohol you drink your daily calorie count. Ask your doctor or dietitian the way to incorporate calories and carbohydrates from alcoholic drinks into your diet plan.
Check your blood glucose level before bed.
Because alcohol can lower blood glucose levels long after you’ve had your last drink, check your blood glucose level before you attend sleep. If your blood glucose isn’t between 100 and 140 mg/dL (5.6 and 7.8 mmol/L), have a snack before bed to counter a drop by your blood glucose level.
Menstruation and menopause
Changes in hormone levels the week before and through menstruation may result in significant fluctuations in blood glucose levels. And within the few years before and through menopause, hormone changes may end in unpredictable variations in blood glucose levels that complicate diabetes management.
What to do:
Look for patterns. Keep careful track of your blood glucose readings from month to month. you’ll be ready to predict fluctuations associated with your cycle .
Adjust your diabetes treatment plan as required .
Your doctor may recommend changes in your hotel plan , activity level or diabetes medications to form up for blood glucose variation.
Check blood glucose more frequently. If you’re likely approaching menopause or experiencing menopause, ask your doctor about whether you would like to watch your blood glucose level more often. Symptoms of menopause can sometimes be confused with symptoms of low blood glucose , so whenever possible, check your blood glucose before treating a suspected low to verify the low blood glucose level.
Most sorts of contraception are often employed by women with diabetes without a drag . However, oral contraceptives may raise blood glucose levels in some women.
If you’re stressed, the hormones your body produces in response to prolonged stress may cause an increase in your blood glucose level. Additionally, it’s going to be harder to closely follow your usual diabetes management routine if you’re under tons of additional pressure.
What to do:
Look for patterns. Log your stress level on a scale of 1 to 10 whenever you log your blood glucose level. A pattern may soon emerge.
Take control. Once you recognize how stress affects your blood glucose level, fight back. Learn relaxation techniques, prioritize your tasks, and set limits. Whenever possible, avoid common stressors. Exercise can often help relieve stress and lower your blood glucose level.
Learn new strategies for dealing with stress. you’ll find that working with a psychologist or clinical caseworker can assist you to identify stressors, solve stressful problems, or learn new coping skills.
The more you recognize about the factors that influence your blood glucose level, the more you’ll anticipate fluctuations — and plan accordingly. If you’re having trouble keeping your blood glucose level in your firing range, ask your diabetes health care team for help.