What Are The Treatments For Type 1 Diabetes
Type 1 diabetes must be treated with insulin. To do this, a person with type 1 diabetes must inject insulin under their skin where it can be absorbed into their bloodstream to help glucose access the cells that require it. Insulin cant be taken in pill form because the digestive juices in the stomach would destroy the insulin before it could work.
Treating T1D is all about the amount and timing of insulin, as well as the best way to get the right dose of this essential hormone to assure that the glucose circulating in your blood is able to be properly absorbed by your body. Having too much glucose in your body can cause serious complications as can having too little glucose in your blood .
Insulin can be delivered by:
Lexie, known as the divabetic, is a Black diabetes advocate who posts everything from giveaways to advice on dating with type 1 diabetes. She frequently shares posts about diabetes-friendly food and humor.
If I Have Prediabetes Can I Avoid Developing Diabetes
If you have prediabetes, the best way to avoid developing type 2 diabetes is by making changes in your lifestyle.
- Lose weight. If you are overweight, losing just 7 percent of your starting weight can help delay or prevent diabetes. That means if you weigh 200 pounds, losing 14 pounds can make a difference. Weight loss also helps lower your blood pressure and cholesterol levels.
- Exercise regularly. Exercise is an important part of diabetes prevention. Your exercise routine should include 30 minutes of moderate physical activity at least 5 times a week. This could include brisk walking, riding a bike, or swimming. Ask your doctor what exercise level is safe for you.
- Follow a healthy diet. Eat foods such as vegetables, fruits, whole grains, lean proteins such as fish or chicken, and low-fat dairy. Dont eat a lot of processed, fried, or sugary foods. Eat smaller portions to reduce the number of calories you take in each day. Drink water instead of sweetened drinks.
Your doctor might refer you to a dietitian or diabetes educator to help you change your eating and exercise habits.
Some people take medicine to help prevent or delay diabetes. Ask your doctor if this is a good option for you.
Keto Diet For Type 2 Diabetes: Does It Work
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Can I Drink If I Have Diabetes
You can most certainly drink alcohol with diabetes. The key, just like many other things, is to do so in moderation.
Also, if your blood sugar is not under good control, you should not drink because it can cause it to become too high or too low. Your doctor should be aware of your drinking habits so that they can make sure that you are not experiencing any complications related to it.
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How does alcohol affect diabetes and my blood sugar levels?
Normally, the liver is the organ that stores and secretes glucose to the cells in the body to fuel them when you are not eating. The liver is also responsible for cleansing the body of toxins. The liver does not recognize alcohol as food. Instead, it sees it as a drug and a toxin. When alcohol is in the system, the liver changes gears and begins to detoxify in attempt to get rid of the alcohol. Unfortunately, the liver cannot do both jobs at the same time. While it is detoxifying, it stops secreting glucose. On average, the liver can only breakdown one drink of alcohol per hour.
For someone who is on insulin or certain medications , this can pose to be dangerous. Unless you are eating, the insulin continues to work and drop the blood sugar. This can happen very quickly if appropriate actions are not taken.
How Is Diabetes Treated
Treatments for diabetes depend on your type of diabetes, how well controlled your blood glucose level is and your other existing health conditions.
- Type 1 diabetes: If you have this type, you must take insulin every day. Your pancreas no longer makes insulin.
- Type 2 diabetes: If you have this type, your treatments can include medications , insulin and lifestyle changes such as losing weight, making healthy food choices and being more physically active.
- Prediabetes: If you have prediabetes, the goal is to keep you from progressing to diabetes. Treatments are focused on treatable risk factors, such as losing weight by eating a healthy diet and exercising . Many of the strategies used to prevent diabetes are the same as those recommended to treat diabetes .
- Gestational diabetes: If you have this type and your glucose level is not too high, your initial treatment might be modifying your diet and getting regular exercise. If the target goal is still not met or your glucose level is very high, your healthcare team may start medication or insulin.
Oral medications and insulin work in one of these ways to treat your diabetes:
- Stimulates your pancreas to make and release more insulin.
- Slows down the release of glucose from your liver .
- Blocks the breakdown of carbohydrates in your stomach or intestines so that your tissues are more sensitive to insulin.
- Helps rid your body of glucose through increased urination.
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How Do I Know If I Have Diabetes
Your doctor may suspect you have diabetes if you have some risk factors for diabetes, or if you have high levels of blood sugar in your urine. Your blood sugar levels may be high if your pancreas is producing little or no insulin , or if the body is not responding normally to insulin .
Getting diagnosed begins with one of three tests. In most cases, your doctor will want to repeat a test that is high in order to confirm the diagnosis:
- A fasting glucose test is a test of your blood sugar levels taken in the morning before you have eaten. A level of 126 mg/dL or higher may mean that you have diabetes.
- An oral glucose tolerance test entails drinking a beverage containing glucose and then having your blood glucose levels checked every 30 to 60 minutes for up to 3 hours. If the glucose level is 200 mg/dL or higher at 2 hours, then you might have diabetes.
- The A1c test is a simple blood test that shows your average blood sugar levels for the past 2-3 months. An A1c level of 6.5% or higher may mean you have diabetes.
Your doctor may also suggest a zinc transporter 8 autoantibody test. This blood test — along with other information and test results — can help determine if a person has type 1 diabetes instead of another type. The goal of having the ZnT8Ab test is a prompt and accurate diagnosis, and that can lead to timely treatment.
Managing Type 2 Diabetes
Learning how to live with type 2 diabetes can be challenging, but well help you to discover what works for you. Some people can manage it through healthier eating, being more active or losing weight. But eventually most people will need medication to bring their blood sugar down to their target level.
Learn more about managing your diabetes.
People With Diabetes Can Never Eat Sweets
False: You can have your cake and eat it too, just not the whole cake! People with diabetes need to control the total amount of carbohydrates in their diet, and sugary treats count as carbs. But this doesnt mean that they cant have any sweets. It just means that they should put the brakes on eating too many sweets and other high-calorie foods that are low in nutrients . Eating too many of these foods also can make it less likely youll want to eat healthier foods.
Learn How To Live With Diabetes
It is common to feel overwhelmed, sad, or angry when you are living with diabetes. You may know the steps you should taketo stay healthy, but have trouble sticking with your plan over time. This section has tips on how to cope with your diabetes,eat well, and be active.
Cope with your diabetes.
- Stress can raise your blood sugar. Learn ways to lower your stress. Try deep breathing, gardening, taking a walk, meditating, working on your hobby, or listening to your favorite music.
- Ask for help if you feel down. A mental health counselor, support group, member of the clergy, friend, or family member who will listen to your concerns may help you feel better.
- Make a diabetes meal plan with help from your health care team.
- Choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt.
- Eat foods with more fiber, such as whole grain cereals, breads, crackers, rice, or pasta.
- Choose foods such as fruits, vegetables, whole grains, bread and cereals, and low-fat or skim milk and cheese.
- Drink water instead of juice and regular soda.
- When eating a meal, fill half of your plate with fruits and vegetables, one quarter with a lean protein, such as beans, or chicken or turkey without the skin, and one quarter with a whole grain, such as brown rice or whole wheat pasta.
Know what to do every day.
Talk to your health care team.
- Ask your doctor if you have any questions about your diabetes.
- Report any changes in your health.
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Lifestyle Changes For Diabetes
Wear a medical ID tag
It is a good idea to wear a MedicAlert bracelet or tag that says you have diabetes. This will make others aware of your condition in case you have a severe hypoglycemic attack and are not able to make yourself understood, or if you are in an accident and need emergency medical care. Identifying yourself as having diabetes is important because hypoglycemic attacks can be mistaken for drunkenness, and victims often aren’t able to care for themselves. Without prompt treatment, hypoglycemia can result in a coma or seizures. And, because your body is under increased stress when you are ill or injured, your blood sugar levels will need to be checked by the medical personnel who give you emergency care.
Take care of your teeth
Be sure to take good care of your teeth and floss regularly. Diabetes can worsen gum disease.
If you’re stressed, you may exercise less, drink more, and not watch your diabetes as closely.
Stress can also raise your blood sugar and make you less sensitive to insulin. When you’re stressed, your body adopts a “fight or flight” response. That means it will make sure you have enough sugar and fat available for energy.
Studies of people with type 1 diabetes found blood sugar levels go up for most people under mental stress and down for others. If you have type 2 diabetes and you’re feeling pressure, your glucose will go up.
Cut back on alcohol
Can Eating Too Much Sugar Cause Type 2 Diabetes
Cardiovascular health conditions, such as having high blood pressure, a low level of HDL cholesterol, a high level of triglycerides in your blood or a history of heart disease or stroke, are also associated with type 2 diabetes. So is having depression or polycystic ovary syndrome.
The influence of family history on whether you will develop diabetes is better established with type 2 than it is with type 1, says Alvarado. If you look at people who have type 2 diabetes, they are more likely to have people in their family that also have diabetes, or have obesity, or other risk factors. But she cautions that its hard to know if that influence is due to genes alone or a shared environment and lifestyle. It could also be that what they are sharing is not a genetic variation. Maybe they are sharing their diet or a lack of access to opportunities for exercise, depending on where they live, says Alvarado.
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Sodiumglucose Cotransporter 2 Inhibitors
Sodiumglucose cotransporter 2 inhibitors act on the kidney to reduce blood levels of glucose and are used to treat T2DM. In patients with T2DM, treatment with SGLT2is reduced infiltration of inflammatory cells into arterial plaques and decreased the mRNA expression levels of some cytokines and chemokines, such as TNF, IL-6 and monocyte chemoattractant protein 1 . However, SGLT2i treatment can cause ketoacidosis, especially in critically ill patients. Importantly, SGLT2is have profound effects on urinary glucose and sodium excretion, resulting in osmotic diuresis and potentially dehydration, and increased urinary uric acid excretion, which has been suggested to be a risk factor for acute kidney injury through both urate crystal-dependent and crystal-independent mechanisms. As such, the use of SGLT2is might be difficult in patients under critical care, who need meticulous control of their fluid balance. In addition, these drugs must be discontinued in the face of a reduced estimated glomerular filtration rate, which limits their glucose-lowering effects substantially, and will be a typical risk in critically ill patients. Nonetheless, an international study is ongoing to evaluate the effect of dapagliflozin versus placebo, given once daily for 30 days, in reducing disease progression, complications and all-cause mortality in all patients admitted with COVID-19 . The result of this study might help reveal the implications of the use of SGLT2is in such patients.
Diabetes And Sugar Free Alcohol
The only alcohol that is sugar free is liquor. You should be very carefully when drinking liquor because it does contain a high alcohol content. There are not drinks that are made specifically for those with diabetes, like sugar-free cookies and candy.
Can I consume alcohol on an empty stomach with diabetes?
You should never drink alcohol on an empty stomach. Alcohol is absorbed by the stomach. It enters into the bloodstream and then the âbuzzâ feeling that many experience while drinking begins to hit when the blood alcohol content increases. If there is food in the stomach, it acts as a buffer and the rate of absorption is slowed down. Without the food, the alcohol content can go up too quickly. It is always important to eat a well balanced meal before drinking, including protein, carbohydrates, and fats. It is also critical to consume other beverages, such as water while drinking to stay hydrated and to dilute the alcohol in the blood stream.
Does diabetes affect alcohol absorption?
Diabetes itself does not have any affect on the rate of absorption of alcohol. However, if you are watching what you eat and counting carbohydrates, you may not eat enough. This can cause alcohol to be absorbed much faster than someone that has eaten a well-balanced meal prior to drinking.
Should I test my blood sugar before consuming alcohol?
Why is it better to consume less?
Benefits of moderate alcohol consumption
Other benefits of moderate drinking include:
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Can You Be Born With Diabetes Is It Genetic
You arent born with diabetes, but Type 1 diabetes usually appears in childhood. Prediabetes and diabetes develop slowly over time years. Gestational diabetes occurs during pregnancy.Scientists do believe that genetics may play a role or contribute to the development of Type 1 diabetes. Something in the environment or a virus may trigger its development. If you have a family history of Type 1 diabetes, you are at higher risk of developing Type 1 diabetes. If you have a family history of prediabetes, Type 2 diabetes or gestational diabetes, youre at increased risk of developing prediabetes, Type 2 diabetes or gestational diabetes.
Can Gestational Diabetes Be Prevented
Caring for your diabetes well can lower your babys risks. Eating a nutritious diet, testing your blood sugar, and taking insulin can help you care for your condition.
Having gestational diabetes raises your risk for diabetes later in life. If you had gestational diabetes, your healthcare provider will test you for diabetes after you give birth. This is often done 6 to 12 weeks after your baby is born. Your healthcare provider will continue to check you for diabetes because of your risk.
After birth, your childs healthcare provider should also regularly check him or her for diabetes. An early diagnosis and treatment can lower his or her risk for problems.
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How Do I Check My Blood Glucose Level Why Is This Important
Checking your blood glucose level is important because the results help guide decisions about what to eat, your physical activity and any needed medication and insulin adjustments or additions.
The most common way to check your blood glucose level is with a blood glucose meter. With this test, you prick the side of your finger, apply the drop of blood to a test strip, insert the strip into the meter and the meter will show your glucose level at that moment in time. Your healthcare provider will tell you how often youll need to check your glucose level.
How To Learn More About Diabetes
- Take classes to learn more about living with diabetes. To find a class, check with your health care team, hospital, or area health clinic. You can also search online.
- Join a support group in-person or online to get peer support with managing your diabetes.
- Read about diabetes online. Go toNational Diabetes Education Program.
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