A good number of diabetics, however, have the illness but don’t know it for at least five years before diagnosis. This is crucial because over time, the insulin-producing cells in the pancreas decline in function. Often, by the time a patient is diagnosed, a critical number of cells have stopped producing insulin entirely. There is no way to reverse this. If your diabetes is diagnosed early in the disease process, however, aggressive management may help you prevent further loss of function in those cells. This means maintaining your fasting glucose levels below 100 mg/dl and your after-meal (two hours after) levels below 140 mg/dl. This is the same for morning and evening glucose levels.
Learn more about diabetes related foot problems. For people with diabetes, too much glucose in the blood can cause serious foot complications such as nerve damage, infection, and ulcers. Find tips for proper foot care to help prevent serious complications.
Carbohydrate counting involves keeping track of the amount of carbohydrates you eat and drink each day. Because carbohydrates turn into glucose in your body, they affect your blood glucose level more than other foods do. Carb counting can help you manage your blood glucose level. If you take insulin, counting carbohydrates can help you know how much insulin to take.
A diabetic diet doesn’t have to be complicated and you don’t have to give up all your favorite foods. The first step to making smarter choices is to separate the myths from the facts about eating to prevent or control diabetes.
. A 26-week, randomized, parallel, treat-to-target trial comparing insulin detemir with NPH insulin as add-on therapy to oral glucose-lowering drugs in insulin-naive people with type 2 diabetes. Diabetes Care 2006;29:1269–1274
Insulin degludec (Tresiba) is a once-daily, long-acting insulin, providing a basal dose of insulin lasting beyond 42 hours. (It the only basal insulin approved for both type 1 and type 2 diabetes in patients as young as 1 year old.) It is also available in combination with rapid-acting insulin (Ryzodeg 70/30).
If you have type 2 diabetes, the answer to this question is much less clear. Many people can keep their blood glucose in a healthy range without medications (either oral diabetes medications or insulin injections) if they lose weight and keep their weight down, are regularly physically active, and follow a meal plan that helps keep portion sizes under control and helps them spread the amount of carbohydrate they eat at each meal throughout the day.
Magnesium-rich foods: Magnesium can help regulate blood sugar levels because it plays a role in glucose metabolism. Research shows that diabetes is frequently associated with magnesium deficiency. Eating magnesium-rich foods, like spinach, chard, pumpkin seeds, almonds, yogurt and black beans, can improve type 2 diabetes symptoms. (11)
If you’ve always been prone to UTIs or other vaginal infections, don’t freak. But if you’ve noticed an uptick, that may be a sign of underlying diabetes, says Daniel Hsia, MD, an assistant research professor at PBRC. “High blood sugar levels create an environment that makes these infections more likely,” Hsia explains. In particular, watch out for yeast infections, he says. Yeast feeds on sugar, so they tend to thrive when blood-sugar levels are elevated. (Psst! These 9 highly effective solutions for a vaginal yeast infection can help.)
Diabetes affects the outer, tough membrane part of the eyes; the front part, which is clear and curved; the cornea/retina, which focus light; and the macula. According to the National Diabetes Assocation, almost everyone with type 1 diabetes eventually has nonproliferative retinopathy, and most people with type 2 diabetes also get it. (8)