This is more complicated than it needs
to be, but there are five questions that need asking first. Please go to this by David Mendosa for the first five questions as some
doctors will not answer the next ten or will only answer a few of
them. Some of the following 10 questions may
be passed off to CDEs or RDs. Understand that this is for people
with type 2 diabetes.
#1. Does having diabetes mean that I
am at higher risk for other medical problems? The answer is yes.
Often heart disease and hypertension is the most common, but there
are others.
#2. Should I start seeing other
doctors regularly, such as an eye doctor? Again, the answer is
yes. Make sure you see an eye doctor regularly starting shortly
after diagnosis. Make the same regularity for a dentist and a
podiatrist for foot care and foot inspection.
#3. How often should I test my blood
sugar, and what should I do if it is too high or too low? This
will depend on the medication you are using and whether you can
afford to buy more test strips than your insurance will reimburse the
pharmacy. If your blood glucose reading is too high, then you need
to consider eating less carbohydrates at each meal. If your blood
glucose level is too low, this is when you may need glucose tablets
or a 15-gram quick acting carbohydrate.
#4. Are there any new medications
that I could use to help manage my diabetes? It seems there are
always some new medications available, but do you know the side
effects you will likely encounter which may be serious.
#5. Does diabetes mean I have to
stop eating the foods I like best? For some people this may be a
great idea, but for other people planning meals to occasionally enjoy
a small serving can work.
#6. How can exercise make a
difference in my diabetes? If you are medically able, exercise
if done regularly can help manage blood glucose and help with weight
loss if needed. Make sure that your blood glucose levels are in the
safe ranges to do exercise.
#7. If I am overweight, how many
pounds do I have to lose to make a difference in my health? This
will depend on whom you are talking to and how much you are
overweight. Many will say 10 pounds and other will say 10 percent of
your weight.
#8. Are my children at increased
risk for the disease? In many cases, they are at an increased
risk.
#9. What is the importance of diet
in diabetes? Forget about diets as many people fail at
maintaining a diet. Learn to make a food plan that becomes permanent
for you.
#10. Do I need to take my
medications even on days that I feel fine? This depends on the
medication and all are taken on days you feel fine. It is the days
that your don't feel good, are ill and possibly will not feel like
eating that may determine whether you take your medication. Insulin
and sulfonylureas are medications that care must be taken and
doctor's orders need to be carefully followed. Your blood glucose
level will also be a factor.
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