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Step 1: Learn about diabetes ............................... 6
Step 2: Know your diabetes ABCs ...................... 12
Step 3: Manage your diabetes ............................ 16
Step 4: Get routine care ..................................... 22
Notes ................................................................. 26
Where to get help............................................... 28
2 . This booklet presents four key steps to help you manage your diabetes and live a long and active life. Step 1: Learn about diabetes. For Life. Step 4: Get routine care to avoid problems. Step 2: Know your diabetes ABCs. Step 3: Manage your diabetes.4 Steps to Control Your Diabetes.
ctions you let show a his book The q in t iabetes.Diabetes is a serious disease. It affects almost every part of your body. That is why a health care team may help you take care of your diabetes: • • • • • • • • • • • • doctor dentist diabetes educator dietitian eye doctor foot doctor mental health counselor nurse nurse practitioner pharmacist social worker friends and family You are the most important member of the team. age your d o man can take t q q 4 .
It also raises her child’s risk of being overweight and getting diabetes. It raises her risk of getting another type of diabetes. People with type 1 need to take insulin every day. Here are the main types of diabetes. for the rest of her life. Gestational (jes-TAY-shon-al) diabetes mellitus (GDM)—occurs when a woman is pregnant. Type 2 is the most common form of diabetes. People with type 2 often need to take pills or insulin. Type 2 diabetes—the body does not make or use insulin well. Type 1 diabetes—the body does not make insulin.Step 1: Learn about diabetes. 6 . Diabetes means that your blood glucose (blood sugar) is too high. mostly type 2. Insulin helps the body use glucose from food for energy.
or feel numb. and be active every day. tingle. Taking good care of yourself and your diabetes can help you feel better and avoid health problems caused by diabetes such as: • heart attack and stroke • eye problems that can lead to trouble seeing or going blind • nerve damage that can cause your hands and feet to hurt. Diabetes is serious. but you can manage it! All people with diabetes need to make healthy food choices.” These words suggest that diabetes is not a serious disease. • kidney problems that can cause your kidneys to stop working • gum disease and loss of teeth 8 .Diabetes is serious. Some people may even lose a foot or a leg. stay at a healthy weight. That is not correct. You may have heard people say they have “a touch of diabetes” or that their “sugar is a little high.
the future 10 . and gums eam which alth care t r he q Ask you f diabetes you have. skin.When your blood glucose is close to normal you are likely to: • have more energy • be less tired and thirsty and urinate less often • heal better and have fewer skin or bladder infections • have fewer problems with your eyesight. s is seriou hy diabete q Learn w s ur diabete ring for yo w ca q Learn ho ou feel better today and in helps y . type o s. feet.
The goal for most people with diabetes is below 130/80. stroke. Blood pressure. High blood pressure makes your heart work too hard. B for Blood pressure. The A1C goal for most people is below 7. High blood glucose levels can harm your heart and blood vessels. and eyes. This can help lower your chances of having a heart attack. HDL or “good” cholesterol helps remove cholesterol from your blood vessels. It shows you how your blood glucose has been over the last three months. stroke. kidneys. and kidney disease. Talk to you health care team about how to control your A1C. The HDL goal for most people is above 40. 12 . The LDL goal for most people is below 100. C for Cholesterol. Here’s what the ABCs of diabetes stand for: A for the A1C test (A-one-C). feet. It can cause a heart attack or a stroke. It can cause heart attack. or other diabetes problem.Step 2: Know your diabetes ABCs. and Cholesterol. LDL or “bad” cholesterol can build up and clog your blood vessels.
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Use this self-care plan. ask your health care team for one. broil.Eat foods that have less fat and salt. rice. fish.Step 3: Manage your diabetes. and low-fat or skim milk and cheese. crackers. or pasta. .Keep fish and lean meat and poultry portions to about 3 ounces (or the size of a pack of cards). lean meats. Bake. dry peas or beans. Work with your health care team to reach your ABC goals. breads.Eat healthy foods such as fruits and vegetables. or grill it. . whole grains. . If you do not have one. chicken or turkey without the skin. Many people avoid the long-term problems of diabetes by taking good care of themselves. • Use your diabetes food plan.Eat foods with more fiber such as whole-grain cereals. 16 . .
Brisk walking is a great way to move more. • Ask for help if you feel down. 18 . A mental health counselor. member of the clergy. Stress can raise your blood glucose. Ask for help to quit. While it is hard to remove stress from your life.• Get 30 to 60 minutes of physical activity on most days of the week. • Stop smoking. • Take medicines even when you feel good. support group. • Stay at a healthy weight by making healthy food choices and moving more. or family member will listen to your concerns and help you feel better. you can learn to handle it. friend. Tell your doctor if you cannot afford your medicine or if you have any side effects. • Learn to cope with stress. Ask you doctor if you need aspirin to prevent a heart attack or stroke.
r health you e target Talk to d glucos q r our bloo test you about y when to he and to use t Ask how nd how ucose a betes. • Report any changes in your eyesight to your doctor. m care tea s.• Check your feet every day for cuts. blisters. • Check your blood glucose. You may want to test it one or more times a day. teeth. and swelling. • Check your blood pressure. red spots. If your doctor advises. or gums. blood gl your dia ge to mana results r e to you s a guid plan a Use this q e. Call your health care team right away about any sores that won’t go away. • Brush your teeth and floss every day to avoid problems with your mouth. self-car is re plan r self-ca how you time you Discuss q ou each for y working are team health c r visit you 20 .
Discuss what steps you can take to reach your goals.a type of blood fat • complete foot exam • dental exam to check teeth and gums—tell your dentist you have diabetes • dilated eye exam to check for eye problems • flu shot • urine and a blood test to check for kidney problems At least once get a: • pneumonia (nu-mo-nya) shot 22 . At each visit get a: • blood pressure check • foot check • weight check • review of your self-care plan shown in Step 3 Two times each year get an: • A1C test—It may be checked more often if it is over 7 Once each year get a: • cholesterol test • triglyceride (try-GLISS-er-ide) test.Step 4: Get routine care to avoid problems. See your health care team at least twice a year to find and treat problems early.
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gov 26 .ndep.nih.Notes ______________________________ ______________________ ______________________________ ______________________ ______________________________ ______________________ ______________________________ ______________________ ______________________________ ______________________ ______________________________ ______________________ ______________________________ ______________________ ______________________________ ______________________ __________________________ NATIONAL DIABETES EDUCATION PROGRAM www.
americanheart. National Diabetes Education Program 1-800-438-5383 www.niddk.gov/health/diabetes.org Centers for Disease Control and Prevention 1-877-232-3422 www.ndep.medicare.cdc.Where to get help: Many items are offered in English and Spanish.asp National Institute of Diabetes and Digestive and Kidney Diseases National Diabetes Information Clearinghouse 1-800-860-8747 www.org American Diabetes Association 1-800-DIABETES (800-342-2383) www.diabetes.nih.eatright.diabeteseducator.org American Heart Association 800-AHA-USA1 (800-242-8721) www.gov American Association of Diabetes Educators 1-800-TEAM-UP4 (800-832-6874) www.gov 28 .org American Dietetic Association 1-800-366-1655 www.gov/diabetes Centers for Medicare & Medicaid Services 1-800-MEDICARE or (800-633-4227) www.nih.