Diabolical Diabetes

Posted bynehushtan234Posted inMedicine

Diabetes affects over 9.4% or 30 million Americans.  This page is meant to be used as a resource towards better control of your blood sugar.  Diabetes care is a team effort between you, your doctor, your clinic staff and social support.  Your active care is key to controlling your blood sugar and preventing diabetic complications such as vision loss, nerve problems, kidney problems as well as heart attacks and strokes.*

  1. Diabetic Education
    1. Talk to your doctor if you have questions about diabetes.  Many offices have diabetic educators who can spend time going through your diabetic care in detail.
  2. Monitoring your glucose – talk to your doctor about how to monitor
    1. Self Monitoring Glucose Log
    2. ADA BG Log
  3. Goals
    1. Diabetic Diet
      1. ADA Recommendations:
      2. Diabetes Plate: 50% Vegetables, 25% Meat, 25% Starch on 9″ plate
      3. Avoid sugar-sweetened beverages
      4. Minimize foods with added sugars
      5. If using fixed daily insulin, maintain consistent carbohydrate intake
      6. If using a flexible insulin therapy, discuss carbohydrate-counting and meal planning with physician
    2. Weight Management
      1. 5% loss for DM
      2. 7% loss for Impaired Glucose Tolerance
    3. Exercise
      1. ADA Recommendations:
        1. Adults should have >150 minutes/week of moderate to vigorous intensity aerobic physical exercise
          1. Adults to avoid prolonged sedentary behavior for >30 minutes
        2. Children should have >1 hour per day of moderate to vigorous intensity aerobic activity
    4. Avoid Hypoglycemia
      1. If you feel jittery, lightheaded, weak, or other signs of low blood sugar, perform a blood glucose check and eat a small snack if your glucose is <60.
  4. Yearly Exams – Make sure to see your doctor at once a year for these tests
    1. Diabetic Foot Monofilament Test
    2. Yearly microablumin test
    3. Yearly Ophthalmology eye exam
  5. Resources
    1. http://www.diabetes.org

*This page is not intended to provide medical advice.  Please consult your doctor about taking care of your diabetes.

—————————————————-For Physician Use————————————–

  1. Management –
    1. MAST DiG
  2. Clinic Templates
    1. Diabetic Management
    2. ASCVD Risk: (none under 40 years old)
    3. Last HbA1c:
    4. Glucose Monitoring BG Range: Unknown [Fasting (90-130 ADA Goal), 2hr Post Prandial (<180 ADA Goal)]
    5. Hypoglycemic Episodes:
    6. Ophthalmology Exam:
    7. Monofilament Exam:
    8. Microablumin/Cr Ratio:
    9. Status: Indeterminent (vs Controlled vs Uncontrolled)
    10. Diet and Exercise Counseling: Diabetic diet plate and 150 minutes of mod-vigorous exercise per week.
    11. —Other—————————————————————–
    12. Consider
      1. Lipid Panel/BMP
      2. ACEI/ARB/ASA/Statin depending on 10 year ASCVD risk
      3. Nutrition Assessment and Counseling
    13. Smoking Cessation Counseling: See Preventative Health Maintenance
    14. Vaccinations: HBV/Flu/PCV 13/PPSV23

–