I am taking a "Take Care Of Your Diabetes" Class that will last several weeks and I wanted to share some of the points that stood out to me. This class is directed to Type 2, so the things I share may not apply to Type 1 as directly.
Today we had an overview of what diabetes is, how it works (or doesn't work). We talked about our inability to use the glucose in our bloodstream effectively and so the build up to cause high sugar levels. We spoke about diet, exercise and meds in general to just be aware. Most things we know, but it is always a good review.
The key topic was glucose testing. The ADA recommends a fasting, 2 hr after meals, bedtime and 3:00 am. She asked us what our doctors recommended and it was amazing that so many say to test once a day in the morning. Wow, I was surprised. Of course, what she really wants is for us to ask specifically from our doctors when we should test and what our fasting, before meal, after meal and bedtime goals should be. Everyone will be different, and that is something you have to work out with your doctor.
Then we talked about how even though the A1c is the "goldstandard" for glucose control. That if we have high numbers we are not aware of, that they are direct indicators of cardio vascular risks. Wow, I did not know that. How we also need to be aware of our lipids that include our LDL, HDL, Triglycerides, Blood Pressure and our kidney function.
So she wanted us to understand why we test so often is to help us react to what is happening inside our bodies. So we can get the advice that we need from our doctors.
She also spoke about getting a meter that is right for you. Some are so small now, that they are hard to handle and program. Or some may be too complicated. It is good to find the one that you will be comfortable for you.
For the best averaging that your meter can do, she also recommended that you use one meter only. So ladies, pack 'er up and carry it with you everywhere. We were all "tisk, tisked" when only one of the 20 or so attending actually had a meter with us. Ooops! I work from home and rarely carry mine, so I see I will have to change that.
I really enjoyed the class and am looking forward to learning a lot. I learn so much here, I feel like I am on target, but it is good to learn from a new voice. I will find things in each class that I am doing wrong or not doing at all. I am grateful for the help and that people want to help us manage our disease.
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