You can be in control of diabetes, avoid its numerous life-threatening complications, enjoy life to the fullest and live happily ever after. But how?

The three crucial keys to diabetes control are: 1) blood sugar, 2) blood cholesterol and 3) blood pressure.

Those three keys offer insight to your condition and your health — keep them under control and you can avoid or delay complications and rein in diabetes for life.

The ideal levels for each of these factors are:

  1. Blood sugar:
    Fasting sugar: 70 to below 110 mg/dl
    Two hours after lunch: Below 145 mg/dl
    A1C: 6 to below 7 percent (A1C is you average blood sugar reading for the past 3 months. This is a critical parameter predicting diabetes complications. Landmark trials reveal that every 1 percent drop of A1C reduces diabetes complications to your eyes, feet and kidneys by a whopping 35 percent.) It is your responsibility to monitor blood sugar. If you’re not using insulin, monitor your blood sugar at least on a fasting state and once more two hours after lunch. If you’re using insulin, then also monitor before every insulin injection.

  2. Blood cholesterol:
    Total cholesterol : Below 200 mg/dl preferably below 175 mg/dl
    LDL: Below 130 mg/dl preferably keep it below 100 mg/dl
    HDL: Men above 40 mg/dl, women above 50mg/dl
    Triglycerides: Below 150 mg/dl
    It is your doctor’s responsibility to monitor your blood cholesterol.

  3. Blood pressure:
    Keep your blood pressure below 130/80. It is your responsibility to monitor daily.

That’s it! Keep these three factors at those levels and become in control of diabetes and fear not its complications. If you keep up with cholesterol and blood pressure control then you can avoid heart disease, heart attacks and strokes that are the cause of mortality of 75 percent of people with diabetes.
How do you keep those under control by taking your medications as prescribed, monitoring your blood sugar and pressure and implementing lifestyle changes that I’ve been providing you in the Small Action of The Week section. I will dedicate several future articles for making favorable lifestyle choices.

Small Action of The Week:

If you don’t own blood sugar and blood pressure machines, buy some now because they’ll save your life. Monitor consistently and report unusually high or low readings to your doctor.

"Lifestyle Makeover for Diabetics and Pre Diabetics"

Here's an excerpt from "Lifestyle Makeover for Diabetics and Pre Diabetics:"

Lifestyle Makeover for Diabetics and Pre Diabetics
By George Tohme, pharmacist

Following up with Janet

After we got the blood glucose monitoring issues out of the way, and Janet was content with the information she received, she went ahead and bought the machine I recommended, and she promised to start monitoring daily. But then other questions started popping up in her mind, and she wondered about how she would make sense of all these sugar readings, and how relevant they were to her, and at what levels they should be at different times of day. She also asked me about A1C levels, blood pressure and cholesterol levels, and proper monitoring frequency. She inquired about checkups for her feet, teeth and eyes. She wondered what checkups are her responsibility and those that her doctor needed to suggest or monitor.

Janet brought up very interesting and crucial points. I was delighted with her level of interest and all the questions she asked. This shows that she is becoming an active participant in her health and well-being.

I told Janet that her health was solely her responsibility and no one else’s. I also said that our health is the most important gift that God has given us and that we have the ultimate responsibility of protecting it. If her health is not good, then nothing else matters, and she will not be able to enjoy life, no matter how much money she has and no matter how many castles she owns.

As a start, I pointed Janet to the table on the next few pages, which reveals all the crucial parameters listed conveniently in one section, which she would need to keep up with and act upon. Janet and all other diabetics need to get familiar with the lifesaving information included in the following table.
The information listed in the table is based on recommendations from the American Diabetes Association, World Health Organization, and other reliable and reputable health organizations.

“How high or low should my sugar level be, and why is it so important to keep it there?

You may be asking the same questions Janet asked me. Janet wondered why it was so important to keep her fasting morning sugar below 110, and why the evening sugar reading, which is about 2 hours after lunch and before dinner or any snack, should be below 145.