Diabetes means that a person has too much sugar in his or her blood. A main goal of managing diabetes is to keep blood sugar controlled.
1. The food that is eaten
2.The sugar that is made in the liver
Diabetes, over time, may lead to:
•Heart disease and stroke
•Kidney failure
•Blindness
•Nervous system problems, such as pain, tingling,
or loss of feeling in the hands, arms, feet, or legs
•Lower-limb amputations or loss of part of the leg
When people have the support of family and friends, they are better
able to manage diabetes.
Caring for someone with diabetes may not be easy. Understanding
diabetes and having a treatment plan with goals may help manage
the disease.The person in your care has a health care team. It may include a primary care provider, specialists, nurses, a diabetes educator, and a dietitian. They can help you learn how to care for your family member or friend.
1.Learn about diabetes. Ask your loved one or his or her health care team to help you learn more. Read about diabetes online or join a support group. Check with your hospital or local clinic to find one.
2. Understand the diabetes of the person in your care. Find out how he or she manages it with diet, physical activity, and/or medicines.
3. Find out what the person in your care really needs to manage his or her diabetes. Ask what you can do to help that you are not doing now.
4. Offer the help that the person in your care asks for. Whether it is going to the store to get blood sugar meter test strips or keeping snack foods out of the house, do your best to help.
5.Talk about your feelings, frustrations, and hopes regarding the person you are caring for and his or her diabetes. It can clear the air and bring you closer.
People with diabetes may have high or low blood sugar at times. Both can be serious if untreated. So learn about high and low blood sugar
High blood sugar is also called hyperglycemia [hy-per-gly-SEE-mee-uh]. High blood sugar can occur when the person
Low blood sugar is also called hypoglycemia (hy-po-gly-SEE-mee-uh). Low blood sugar can occur when the person
A blood sugar test is the
best way to know a person’s blood sugar
level. Tell the health care provider if the
person often has high or low blood sugar
levels. The health care provider may need
to make a change to the person’s diet,
activity, or diabetes medicine.
Feeling thirsty
Losing weight without trying
Having to urinate more often
Blurred vision
Nervousness or anxiety
Shakiness
Sweating, chills, or clamminess
Dizziness or light headedness
People with diabetes may have high or low blood sugar at times. Both can be serious if untreated. So learn about high and low blood sugar.
Space meals evenly throughout the day.
Be sure blood sugar is tested as recommended.
Keep a supply of healthy snacks on hand.
Take diabetes medicine as instructed.
Find out how often the health care provider wants you to check the person’s blood sugar
The person in your care has a health care team. It may include a primary care provider, specialists, nurses, a diabetes educator, and a dietitian
• The blood sugar levels that are right for the person in your care.
• Self-testing methods. This includes how to check the person’s
blood sugar using a blood sugar meter.
• How often the person should check his or her blood sugar and when
the best time is to check it.
• The right A1C level for the person. Knowing the A1C level will help
you and that person control his or her blood sugar.
If the person’s blood sugar level is too high or too low, he or she may need a change in his or her diabetes medicine. Check his or her meal and exercise plans and other medicines too. Always talk to the health care provider before making any changes in the person’s care plan.
Talk with the health care provider of the person in your care about more ways to take care of that person. You can start by knowing theThe person in your care has a health care team. It may include a primary care provider, specialists, nurses, a diabetes educator, and a dietitian..
• A is for A1C. The A1C test measures the average level of blood sugar over the past 2 to 3 months. It is reported as a percentage (%).
• B is for blood pressure. The blood pressure checks how hard the heart has to work to pump blood to the body. It is written as 1 number over another.
• C is for cholesterol. Cholesterol is a fat-like substance in the blood. Cholesterol levels are checked with a blood test
You will learn how these and other needed tests help manage diabetes. The health care team will set goals for each. Staying at or near these
goals may help prevent or delay other health problems.
Learn all you can about the medicines this person takes. Talk to the health care provider about the medicines.
• What medicines are not good to take with other medicines?
• What vitamins, supplements, and foods are not good to take?
• What are some possible side effects of these medicines?
• Are there any special things we should know about the medicine?
For example, should it be taken with food or at a certain time of day?
• Ask the health care provider for a medicine tracker. Use it to writedown the medicines. Use it to mark them off as the person takes
them each day.
• Go over the medicine tracker with the health care provider at each visit.
• What medicines are not good to take with other medicines?
• What vitamins, supplements, and foods are not good to take?
• What are some possible side effects of these medicines?
• Are there any special things we should know about the medicine?
For example, should it be taken with food or at a certain time of day?
If you plan meals, healthy eating can include foods the person likes to eat. A diabetes meal plan is a guide that tells how much and what kinds of food to eat at meals and snack times. It is designed just for the person you are caring for with the health care provider and/or dietitian.
• What kinds of foods should my loved one eat every day?
• Which food groups should we choose?
• What serving sizes should they eat?
• How many servings should they have from each food group?
Meal planning depends on the person’s: Calorie and nutrition needs Lifestyle and eating habits Preference of foods he or she likes to eat. One way to get started is by using a dinner plate and dividing it into portion sizes.
You do not need to measure and count everything the person in your
care eats for the rest of his or her life. Just do it long enough for you
both to learn the right portions to eat.
1. Use a 9-inch paper plate. Draw a line down the middle of the plate.
2. Then draw a line in 1 of the halves, making that 2 halves.
Put the right portion size on the plate. Do not let the person eat straight from the box, bag, or cooking pot.
Make sure the person eats slowly.
Freeze leftovers in single-serving portions.
Have the person eat meals at the same time every day. Help him or her to not skip meals.
Being an active partner in managing diabetes
You can help the person in your care be more active. When someone becomes more active, he or she may have more energy.
• Lower blood sugar, blood pressure, and cholesterol
• Relieve stress
• Lower risk for heart disease and stroke
• Help insulin work better
• Improve blood flow
• Keep joints healthy
• Help a person lose weight
• Enjoy playtime. Take kids or grandkids to the playground and join the fun
• Try a grocery relay. Have the person carry grocery bags into the house 1 at a time
• Take the stairs. Have him or her go up and down the stairs instead of taking the elevator or escalator.
• Swim and splash. Have him or her take a water aerobics class or swim laps
• Clean the house. Dusting, vacuuming, scrubbing floors, and washing windows will help burn calories
Everyone can think of reasons not to be more physically active, even when they know being active will help them. Getting more physically active begins with wanting to become more active.
The person in your care may stop being physically active. So think about what is keeping him or her from being active. Ask members of the health care team, friends, and family for ideas. They may know ways to help the person in your care be more active.
The person in your care may have other conditions along with diabetes. Work with the health care provider to give the best care.
• Tell the health care provider about any other conditions.
• Talk with the health care provider about what is and what is not working with the current treatment.
• Before the appointment, make a list of questions you want to talk about.
• After the health care provider answers your question, rephrase what you believe you heard to make sure you heard him or her correctly. If you don’t understand, it’s okay to ask again.
• Continue to take care of your own health. Stay physically active, eat well, and go to your health care provider regularly.
• Find someone to talk to when caregiving gets to be too much.
• Avoid taking on additional responsibilities and learn to say “No”.
• Ask for and accept help. Involve other friends and family in care.
• Stay organized and prioritize what needs to be done.
Ask family members and friends to help with caregiving tasks, such as ordering medicine, going food shopping, or driving to an appointment.
Be open to asking neighbors, members of your church or synagogue, coworkers, a support group, or organizations to help you.
Write down the concerns you have and discuss them with the health care team to learn what other options may be available to help you.
• Enjoy playtime. Take kids or grandkids to the playground and join the fun
• Try a grocery relay. Have the person carry grocery bags into the house 1 at a time
• Take the stairs. Have him or her go up and down the stairs instead of taking the elevator or escalator.
• Swim and splash. Have him or her take a water aerobics class or swim laps
• Clean the house. Dusting, vacuuming, scrubbing floors, and washing windows will help burn calories
Everyone can think of reasons not to be more physically active, even when they know being active will help them. Getting more physically active begins with wanting to become more active.
The person in your care may stop being physically active. So think about what is keeping him or her from being active. Ask members of the health care team, friends, and family for ideas. They may know ways to help the person in your care be more active.
Internal & Adolescent Medicine
Diplomates of the American Board of Internal Medicine