Diabetes Requires Good Health Care Management

In 1921 the ability to manage the effects of diabetes was finally realized with the discovery of insulin and the understanding of how the body uses it to transport glucose into the cells for energy. Up until then anyone diagnosed with diabetes normally died within a few years. Insulin gave diabetics a way to manage their disease long term but it is not considered a cure for this disease. As medical research has gained a better understanding of this disease managing its affects has progressed to the point that type 1 diabetics can live a long and fruitful life. Insulin, a healthy diet, and regular exercise are all part of a successful management regimen. Blood glucose monitors allow the diabetic to closely monitor their blood glucose levels and make necessary adjustments to their insulin and dietary needs.

Several times a year a laboratory test called A1C is used to monitor blood glucose levels over a longer period of time. The A1C test gives a 2 to 3 month average of blood glucose levels. Diabetes Type 2 is a managed a little differently from Type 1 in that it is more of a lifestyle disease then something someone is born with.

With the increasing obesity epidemic, more and more people are being diagnosed with this form of the disease. A healthy diet and exercise routine with the primary goal of losing weight along with blood glucose testing are the primary management tools. This can also be partnered with oral medications and/or insulin depending on the needs of the patient. Any adult diabetic is at an increased risk for cardiovascular disease.

Heart disease and strokes are responsible for killing 65 percent of all those diagnosed with diabetes. This why management of this disease is so important; it is much more than just monitoring blood glucose. Blood pressure and cholesterol also needs to be tracked and managed through diet, exercise, and medications if needed. The ultimate responsibility for managing this disease falls on the person with the diabetes. Monitoring their glucose levels with a blood glucose monitor throughout the day allows them to keep their blood sugar levels from going to high or low; conditions known as hyperglycemia and hypoglycemia, both of which can be very dangerous.

Another cog in the diabetes management tree is the primary care physician. This primary doctor will help them learn how to manage their disease and help them monitor how well their management regimen is working. The primary care provider can also point the diabetic to a variety of specialists who can help them further manage their condition. These can include an endocrinologist who is a doctor that specializes in the treatment of diabetes. Dieticians and nurses who specialize in diabetic care can also be a valuable resource.

A podiatrist, a doctor who specializes in foot care, and an ophthalmologist for eye care are also an important part of managing the affects of diabetes. Pregnant women with either type of diabetes should be seen by an obstetrician who specializes in taking care of women with this disease. This is true in cases of gestational diabetes as well; during birth a pediatrician experienced in caring for babies of diabetics should also be present.

Keeping blood glucose, blood pressure, and cholesterol levels in the normal range is the ultimate goal of any diabetes management regimen. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) conducted a major 10 year study called the Diabetes and Complications Trial (DCCT) that concluded in 1993. The findings showed the chances of major complications arising from diabetes were significantly reduced if blood glucose levels were kept close to normal. The key to successfully managing diabetes is following the dietary, exercise, and medical management plan outlined by the diabetics health care team. Keeping blood glucose levels under control is essential to ensuring a long and healthy life.