Diabetes Treatment And Management Plan
Diabetes treatment is a lifelong process that requires regular monitoring.
If you are diabetic, you need a treatment plan to maintain a healthy lifestyle, please visit our board-certified provider at any of our UrgentWay locations.
Diabetes mellitus is a disorder in which the body does not produce enough or respond normally to insulin, causing blood sugar (glucose) levels to be abnormally high. Urination and thirst increase, and people may lose weight even if they are not trying.
Diabetes includes type 1 diabetes and type 2 diabetes. Conditions for potentially reversible diabetes include prediabetes and gestational diabetes. Prediabetes occurs when your blood sugar is higher than normal but not high enough to qualify as diabetes. And prediabetes is often a precursor to diabetes unless appropriate measures are taken to prevent progression. Gestational diabetes occurs during pregnancy but can disappear after childbirth.
The cause of diabetes varies from type to type. But no matter what type of diabetes you have, it can lead to excessive blood sugar which may cause serious health issues.
Our board certified providers will discuss your health and counsel you on preventative care and healthy choices.
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Treatment for type 1 diabetes includes insulin injections or the use of an insulin pump, frequent blood sugar tracking, and carbohydrate counting. Treatment for type 2 diabetes primarily includes lifestyle changes, blood sugar control, and medications for diabetes, insulin, or both.
You can get your diagnosis and treatment at low cost at any of our locations. No hidden charges.
Our certified physicians, including Diabetes Doctors, provide a thorough diagnosis and treatment.
Healthy lifestyle choices can help you bring your blood sugar back to normal, or at least prevent it from rising to the levels seen in type 2 diabetes. Maintaining a healthy weight through exercise and a healthy diet can help.
The signs and symptoms of type 1 diabetes and type 2 diabetes include:
- Dehydration – increased thirst
- Extreme hunger
- Unexplained gradual weight loss
- Increased urination frequency
- Blurry vision
- Slow-healing sores
- Recurrent frequent gum, skin, and vaginal infections
Some simple ways to reduce the risk of getting diabetes:
- Reduce your total carbohydrate intake
- Exercise regularly
- Maintain water intake
- Try to lose extra weight
- Give up smoking
- Reduce meal portion
- Reduce sedentary lifestyle
- Follow a high fiber diet
- Optimize vitamin D levels
- Reduce your consumption of processed foods
Some common factors that increase the risk of getting diabetes:
- Family history
- Race or ethnicity
- Diabetes during pregnancy
- Polycystic ovary syndrome
- High blood pressure
- Abnormal levels of cholesterol and triglycerides
What should my blood sugar be?
A: The American Diabetes Association recommends a blood glucose range of 80-130 before meals and less than 180 about 2 hours after a meal. This range should place your A1c under 7. Our Diabetes Doctors can help explain more.
What is an A1c?
A: A Hemoglobin A1c is a 2-3 month average of your blood sugars. This result gives you a good idea of how well your diabetes is being managed/controlled. The American Diabetes Association recommends an A1c of less than 7 to keep the risk of complications low. Consult our Diabetes Doctors to know about the complications of higher A1C levels.
What can I eat if I have diabetes?
A: You can eat just about anything you want. It is about knowing proper meal portions and how much you are putting on your plate. A Diabetes Doctor can help you learn to count carbohydrates and develop a meal plan that is specific for you.
Why does it matter if my blood sugar is 120 or 200?
A: It is very important to keep your blood sugar level under control. When your blood sugar level is high, it can cause damage to your veins and arteries. This damage could lead to complications later such as heart attacks, strokes, kidney disease, neuropathies, vision problems, etc.
What foods have carbohydrates?
A: Fruits, starchy vegetables, milk, yogurt, rice, cereals, bread, and other grains all have carbs and give you important nutrients. Many snack foods, such as pretzels, chips, and popcorn, have carbs. Sweets, including regular soda, cakes, candy, and cookies, also contain carbohydrates. Be sure to check the nutrition label on each food item to determine carbohydrate content.
Do I need to follow a low-carb diet?
A: Carbohydrates are an important part of a healthy diet. With diabetes, watching portion sizes and getting most of your carbs from fruits, vegetables, whole grains, and low-fat milk and yogurt is key. Besides counting carbs, people with diabetes can also benefit from eating lower fat, high fiber foods, and just enough calories to maintain a healthy weight.
If it is sugar-free, I can eat as much as I want, right?
A: Sugar-free foods can be part of a healthy meal plan in small amounts. Keep in mind though that some of these foods still have carbs (in the form of other sweeteners such as sorbitol, isomalt, and mannitol) and may affect your blood glucose levels. Many sugar-free foods have calories and carbohydrates and lots of fat. Make sure you read the nutrition labels.
Best Diabetes Treatment And Management Plans At UrgentWay Clinics
The cause of diabetes varies from type to type. But no matter what type of diabetes you have, it can lead to excessive blood sugar. Too much sugar in the blood can lead to serious health problems. Our physicians and health providers can tailor treatment according to your need.
Frequently Asked Questions: Diabetic Foot Ulcers
What Is A Diabetic Foot Ulcer?
A diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes, and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complication.
Diabetes is the leading cause of nontraumatic lower extremity amputations in the United States, and approximately 14 to 24 percent of patients with diabetes who develop a foot ulcer have an amputation. Research, however, has shown that the development of a foot ulcer is preventable.
Our Diabetes Doctors, including Diabetic Foot Doctors and Female Diabetes Doctors, can provide more information about Diabetic Foot Ulcer and treatment.
Who Can Get A Diabetic Foot Ulcer?
Anyone who has diabetes can develop a foot ulcer. Native Americans, African Americans, Hispanics and older men are more likely to develop ulcers. People who use insulin are at a higher risk of developing a foot ulcer, as are patients with diabetes-related kidney, eye, and heart disease. Being overweight and using alcohol and tobacco also play a role in the development of foot ulcers. Consult our Diabetes Doctors to know more.
How Do Diabetic Foot Ulcers Form?
Ulcers form due to a combination of factors, such as lack of feeling in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes. Patients who have diabetes for many years can develop neuropathy, a reduced or complete lack of ability to feel pain in the feet due to nerve damage caused by elevated blood glucose levels over time. The nerve damage often can occur without pain and one may not even be aware of the problem. Our Diabetes Doctors can test feet for neuropathy with a simple and painless tool called a monofilament.
Vascular disease can complicate a foot ulcer, reducing the body’s ability to heal and increasing the risk for an infection. Elevations in blood glucose can reduce the body’s ability to fight off a potential infection and also retard healing. Early detection and care are important, book your appointment today with UrgentWay’s Diabetes Doctors.
What Is The Risk Of Not Treating A Diabetic Foot Ulcer?
Once an ulcer is noticed, contact our Diabetes Doctors immediately for prompt medical care. Foot ulcers in patients with diabetes should be treated for several reasons:
- To reduce the risk of infection and amputation
- To improve function and quality of life
- To reduce health care costs
How Should A Diabetic Foot Ulcer Be Treated?
The primary goal in the treatment of foot ulcers from our Diabetes Doctors is to obtain healing as soon as possible. The faster the healing of the wound, the less chance for an infection.
There are several key factors in the appropriate treatment of a diabetic foot ulcer:
Prevention of infection
- Taking the pressure off the area, called “off-loading”
- Removing dead skin and tissue, called “debridement”
- Applying medication or dressings to the ulcer
- Managing blood glucose and other health problems
Not all ulcers are infected; however, if the Diabetes Doctor diagnoses an infection, a treatment program of antibiotics, wound care, and possibly hospitalization will be necessary.
How Can A Foot Ulcer Be Prevented?
The best way to treat a diabetic foot ulcer is to prevent its development in the first place. Recommended guidelines include seeing your Diabetes Doctor on a regular basis. Your Diabetes Doctor can determine if you are at a high risk for developing a foot ulcer and together implement strategies for prevention.
You are at a high risk if you:
- Have neuropathy
- Have poor circulation
- Have a foot deformity (i.e. bunion, hammer toe)
- Wear inappropriate shoes
- Have uncontrolled blood sugar
Reducing additional risk factors, such as smoking, drinking alcohol, high cholesterol, and elevated blood glucose are important in the prevention and treatment of a diabetic foot ulcer. Wearing appropriate shoes and socks will go a long way in reducing risks. Your Diabetes Doctor can provide guidance in selecting the proper shoes.
We Are Known For Providing Best Counseling At UrgentWay Regarding Diabetes:
Learning how to check your feet is crucial in noticing a potential problem as early as possible. Inspect your feet every day—especially between the toes and the sole—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to your Diabetes Doctor or a medical professional as soon as possible, no matter how “simple” it may seem to you.
The key to successful wound healing is regular medical care from your Diabetes Doctor to ensure the following “gold standard” of care:
- Lowering blood sugar
- Appropriate debridement of wounds
- Treating any infection
- Reducing friction and pressure
- Restoring adequate blood flow
Words From Our Patients
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