Penn Rodebaugh Diabetes Center
 

General Diabetes Advice

Blood Sugar Goals and Monitoring

Keep a log of your blood sugars and bring it with you on each visit.

Maintain your glucose monitor – keep it as clean as possible. If you have problems with your meter, please call the 1-800 number on the back. (Assistance is available to you 24/7 through this service.)

Check your blood sugars before breakfast, before lunch, before dinner and at 10 pm. Check your blood sugars 2 hours after meals.

Goals for blood sugars:

  • Fasting and before meals: 70-110
  • 2 hours after meals: no more than 40 points higher than pre-meal and generally less than 140
  • Bedtime: 100-140 Hba1c: less than 6.5% “A1c” (HemoglobinA1c) is a blood test that that measures average blood sugar levels over a period of 2-3 months.

If your blood sugars are less than 80 or greater than 200 for three days in a row at the same time of the day, please call your health care provider.

Make sure you have extra pills at home and don't allow yourself to run out over the weekend.

Prevent and Treat Low Blood Sugar

Test blood sugars as soon as you feel shaky, sweaty, dizzy or anxious.

Treat blood sugar of 50-70 mg/dl with 15 grams of fast-acting carbohydrate. This is equivalent to 3-4 glucose tablets, 1 tube of glucose gel, or 4 oz. (1/2 cup) juice or regular soda.

Treat blood sugar of <50 mg/dl with 30 grams of fast-acting carbohydrate. This is equivalent to 6-8 glucose tablets, 2 tubes of glucose gel, or 8 oz. (1 cup) of juice or regular soda.

Sit in a chair and re-check your sugar 15 minutes after treating. If your sugar has not gone up, repeat the treatment and re-check again in 15 minutes.

Meals and Exercise

Exercise every day at the same time and try to eat the same amount of food at the same time each day.

Foot Care

Check your feet and toes for cuts and ulcers every day before bed.

Wear comfortable shoes with wide toe boxes and avoid sandals.

New shoes should be broken in gradually. Start by wearing them for 15-20 minutes a day and then increase by one hour per day.

Never allow your feet to be wet for a prolonged period of time.

Other Meds

Prednisone has a major effect on your sugars. The more prednisone you are taking, the higher your blood sugars will be. If your dose of prednisone is changed, your health care provider may need to adjust your diabetes medication.

Other Specialists

See an ophthalmologist (eye doctor) annually. Be sure to let him or her know you have diabetes.

 


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