Diabetes Self-Management Articles

These articles cover a wide range of subjects, from the most basic aspects of diabetes care to the nitty-gritty specifics.

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Advances In Medical Technology by Jan Chait

Treatment of diabetes, like most areas of medicine, has changed considerably over the years as a result of technological advances. From the discovery, purification, and mass production of insulin to the development of less painful ways to deliver it, the…

Also inside: Personal Electronic Health Records, Telehealth Meets Diabetes

Blood Glucose Monitoring: When to Check and Why by Rebecca K. Abma

Managing diabetes is one part investigation and two parts action. Unlike some other diseases that rely primarily on professional medical treatment, diabetes treatment requires active participation by the person who has it. Monitoring your blood glucose level on a regular basis and analyzing the results is believed by many to be a crucial part of the treatment equation…


Boning Up on Bone Health by Belinda O’Connell, M.S., R.D., C.D.E.

What are your plans for retirement? Are you saving for your financial future with an IRA or a work retirement account? Are you watching your fat and cholesterol intake to keep your heart healthy? Are you taking steps to prevent osteoporosis and ensure…


Diabetes and Bone Health by Elsa S. Strotmeyer, PhD, MPH

Osteoporosis is the most common type of bone disorder, affecting an estimated 10 million Americans. It is a chronic condition characterized by reduced bone strength, low bone mass, and a higher risk of bone fracture, especially at the hip, spine, and wrist. If you are over the age of 50, there is a 55% chance that you are at increased risk for osteoporosis or have it already. The risk of osteoporosis increases with age; it is not, however, limited to older individuals…


Diabetes and Your Skin by May Leveriza-Oh, MD

The phrase “feeling comfortable in your own skin” is usually used figuratively to describe a level of self-confidence or self-acceptance. But when your skin itches, hurts, flakes, breaks out, changes color, or just doesn’t look or feel the way you’d like it to, the phrase can take on a new, very literal meaning…


Diabetes Blogs by Allison Blass

Blog. It sounds like something you would say when you are feeling under the weather (“I’m feeling so blog today…”), but it is actually short for Web log, a regularly updated online journal. Blogs were originally used by people who…

Also inside: Getting Started With Blogs

Drugs That Can Worsen Diabetes Control by Mark T. Marino, MD

One of the main goals of any diabetes control regimen is keeping blood glucose levels in the near-normal range. The cornerstones of most plans to achieve that goal include following a healthy diet, getting regular exercise, and taking insulin or other…


Getting the Sleep You Need by David Spero, R.N.

Sleep that knits up the ravell’d sleeve of care,
The death of each day’s life, sore labour’s bath,
Balm of hurt minds, great nature’s second course,
Chief nourisher in life’s feast.

—William Shakespeare, Macbeth

You don’t need…

Also inside: Sleep Resources

Getting to Know Ketones by Richard M. Weil, M.Ed., C.D.E.

People with diabetes, particularly those with Type 1 diabetes, have been at least vaguely aware of the word ketones for a long time. With the recent resurgence of popular interest in low-carbohydrate diets, however, just about everyone seems to be…


Healthy Aging With Diabetes by Robert S. Dinsmoor

“I can tell you one thing—growing old ain’t for wimps!”—gray-haired gentleman at Sterling Center YMCA in Beverly, Massachusetts
It used to be said that having diabetes aged people an additional 20 years. Today, thanks to better tools for…


How Well Do You Know Your Diabetes Management Plan? by Allison Blass

As a person with diabetes, you are in charge of your diabetes management. Your doctor, diabetes educator, dietitian, and other members of your team are there to give input on your plan, but between checkups, your diabetes care is your…

Also inside: Self-Help Resources

Living Alone and Living Well With Diabetes by Carolyn Robertson, A.P.R.N., M.S.N., B.C.-A.D.M., C.D.E.

Planning ahead makes good sense for anyone with diabetes, but for someone who lives alone, it takes on added importance. When you live alone, for example, you can’t take for granted that someone will be with you—or even come home…

Also inside: Cookbooks for One or Two

Maintaining Your Health During the Holidays by Patti Geil, M.S., R.D., C.D.E., and Laura Hieronymus, M.S.Ed., A.P.R.N., B.C.-A.D.M., C.D.E.

To many people holidays are not voyages of discovery, but a ritual of reassurance.

—Philip Andrew Adams

What does the holiday season mean to you? Is it a special time for family gatherings, gift-shopping, and spiritual renewal…

Also inside: Bah Humbug to the Flu Bug!, Give the Gift of Good Health, Lightening Up Your Holiday Favorites

New Tools 2008 by Diane Fennell

The management of diabetes requires a certain amount of paraphernalia: A meter, lancing device, lancets, and test strips, for a start, and some people use many more devices and supplies than just these. Each year, product manufacturers work on developing…


Obesity, Type 2 Diabetes, and Physical Activity by Richard M. Weil, M.Ed., C.D.E.

It’s no coincidence that the rate of Type 2 diabetes is
rising as rapidly as the rate of obesity in the United States. The two
are strongly related: The heavier people are, the more likely they are
to develop diabetes. So…


Planning Ahead for Sick Days by Michelle Kowalski

Having a bad cold or the flu can make anyone want to crawl into bed and stay there until it’s over. But when you have diabetes, hiding under the covers and sleeping until you feel better isn’t the best option (although getting plenty of rest is still a good idea)…

Also inside: Diabetes Sick-Day Kit

Questions For Your Doctor by Jan Chait

You’ve just been diagnosed with diabetes and you want to take proper care of yourself. After all, you know that if you control your blood glucose levels, you’ll feel better and lessen your chances of developing complications. But there are…


Sleep Apnea and Type 2 Diabetes: by Ralph Pascualy, M.D.

The epidemic of diabetes in the United States is being fueled by multiple medical, social, and demographic forces. Among those forces is sleep apnea, which is now recognized as a major contributor to the development of diabetes. In sleep apnea, people…


Taking Your Diabetes On A Cruise by Jan Chait

Glacier-capped mountains peered down on pine forests. The scent of the trees mingled with the briny smell of the ocean as the ship cut a swath through mirror-smooth water. I leaned back and took a sip of steaming hot coffee. Up on the sun deck, a woman…

Also inside: Cruise Checklist, Diabetes Education Cruises

The Benefits of Tight Control by Wayne Clark

It has been 16 years since the results of the landmark Diabetes Control and Complications Trial (DCCT) were published. Despite its continuing legacy of proof that maintaining blood glucose levels as close to normal as possible reduces the risk of…


The Ears Have It by Nancy Vaughan, PhD, CCC-A

Many people think that having hearing loss is like listening to a radio set to a low volume — the sound is simply not as loud. Although it is true that certain kinds of hearing loss can make sounds noticeably softer and more difficult to hear, there are in fact different types of hearing loss that can have vastly different effects on how sounds are heard and understood. The different types of hearing loss tend to have different causes, and it appears that having diabetes can contribute to the development of certain types of hearing loss…

Also inside: A Look Inside the Ear, Resources

Thyroid Disorders and Diabetes by Patricia Wu, MD

Thyroid disorders are very common in the general U.S. population, affecting up to 27 million Americans, although half that number remains undiagnosed. It is second only to diabetes as the most common condition to affect the endocrine system — a group of glands that secrete hormones that help regulate growth, reproduction, and nutrient use by cells. As a result, it is common for an individual to be affected by both thyroid disease and diabetes…

Also inside: Suggested Reading, Symptoms and Signs, Who's At Risk?

What To Expect in the Hospital by Laura Hieronymus, M.S.Ed., A.P.R.N., B.C.-A.D.M., C.D.E., and Susanna Robinson, R.Ph., C.D.E.

“The wish for healing has ever been the half of health.”

—Seneca the Younger

Most people experience a stay in the hospital at least once in their lives, and for some, it is much more often than that. No matter what the reason for your…

Also inside: Blood Glucose Goals in the Hospital, Diabetes Drugs in the Hospital

What You Should Know About Celiac Disease by Judy Giusti, MS, RD, LD, CDE

After years of living with Type 1 diabetes, you’re a pro at counting carbohydrates and adjusting insulin doses. Over the past year, however, your diabetes has become difficult to control. You’ve experienced weight loss, frequent bouts of diarrhea, and fatigue. You’ve also had fluctuating blood glucose levels — both hypoglycemia and hyperglycemia — and needed frequent insulin adjustments. You don’t know what’s wrong, and what’s worse, your doctor — make that doctors — can’t explain your symptoms, either. They’ve suggested everything from irritable bowel disease to depression, but nothing seems to help…

Also inside: For Further Reading and Information, National Support Groups, Select Manufacturers and Retailers of Gluten-Free Products

Your Diabetes Management Plan by Michael Weiss and Martha Funnell, M.S., R.N., C.D.E.

Whether you have had diabetes for years or are newly diagnosed, you know that dealing with this condition can be a challenge. For one thing, diabetes never goes away. Although there are numerous medicines and other therapies available for treating…

Also inside: Diabetes Resources

Statements and opinions expressed on this Web site are those of the authors and not necessarily those of the publishers or advertisers. The information provided on this Web site should not be construed as medical instruction. Consult appropriate health-care professionals before taking action based on this information.

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Common Foot Problems and Their Solutions
Don’t let these common foot problems slow you down. Here’s how to do away with foot pain, dry skin, calluses, and more.

Medicare Information
A list of books, Web sites, and phone numbers to help you learn more about Medicare

How Much Do You Know About Depression?
Depression is even more common among people with diabetes than among the general public. This quiz reveals facts about its causes, symptoms, and treatments.

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