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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High blood glucose is a hallmark of diabetes. Left uncontrolled, it can cause many problems, from short-term symptoms such as hunger, dry mouth, and fatigue to long-term complications such as nerve damage, kidney disease, and foot problems. Read the articles in this section to learn how to lower blood glucose levels, avoid after-meal spikes, and prevent complications.


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…

Also inside: Blood Glucose Management Goals

Diabetic Ketoacidosis by Jan Chait

People who have had diabetic ketoacidosis, or DKA, will tell you it’s worse than any flu they’ve ever had, describing an overwhelming feeling of lethargy, unquenchable thirst, and unrelenting vomiting…

Also inside: Hyperosmolar Hyperglycemic State, Signs and Symptoms

Getting to Know Ketones by Richard M. Weil, MEd, CDE

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 talking about ketones these days…

Also inside: Ketone Strips

Hyperglycemic Crises by Robert S. Dinsmoor

One type results in about 100,000 hospitalizations a year with a mortality rate of under 5%. The other is thought to cause fewer hospitalizations, yet the mortality rate is about 15%. Severe hyperglycemic conditions, known as diabetic ketoacidosis (DKA…

Also inside: Sick-Day Management

Managing Hyperglycemia by Laura Hieronymus, M.S.Ed., A.P.R.N., B.C.-A.D.M., C.D.E., and Belinda O'Connell, M.S., R.D., C.D.E.

When you were diagnosed with diabetes, your doctor probably told you that your blood glucose levels were too high. Indeed, high blood glucose, or hyperglycemia, is the hallmark of diabetes. Regardless of your knowledge of diabetes at that time, you may…


Strike the Spike by Gary Scheiner, MS, CDE

Postprandial hyperglycemia refers to high blood glucose levels that occur soon after eating meals or snacks. So even though after-meal high blood glucose levels are temporary (often resembling a spike when plotted on a graph), frequent between-meal rises can cause your HbA1c to go up…

Also inside:

Strike the Spike II by Gary Scheiner, MS, CDE

Five years ago, I wrote an article for Diabetes Self-Management about the management of after-meal blood glucose spikes. It was called “Strike the Spike” and no article I’ve ever written has led to greater reader response. A lot has changed in the past five years…

Also inside: CGM Trend Graph, Timing Your Pre-Meal Insulin, Choosing Lower GI Foods

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.

How can I save money or urine ketone strips? Get tip


Ending Nighttime Hypoglycemia
Learn how to kick hypoglycemia out of your bedroom for good.

Your Annual Foot Exam
Here’s what should happen during an annual diabetes foot exam.

How Much Do You Know About Ketones?
Misunderstandings about ketones abound; get the real scoop here.

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