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.

Links not loading properly?

Some of our pages use Portable Document Format (PDF) files, which require Adobe Acrobat Reader. To download Acrobat Reader for free, visit www.adobe.com.

Sign up for our weekly e-mail newsletter and receive a FREE GIFT! Enter your e-mail below.

Learn more

Learn more about diabetes

Links to help you learn more about diabetes.

Ask a diabetes expert
Other diabetes resources
Browse article topics

 

Tight Control

Based on this and other powerful evidence, aggressive blood glucose control as practiced in the DCCT and UKPDS has become the goal of self-care for most people with diabetes, and they should expect their doctors to help them achieve tight control.

To reach the target HbA1c of less than 7%, the ADA recommends aiming for the following blood glucose levels:

  • Average blood glucose levels before meals should be 70–130 mg/dl.
  • Blood glucose levels after meals should be less than 180 mg/dl.

If premeal blood sugar levels are consistently within the target range but the HbA1c level is still high, the ADA suggests monitoring one or two hours after meals and treating out-of-range numbers appropriately.

Ultimately, blood glucose targets must be tailored to the individual, and tight control is not for everyone. All of the studies demonstrating the value of tight blood glucose control have also shown that it is associated with an increased risk of hypoglycemia. Those who are especially prone to hypoglycemia may need somewhat higher target values. In particular, elderly adults, who can experience stroke or heart attack from episodes of hypoglycemia, and who may have a harder time recognizing symptoms of hypoglycemia, may be advised not to attempt tight control. Some people who already have severe complications (particularly end-stage kidney disease) may also be advised against tight control. Work with a health-care professional before starting a regimen of tight control.

Tight control has also been associated with weight gain, but such weight gain can be prevented or reversed. The weight gain associated with improved blood glucose control usually comes from absorbing calories that previously were eliminated in urine, overtreating hypoglycemia, and consuming more food after learning to match carbohydrate grams with insulin. Consuming fewer calories and learning to treat hypoglycemia without overtreating it can remedy the situation.

Page    1    2    Show All    

 

 

More articles on Diabetes Definitions

 

 


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.

 

 

Self-Manage Your Blood Pressure
With diabetes, controlling blood pressure is as important as controlling blood sugar. You can... Blog

Nutrition…In a Jar!
Salads are a mainstay for many people, and summertime is the perfect time to savor them. There... Blog

Insulin for Type 2
Doctors are starting people with Type 2 diabetes on insulin sooner, sometimes at diagnosis.... Blog

How can you keep an insulin pen from leaking? Get tip


Blood Glucose Self-Monitoring — Part 3: Smart Monitoring

10 Keys to Long-Term Weight Loss

Take Your Best Shot: Stay Up to Date on Vaccines

Complete table of contents
Get a FREE ISSUE
Subscription questions