Diabetes Self-Management Articles

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…

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

High Blood Glucose by Wil Dubois, BS, AAS, CPT

If you’ve had diabetes for any length of time at all, you’ve probably seen lists of the signs and symptoms of high blood glucose dozens of times. But have you ever stopped to wonder why these symptoms occur? How does high blood glucose cause frequent urination, make your vision go blurry, or cause all of those other things to happen? Here are some answers to explain what’s going on in your body when you have high blood glucose…

How Much Do You Know About Ketones?

When you have diabetes, it’s important to know the facts about ketones, as well as when to check for them, how to check for them, and what to do if you detect them. Take this quiz to see how much you know about ketones…

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 involve very serious imbalances in blood chemistry…

Also inside: Sick-Day Management

Managing Hyperglycemia by Laura Hieronymus, MSEd, APRN, BC-ADM, CDE, and Belinda O'Connell, MS, RD, CDE

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…

Also inside: Blood Glucose Targets

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

Eight 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 eight 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.

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