What kind of pillow should I use to get the best night's sleep?
What are some tips that can help me sleep?
To help yourself sleep, reduce caffeine, limit alcohol, and stop smoking. Get in the habit of using your bed only for sleep and sex. Don’t read, eat, talk on the phone, or watch television in bed. Get up at the same time every morning, whether you’ve slept or not. Be patient, as it can take at least two weeks to learn new sleep behaviors.
To learn more about the medicines you take, read the information sheets given out with prescriptions by your pharmacist, or talk to your doctor, nurse, or diabetes educator about your medicines.
Avoid “natural” calcium supplements that contain calcium from coral, oyster shells, dolomite, or bone meal, because these sources are more likely to be contaminated with lead and other dangerous substances.
If you need a calcium supplement to meet your calcium requirements, choose one that contains calcium citrate, calcium lactate, or calcium carbonate.
Choose supplements that have the USP (United States Pharmacopeia) seal, showing they meet government guidelines for production and dissolution.
Talk to your doctor before starting any dietary or herbal supplements. He should be able advise you about whether the supplement is safe and effective, and whether it may interact with any other drugs you take.
At your first appointment, tell your doctor about any prescription or over-the-counter drugs you are taking. Bring a list of all of your medicines to your appointment, or bring the drugs themselves (in their original containers).
Filling all of your prescriptions at one pharmacy, if possible, can help your pharmacist catch any potential interactions between drugs you take. And when you refill your prescriptions, note whether your pills (or insulin) look different from those you normally take. If they do, check it out with your pharmacist.
Ask your doctor or pharmacist if there are generic equivalents to the drugs you take, and consider using combination tablets that contain more than one drug to reduce your co-pays and the number of pills you take each day.
Symptoms of a urinary tract infection include possible burning upon urination, the need to urinate frequently or urgently, and lower abdominal pain. Urine may look milky or cloudy, or possible even reddish from blood.
Not necessarily. It is possible to have extremely elevated blood glucose without ketones, especially in people with Type 2 diabetes who are dehydrated. This is called hyperosmolar hyperglycemic state, and its symptoms include excessive thirst, hallucination, sensory loss, rapid eye movement, paralysis on one side of the body, and seizure. It may be mistaken for a stroke.
Check for ketones if your blood glucose level is over 250 mg/dl twice in a row, or even only once if you intend to exercise soon.
Diabetic ketoacidosis, characterized by an extremely high blood glucose level and a toxic level of ketones in the blood, is a medical emergency with possible symptoms of extreme thirst and urination, vomiting, fever, paleness, elevated heart rate, nausea or abdominal pain, fruity or acidic smelling breath, shortness of breath, and lethargy.
A lack of sexual desire may result from depression or from a common class of antidepressant drugs called selective serotonin reuptake inhibitors (SSRIs). High blood glucose can also cause sluggishness that results in reduced sexual desire. Additionally, men with diabetes as young as 45 are twice as likely to have a low testosterone level as men without diabetes, often leading to reduced sexual desire. Testosterone deficiency can be treated.
Drugs called ACE inhibitors and ARBs can reduce blood pressure and help prevent kidney damage; ask your doctor about drug options if you believe you may be at high risk for kidney disease.
Depression after a heart attack can impair recovery. If you feel depressed because of your medical condition, support from mental-health professionals can help both your emotional and physical well-being.
If you experience constipation because of gastroparesis, a form of neuropathy that causes delayed stomach emptying, avoid high-fat and high-fiber foods, and follow general nutritional recommendations from your health-care provider.
Not necessarily. Chemical laxatives can be harmful because the colon begins to rely on the chemical stimulation to pass a bowel movement, losing the ability to do so as well when the chemicals are not present. Fiber supplements used as laxatives do not cause this problem.
To increase your fiber intake, try starting the day with a high-fiber cereal and eating fruit for snacks. Limit foods with almost no fiber such as cheese, meat, ice cream, and many processed foods. If you are not used to eating high-fiber foods, add them gradually to your diet to limit gas, bloating, or diarrhea.
Soluble fiber, which dissolves in water, slows stomach emptying, delays the release of glucose into the bloodstream, and reduces unhealthy cholesterol levels. Insoluble fiber stimulates muscular contractions that keep the digestive process moving. Both soluble and insoluble fiber can soften and add bulk to the stool, easing constipation.
To help prevent constipation, increase fluid intake, exercise regularly, avoid laxatives unless prescribed, and eat more whole grains, fruits, and vegetables.
Yes. Medicines and supplements that can cause constipation include calcium, iron, diuretics, antidepressants, and some pain medicines. Various other medicines can cause fluid loss that results in constipation.
Constipation can be caused or worsened by a sedentary lifestyle and a diet low in fiber and high in fat. Exercise improves muscle tone throughout the body, including the digestive tract. Additionally, not responding to the urge to have a bowel movement can cause the stool to dry out in the colon, resulting in constipation.
No. Going a day without a bowel movement does not signify constipation; each person’s digestive system has its own natural time frame. A problem is present if you have difficulty or pain passing a stool or extreme infrequency in doing so.
In most cases, basal insulin should be taken at the same time of day, every day, at the prescribed intervals.
If you are apprehensive about beginning insulin therapy or about any aspect of your diabetes management, share your concerns with your health-care team; they may be able to help once they know what is worrying you.
Unopened, never-used pens can be stored in the refrigerator. But once you have attached a needle or placed a cartridge in a reusable pen, it should be stored at room temperature to prevent condensation from forming in the insulin container.
In short, insulin pens make taking insulin simpler — pens have the advantages of accurate dosing and easy use over syringes.
Allow your body a day to adjust to time zone changes, but try to get back to your usual meal and sleep schedule on the first full day at your destination.
Discard it. The effectiveness of insulin that is past its expiration date may be severely compromised.
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