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Today's Tip: What percentage of my calories should come from fat?

Fat should make up no more than 30% of your total energy intake, and most of that fat should be monounsaturated or polyunsaturated.

Learn more about eating well with diabetes here.

Yesterday's Tip: How can I lower my cholesterol level?

Limiting the amount of saturated fat and trans fat you eat and engaging in an increased amount of physical activity can help to lower your blood cholesterol levels.

Learn more about lowering cholesterol here.

July 29, 2021: How often should my cardiovascular risk factors be checked?

Your cardiovascular risk factors should be assessed by your physician at least once a year.

Learn more about maintaining heart health here.

July 28, 2021: What are some risk factors for cardiovascular disease?

High LDL (“bad”) cholesterol, high triglycerides, high blood pressure, and uncontrolled blood glucose levels all place you at risk for heart disease. Carrying extra weight around your waist also raises your risk of heart disease, and smoking doubles your risk of developing heart disease.

Learn more about heart disease here.

July 27, 2021: I’m starting a new job. What steps can I take to keep my diabetes under control during this transition?

If your new job will mean a big change in your daily schedule or activity level, speak to your doctor before you begin to discuss how and when any changes in your diabetes self-management regimen should be made. If possible, adopt your new schedule before you actually start your new job so you can see what effect, if any, it has on your blood glucose levels.

Learn more about diabetes on the job here.

July 26, 2021: How often should I change the insulin in my pump reservoir?

In most cases, pump users should change the insulin in their pump’s reservoir, as well as their infusion set, every 48 hours. However, Novo Nordisk was approved in 2009 for a labeling change to insulin aspart (brand name NovoLog) that allows people to use the insulin in their pump for up to six days.

Learn more about insulin pumps here.

July 25, 2021: For how long can I use a vial of insulin?

The expiration date on insulin packaging is for unopened, refrigerated vials, disposable pens or pen cartridges. Once opened, most vials of insulin last for 28 days, even if refrigerated, but many pens and pen cartridges are good for only 7, 10, or 14 days (and should not be refrigerated).

Learn more about insulin expiration here.

July 24, 2021: How can I ensure I’m counting carbohydrate accurately?

Working with a registered dietitian can be helpful in fine-tuning your carbohydrate-counting skills. Carefully reading nutrition labels on food products and measuring portions will also help you to meet your carbohydrate goals.

Learn more about counting carbohydrates here.

July 23, 2021: Can stress have an effect on my blood glucose level?

Yes — during periods of stress, the body releases so-called stress hormones, which cause a rise in blood glucose level. If stress becomes chronic, high blood glucose can also become chronic.

Learn more about managing stress here.

July 22, 2021: My blood glucose remains high long after meals. Why might this be?

Meals that are high in fat may contribute to prolonged elevations in blood glucose after eating.

Learn more about hyperglycemia here.

July 21, 2021: What is the best way to determine whether I have high blood glucose?

The best way to identify high blood glucose, or hyperglycemia, is to routinely monitor your blood glucose levels on a schedule determined by you and your healthcare team and to get regular HbA1c tests, also on a schedule agreed on by you and your healthcare team (usually two to four times a year).

Learn more about hyperglycemia here.

July 20, 2021: How should I count fiber when determining how much insulin I need to cover a meal or snack?

Since fiber is not digested or absorbed, you should subtract the grams of fiber from the total carbohydrate on the label if there are more than 5 grams of fiber per serving. People who are very sensitive to insulin may wish to subtract all fiber, even if there are fewer than 5 grams per serving.

Learn more about counting carbohydrates here.

July 19, 2021: Will going on a gluten-free diet affect my diabetes regimen?

For people with diabetes and celiac disease, starting a gluten-free diet requires learning the carbohydrate content of new, gluten-free foods, so they can be introduced into a meal plan or so that insulin doses can be adjusted accordingly.

Learn more about celiac disease here.

July 18, 2021: Can celiac disease affect a person’s blood glucose levels?

In people with diabetes, malabsorption of nutrients from undiagnosed celiac disease can lead to frequent, unexplained low or high blood glucose readings.

Learn more about celiac disease here.

July 17, 2021: My doctor thinks I have celiac disease. Should I stop eating gluten-containing foods?

If your physician suspects celiac disease, you should continue to eat gluten-containing foods until after the biopsy. If the biopsy confirms that you have the condition, the treatment is a lifelong, 100% gluten-free diet.

Learn more about celiac disease here.

July 16, 2021: A close relative was just diagnosed with celiac disease. Am I at risk as well?

Celiac disease is an inherited disease that occurs at a higher rate in people with type 1 diabetes. All first-degree family members — parents, siblings, and children — of people with celiac disease should be screened for the condition.

Learn more about celiac disease here.

July 15, 2021: What factors should I consider when taking insulin to bring down a high blood glucose level?

Be careful when taking extra insulin to “cover” for high blood glucose. Take into account any insulin that is still active from your previous dose, as well as any variability in the effect of the “correction” insulin based on the time of day or other factors.

Learn more about insulin here.

July 14, 2021: Should I keep my blood glucose level on the high side to prevent episodes of low blood glucose?

If you are aiming for tight diabetes control with insulin or another medicine that creates the risk of hypoglycemia, accept that an occasional low will occur and have a plan for when it does. This is usually better for your long-term health than keeping blood glucose higher than recommended to avoid hypoglycemia.

Learn more about low blood glucose here.

July 13, 2021: My latest blood glucose reading was out of range. What could have caused this?

A variety factors can influence your blood glucose levels, including food, medicines, exercise, stress, infection, and normal hormonal variation in the body. A single high blood glucose level is of little concern, but a pattern of high blood glucose needs to be addressed.

Learn more about blood glucose monitoring here.

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