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July 19, 2020: 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, 2020: 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, 2020: 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, 2020: 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, 2020: 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, 2020: 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, 2020: 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.

July 12, 2020: My blood glucose level just keeps going up no matter what I do. What action should I take?

If your blood glucose levels are rising despite your best efforts to control them, speak to your physician about adding, increasing or changing your dose of diabetes medicines.

Learn more about managing high blood glucose levels here.

July 11, 2020: Should I skip insulin injections on days I don’t feel well?

Unless otherwise directed, don’t skip insulin or oral medicines when you’re sick, even if you’re eating less than usual. The stress of an illness may actually increase your insulin needs temporarily.

Learn more about handling sick days here.

July 10, 2020: Should I alter my medicine regimen on stressful days?

If a difficult situation can be anticipated (for example, a funeral or an exam), and you know how your body typically responds to stress, you may be able to prepare for it by changing your basal insulin or oral medicine dose, or by altering some other aspect of your diabetes regimen.

Learn more about dealing with stress here.

July 9, 2020: How should I treat low blood glucose?

To treat low blood glucose, or hypoglycemia, eat or drink 15 grams of carbohydrate, wait 15 minutes for the carbohydrate to be absorbed, and check your blood glucose level again. If it has not increased in 15 minutes, eat or drink another 15 grams of carbohydrate and check again in 15 minutes. Using preportioned glucose tablets or gel to treat hypoglycemia instead of food or juice may help you control the amount of carbohydrate you consume.

Learn more about low blood glucose here.

July 8, 2020: How long can I use an open vial of insulin?

Never use an open vial for more than a month, and always check the expiration date on your insulin before using it.

Learn more about insulin here.

July 7, 2020: What types of information should I include in a blood glucose logbook?

A good set of records should include blood glucose values, insulin and/or oral medicine doses, the amount of carbohydrate eaten at meals and snacks (with notes about high-fat or extra-large meals), and physical activities.

Learn more about blood glucose patterns here.

July 6, 2020: What’s the best way to determine when to take a mealtime dose of insulin?

Both your premeal blood glucose level and the glycemic index of the foods you are planning to eat should be taken into consideration when deciding when to take a mealtime insulin dose.

Learn more about insulin here.

July 5, 2020: How can I reduce after-meal spikes in blood glucose?

Substituting foods with a lower glycemic index for foods with a higher glycemic index in your diet may help to reduce your after-meal blood glucose spikes.

Learn more about the glycemic index here and about managing after-meal glucose spikes here.

July 4, 2020: My blood glucose is spiking after meals. What steps should I take?

Keep a food diary for several days, noting the foods and amounts you eat. Also write down the amount of insulin or other diabetes drugs you take and when you take them relative to your meals. Look for patterns in your records to guide you in making changes to your mealtime routines.

Learn more about managing after-meal glucose spikes here.

July 3, 2020: How can I tell if my blood glucose is spiking after meals?

The most practical way to detect after-meal blood glucose spikes is to check your blood glucose level with your meter about one hour after finishing a meal or snack.

Learn more about managing after-meal blood glucose spikes here.

July 2, 2020: Will my health insurance cover the cost of an HbA1c test?

Every health insurance and managed-care company has its own policies, so you’ll need to check your plan for specifics on whether it will cover the cost of an HbA1c test — and how often.

Learn more about HbA1c here.

July 1, 2020: What HbA1c goal should I aim for?

Because everyone’s health situation is unique, you need to work with your healthcare team to set an HbA1c goal that will work best for you. Similarly, how often your HbA1c level should be checked depends on your degree of blood glucose control and your physician’s judgment.

Learn more about HbA1c here.

 

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