Goals and Suggestions for Diabete's Care
- Your fasting sugars should be between 80 and 120, and your pre-supper sugars should be between 80 and 140.
- Your hemoglobin A1c tells us how high your sugars have been over the past 2 months. A nondiabetic
has an A1c of less than 6. Diabetes is considered to be well-controlled if your A1c is less
than 7. That is our goal.
- Your blood pressure should be less than 130/80 mmHg (the top number is called the systolic blood pressure,
and the buttom number is called the diastolic blood pressure).
- You should examine your feet every day for sores and rashes. Diabetics are at higher risk for developing
infections (that can lead to amputations) in their feet. This is particularly true if you have
neuropathy (where you cannot feel your feet very well - the best way to reduce the risk
of developing neuropathy is to control your sugars). Diabetics should wears shoes and socks that
provide support and protection; sandals and poorly fitting shoes can lead to problems.
- You should have your eyes checked by an ophthalmologist (an eye doctor) every year (more often
if you have an retinopathy - that is, changes of diabetes in your eyes). Diabetes is a leading
cause of blindness, and preventive care can reduce your risk of losing your vision.
- Your low-density lipoprotein (LDL, or "bad cholesterol") should be less than 100. This is quite low,
and most diabetics will need to be on a pill to lower cholesterol in order to achieve this goal.
The most common drugs used for this purpose are statins, like lovastatin, simvasstatin and pravastatin.
- Triglycerides can be a problem in some diabetics. There are fats the circulate in your blood stream.
They are less closely linked to heart disease than LDL, but they are still important. Your fasting
triglyceride level should be < 150 mg/dl (eating raises triglycerides immediately, so to test them
accurately, you fast for about 12-15 hours before your blood is drawn).
- Your should exercise for about 20-30 minutes per day. Walking is good exercise.
- You should try to keep your weight in a normal range. A body mass index (BMI) of less than 25 is