Principle
1: Find Out What Type of Diabetes You Have ^
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Type 1 diabetes. People who have this
type of diabetes need to take insulin every day. This type of diabetes
used to be called juvenile diabetes.
Type 2 diabetes. This type of diabetes
can often be controlled by the food you eat and regular physical activity.
Some people may also need to take diabetes pills or insulin. This
type of diabetes used to be called adult onset diabetes.
Risk Factors for Diabetes. Are you at risk for
diabetes?
- Being older than 45
- Being overweight
- Having a close family member, like a parent, brother, or sister,
who has, or had, diabetes
- Having had diabetes when you were pregnant
- Being African American, Hispanic/Latino, Asian American or
Pacific Islander, or Native American.
Action Items:
> Find out from your doctor what type of diabetes you have.
> If you know someone who has any of the risk factors, tell
them to ask their doctor about getting tested for diabetes.
Principle 2: Get Regular
Care for Your Diabetes ^
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People with diabetes should:
- Always receive high-quality care.
- Work with health care providers to make changes to their treatment
plan when needed.
- See a doctor, diabetes educator, or a nutritionist on a regular
basis.
- Be able to get their health care needs taken care of regardless
of their race, age, disability, or ability to pay.
- Get support from family, friends, and coworkers.
- Be able to get car insurance and a driver's license.
- Be treated fairly at work.
- Be able to get Medicare to help pay for diabetes supplies
if they are on Medicare.
You have the right to get the best health care
to help you control your diabetes.
Action Items:
> Ask your doctor or nurse how often you need to see them for
a checkup.
> Write down the date and time for your next visit.
> Ask your doctor or clinic staff to help you find resources
if you have problems paying for food, medicines, and medical supplies.
> Make a list of things you want to talk about at your next
visit to the doctor or clinic.
Principle 3: Learn How To Control
Your Diabetes ^
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You and your family have the right to get correct information from
your doctor and other health care providers to help you learn how
to control your diabetes.
How Active Are You in Controlling Your Diabetes?
- I ask my doctor for accurate information about my diabetes.
- I have talked with my doctor about referrals to other people,
like nutritionists and diabetes educators.
- I ask the diabetes educator and nutritionist about diet and
other ways to control my diabetes.
- I talk to my doctor regularly about my special needs and controlling
my diabetes.
If you have done everything on the list above, you are taking an
active role in learning how to control your diabetes.
Action Items:
> If you have not done everything on the list, ask your doctor
about things that you should do to learn more about how to control
your diabetes.
> Ask your doctor about where to go to learn more about diabetes
and how to control it.
Principle 4: Treat High Blood
Sugar ^
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The number 1 goal of diabetes treatment is
to control high blood sugar levels.
Some of the ways that this can be done are:
- Eating a healthy diet
- Getting regular physical activity
- Taking medicine for your diabetes if your doctor tells you
to
- Testing your blood sugar.
Action Items:
> Talk to your doctor about the best
ways to control your high blood sugar.
> Get involved in making a treatment
plan and other decisions about your diabetes care.
Principle 5: Monitor Your Blood
Sugar Level ^
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Testing Your Own Blood Sugar
You may need to test your own blood sugar on a regular basis to help
you control your diabetes.
Action Items:
Talk with your health care provider about:
> What type of test to use
> How to do the test the right way
> How often to test
> How often to report the test results
> Getting the supplies you need to
do the tests.
Hemoglobin A-1-c Testing
A hemoglobin A-1-c test is done by your doctor. It measures how
well your blood sugar has been controlled over the last 2 to 3 months.
This test is very important because it tells you how well you are
taking care of your diabetes.
Action Items:
Ask your doctor or nurse educator:
> What your last hemoglobin A-1-c
test result was.
> What your target hemoglobin A-1-c
test result should be.
Principle 6: Prevent and Diagnose
Long-Term Diabetes Problems ^
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People with diabetes must control their blood
sugar levels to prevent problems.
Long-term complications of diabetes are:
- Eye disease
- Kidney disease
- Nerve damage
- Heart disease and stroke
Action Items:
Some of the tests that you should get on a regular basis include:
> Blood pressure checks
> Cholesterol tests
> Other blood fat tests (ask your
doctor what tests you should have).
Remember:
To help control and manage your diabetes, you should also:
- Eat a healthy diet
- Take medicine if your doctor tells you to
- Get regular physical activity
- Get regular foot and eye exams
- Work with your health care providers to do these things.
Principle 7: Get Checked for
Long-Term Problems and Treat Them ^
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To check for problems that diabetes can cause, you should see your
doctor or other health care providers on a regular basis. Doing this
can prevent problems or find them early, when they can be treated
and managed well.
Action Items:
Ask your doctor or other health care providers about how often you
should have your:
> Feet checked
> Eyes tested
> Kidneys tested.
Ask your doctor or other health care providers about other tests you
may also need to have.
Related Publications ^
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For additional information on the topics discussed above, see the
following publications:
Types of Diabetes and Risk Factors
How Medicare Can Help Pay for Your Diabetes
Treating and Monitoring Your Blood Sugar Level
Preventing and Diagnosing Long-Term Diabetes
Problems
Check-ups and Treatments
Other Resources ^
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View a list of all Diabetes Care Action Items.
For more information on diabetes control, see National
Diabetes Information Clearinghouse (NDIC) Publications.
To order printed materials on how to control your diabetes, call the
National Diabetes Education Program automated phone line at 1-800-438-5383
or use the order
form.
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