If you’re concerned about controlling your Type 1 or Type 2 diabetes, try coming up with a treatment plan with your doctor, which might include medications, lifestyle changes, and regular office visits. Then, be sure to check your blood sugar every day to keep track of your blood sugar levels, using an at-home monitor or tests at your doctor’s office. You can also follow a low-calorie diet that’s high in nutrients, which will keep your blood sugar stable and control your diabetes naturally. To learn more from our Registered Nurse co-author, like what foods can help control your blood sugar, keep reading the article!

1. How to Control Diabetes
Medically reviewed by Sarah Gehrke, RN, MS
Last Updated: September 4, 2020 References Approved
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For many, a diabetes diagnosis is a wake-up call. You can get a diagnosis at any age, and it's
important to know what you can do to help yourself live a normal life with diabetes. Controlling a
case of diabetes is usually a question of managing your blood sugar levels and living an active,
health-conscious life. Medications (insulin for type 1 when the body can not make enough insulin,
but often other medications for type 2, for when the body does not use its available insulin
correctly) are also used to keep your blood sugar under control and to manage your symptoms.
Getting your diabetes under control so you can live a happy and healthy life is the goal. The
content in this article refers only to general cases and is not intended to replace the opinion of a
doctor or following your medical team's advice.
1
Part
1 Making a Diabetes Treatment Plan (Type 1 Diabetes)
Consult with a doctor to start or adjust your treatment plan. Type 1 diabetes,
also called juvenile diabetes, is a chronic disease, which, despite its name, can
begin and affect people at any age. This type of diabetes is an autoimmune disease.
While it can occur suddenly due to infection, symptoms will usually appear after an
illness. Symptoms in type 1 are usually quite noticeable, more severe and quicker
to cause illness. Symptoms for type 1 or advanced type 2 often include:
Increased thirst and frequent urination
Dehydration
Possibly extreme hunger with confused appetite (nothing satisfies you)
Unexplained blurred vision
Unexplained weight loss
Unusual weakness/fatigue
Irritability
Slow-healing sores
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Frequent infections (such as gums or skin infections and vaginal infections),
Nausea and/or vomiting
Ketones in the urine, in medical tests -- ketones are a byproduct of the unhealthy
breakdown/loss of muscle and fat (wasting away) that happens when there's not
enough available insulin to support life.
Seek medical attention immediately if faced with any of the following severe
problems in untreated type 1 or 2 diabetes. These can be life-threatening. They
may include:
Weakened immunity to infectious diseases
Poor circulation (including in the eyes and kidneys)
Illnesses, infectious diseases
Numbness, tingling in toes and feet
Infections slow to heal (if at all) especially in toes and feet
Gangrene (dead flesh) in toes, feet, and legs (usually without pain)
Watch for initial symptoms of Type 1 diabetes being severe, it is not
uncommon for you to have to stay in the hospital for a short time after your
diagnosis. If you suspect that you have diabetes and delay seeing a doctor, you can
end up in a coma. Always rely on the advice of a qualified doctor or specialist when
deciding on any plans to fight your diabetes.
Neither Type 1 nor Type 2 diabetes can be completely cured, but with a lifelong
commitment to your treatment plan, these diseases can be managed to the point
that you will be able to live a normal life. Begin your treatment plan immediately
after you develop diabetes, for better health. If you think you may have diabetes, do
not wait on seeing a doctor. It is highly recommended that you see a doctor.
Take steps to understand diabetes. You're here, so you are in the right mindset.
Diabetes educators are highly recommended. These experts help you understand
the different tools available to you, and can help you adjust your meals to better control
blood glucose levels. For those who are diagnosed with type 1 diabetes at a young
age, an appointment with a diabetes trainer/educator is often mandatory, and they will
often meet with you while in the hospital.
Take your medications every day. The body of a person with Type 1 diabetes
needs insulin because their pancreas is damaged in a way that will not produce
enough insulin as needed. Insulin is a chemical compound used to break down sugar
(glucose) in the bloodstream. Those with type 1 diabetes must work with their doctor to
find their correct dosage of insulin, because different individuals have different
reactions to various types of insulin, and because some individuals with this type of
diabetes may still be producing insulin at mild levels. Without insulin, the symptoms of
Type 1 diabetes will rapidly worsen and eventually cause death. To be clear: Individuals
with Type 1 diabetes need to take insulin every day or they will die. Your precise
daily insulin dosages will vary based on your size, diet, activity level, and genetics,
which is why it is so important to see a doctor to get a thorough evaluation before
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beginning your diabetes treatment plan. Insulin is generally available in several different
varieties, each of which is formulated for specific purposes. These are:
Rapid-acting: "Mealtime" (bolus) insulin. Usually taken right before a meal to
prevent elevated blood glucose levels after eating.
Short-acting: Basal insulin. Usually taken between meals once or twice a day to
control "resting" blood glucose levels.
Long-acting: A combination of bolus and basal insulin. Can be taken before
breakfast and dinner in order to keep blood glucose levels low after meals as well
as throughout the day.
Intermediate-acting: Combined with rapid-acting insulin. It covers the blood glucose
elevations when rapid-acting insulins stop working. This type is typically taken twice
a day.
Consider an insulin pump. An insulin pump is a device that continually injects a
bolus rate insulin to mimic the effects of the basal rate insulin. Your blood glucose
level is entered into the device at meal times and in accordance with your normal
testing schedule, and your bolus is calculated for you. In addition a carbohydrate ratio
can be set and be added to the bolus calculation as well.
There is the new tubeless (no tubing) insulin pump that is an "all-in-one" unit that
typically come loaded with a three-day supply of insulin with the battery and pump
built-in, it is the Omnipod, that is wirelessly controlled by a Personal Diabetes
Manager (PDM). It takes ideally about ten pumps per month that come in a box
holding a 30-day supply.
The old, standard injection set consisted of a plastic cap attached to a catheter that
injects the insulin (subcutaneous delivery of insulin). It was inserted into your
chosen injection site brought from the pump by tubing called the cannula. The
pump set might be attached to a belt or near the delivery site with an adhesive pad.
On the other end, the tubing connects to a cartridge that you fill with insulin and
insert into the pump unit. Some pumps have a compatible glucose monitor that
measures glucose levels just below the dermis. While not as effective as a glucose
meter, this device will allow early detection and compensation for sugar spikes and
drops.
Pump users typically monitor their blood sugars more frequently to evaluate the
effectiveness of insulin delivery by the pump, to be aware if the pump malfunctions.
Some malfunctions of the insulin pump include:
Pump battery is discharged
Insulin is inactivated by heat exposure
Insulin reservoir runs empty
Tubing loosens and insulin leaks rather than being injected
The cannula becomes bent or kinked, preventing delivery of insulin.
Exercise. In general, people with diabetes should strive to be physically fit.
Physical exercise has the effect of lowering the body's glucose levels - sometimes
for as long as 24 hours. Because the most harmful effects of diabetes are caused
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by elevated glucose levels (blood sugar "spikes"), exercise after eating is a valuable
tool that uses sugar naturally and allows people with diabetes to keep glucose at
manageable levels. In addition, exercise also provides the same benefits to those with
diabetes that it does to those without it - namely, greater overall fitness, weight loss (but
rapid weight loss is a bad symptom indicating food and sugar is not used properly by
your system). You can gain higher strength and endurance, higher energy levels,
elevated mood, and more benefits of exercise as well.
Diabetes resources generally recommend exercising at least several times per
week. Most resources recommend a healthy mix of cardio, strength training, and
balance/flexibility exercises. See How to Exercise for more information.
Though low, manageable glucose levels are generally a good thing for moderate
activity for people who have diabetes. Exercising vigorously while you have low
blood sugar levels can lead to a condition called hypoglycemia, in which the body
doesn't have enough blood sugar to fuel its vital processes and the exercising
muscles. Hypoglycemia can lead to dizziness, weakness, and fainting. To counter
hypoglycemia, carry a sugary, quick-acting carbohydrate with you while you
exercise, such as a sweet, ripe orange, or a soda, a sports drink or such as
recommended by your health team.
Minimize stress. Whether the cause is physical or mental, stress is known to
cause blood sugar levels to fluctuate. Constant or prolonged stress can cause
blood sugar levels to rise in the long term, which means you may need to use more
medication or exercise more frequently to stay healthy. Generally, the best cure for
stress is a preventative one - avoid stress in the first place by exercising frequently,
getting enough sleep, avoiding stressful situations when possible, and talking about
your problems before they become serious.
Other stress management techniques include seeing a therapist, practicing
meditation techniques, eliminating caffeine from your diet, and pursuing healthy
hobbies. See How to Deal With Stress for more information.
Avoid getting sick. As both an actual physical ailment and as an indirect source of
stress, illness can cause your blood sugars to fluctuate. Prolonged or serious
illness can even necessitate changes in the way you take your diabetes medication or
the diet and exercise routines you'll need to keep. Though the best policy when it
comes to illnesses, is to avoid them by living a life that is as healthy, happy, and stress-
free as possible. If and when you do come down with an illness, be sure to give
yourself the rest and medicine that you need to get better as quickly as possible.
If you have the common cold, try drinking plenty of fluids, taking over-the-counter
cold medications (but avoid sugary cough syrups), and getting plenty of rest. Since
having the cold can ruin your appetite, you'll want to be sure to eat roughly 15
grams of carbohydrates every hour or so. Though having a cold usually elevates
your blood sugar levels, refraining from eating as may feel natural can cause your
blood sugar to fall dangerously low.
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Serious illnesses always require the advice of a doctor, but managing serious
diseases in patients with diabetes can require special medicines and techniques. If
you are a person with diabetes and you think you may have a disease that is more
serious than an ordinary cold, see your doctor right away.
Modify your diabetes plans to account for menstruation and menopause.
Women with diabetes have unique challenges when it comes to managing blood
sugar during their periods and menopause. Though diabetes affects every woman
differently, many women report having elevated blood sugar levels in the days before
their periods, which can require using more insulin or changing your diet and exercise
habits to compensate. However, your blood sugar levels during your menstrual cycle
may be different, so talk to your doctor or gynecologist for specific guidance.
Additionally, menopause can change the way that the body's blood sugar level
fluctuates. Many women report that their glucose levels become more
unpredictable during menopause. Menopause can also lead to weight gain,
sleep loss, and temporary vaginal ailments, which can increase the body's levels of
stress hormones and elevate glucose levels. If you have diabetes and are
going through menopause, talk to your doctor to find a treatment plan that's right for
you.
Schedule regular check-ups with your doctor. Right after you are diagnosed
with Type 1 diabetes, it is likely that you will need to meet with your doctor
regularly (as much as once a week or more) to get a sense for how to best control your
blood glucose levels. It can take a few weeks to develop an insulin therapy regimen
that perfectly matches your diet and activity level. Once your diabetes treatment routine
is established, you won't need to meet with your doctor quite as often. However, you
should plan on maintaining a good relationship with your doctor, which means
scheduling semi-regular follow-up appointments. Your doctor is the person who is best-
suited to detecting anomalies to manage your diabetes during times of stress, sickness,
pregnancy, and so on.
Those with Type 1 diabetes should expect to see their doctor once every 3 - 6
months once a routine is established.
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Part
2 Making a Diabetes Treatment Plan (Type 2 Diabetes)
Consult with your doctor before beginning treatment. If you have Type 2
diabetes, your body is able to produce some insulin, as opposed to none at all, but
has a diminished capacity for producing insulin or is not able to use the chemical
correctly. Because of this crucial difference, Type 2 diabetes symptoms can be more
mild than Type 1 symptoms, and have a more gradual onset, and can require less
drastic treatments (though exceptions are possible). However, as with Type 1 diabetes,

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seeing your doctor before beginning any treatment plan is still essential. Only a
qualified medical professional has the knowledge definitively diagnose your diabetes
and design a treatment plan that's tailored to your personal needs.
If you can, manage your diabetes with diet and exercise. As noted above,
people with Type 2 diabetes have a diminished (but not nonexistent) capacity to
make and use insulin naturally. Because their bodies do make some insulin, in some
cases, it's possible for people with Type 2 diabetes to manage their disease without
having to use any artificial insulin. Usually, this is done through careful diet and
exercise, which means minimizing the amount of sugary foods consumed, maintaining
a healthy weight, and exercising regularly. Some people with mild cases of Type 2
diabetes can potentially live basically "normal" lives if they are very careful about what
they eat and how much they exercise.
It's important to remember, however, that some cases of Type 2 diabetes are more
severe than others and can't be managed with diet and exercise alone and can
require insulin or other medications.
Note: see the sections below for information relating to diet and medications.
Be prepared to pursue more aggressive treatment options over time. Type 2
diabetes is known to be a progressive disease. This means that it can get worse
over time. This is thought to be because the body's cells responsible for producing
insulin get "worn out" from having to work extra hard in people with Type 2 diabetes. As
a result, cases of Type 2 diabetes that once required relatively minor treatment options
can eventually require more drastic treatments, including insulin therapy, after several
years. This is often not due to any fault on the patient's behalf.
As with Type 1 diabetes, you should keep in close contact with your physician if you
have Type 2 diabetes - regular tests and checkups can help you detect the
progression of Type 2 diabetes before it becomes serious.
Consider bariatric surgery if you are obese. Obesity is one of the leading
causes of Type 2 diabetes. However, being obese can make any case of diabetes
more dangerous and harder to manage. The added stress that obesity puts on the body
can make it extremely difficult to keep blood sugar at healthy levels. In Type 2 diabetes
cases where patients have high body mass indexes (usually greater than 35), doctors
will sometimes recommend weight-reduction surgeries to bring the patient's weight
under control quickly. Two types of surgery are usually used for this purpose:
Gastric bypass surgery - the stomach is shrunk to the size of a thumb and the small
intestine is shortened so that fewer calories are absorbed from food. This change is
permanent.
Laparoscopic Gastric Banding ("Lap Banding") - a band is wrapped around the
stomach so that it feels fuller with less food. This band can be adjusted or removed
if needed.
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Part
3 Receiving Diabetes Tests
Check your blood sugar every day. Because the potentially harmful effects of
diabetes are triggered by elevated blood sugar levels, it's important for people with
diabetes to check their blood sugar levels fairly regularly. Today, this is usually done
with a small, portable machine that measures your blood sugar from a tiny drop of your
blood. The exact answers to when, where, and how you should check your blood sugar
can depend on your age, the type of diabetes you have, and your condition. Thus, you'll
want to talk to your doctor before beginning to monitor your blood sugar levels. The
advice below is for general cases and is not meant to replace the advice of a doctor.
Those with Type 1 diabetes are often instructed to check their blood sugar three or
more times a day. This is often done before or after certain meals, before or after
exercise, before bed, and even during the night. If you are sick or are taking a new
medication, you may need to monitor your blood sugar even more closely.
Those with Type 2 diabetes, on the other hand, usually don't have to check their
blood sugar quite as often - they may be instructed to check their levels once or
more per day. In cases where Type 2 diabetes can be managed with non-insulin
medications or diet and exercise alone, your doctor may not even require you to
check your blood sugar every day.
Take an A1C test several times per year. Just as it is important for people with
diabetes to monitor their blood sugar from day to day, it's also important to have a
"bird's eye" perspective of long-term trends in blood sugar levels. People with diabetes
should generally have special test called A1C (also known as Hemoglobin A1C or
HbA1C) tests at regular intervals - your doctor may direct you to have such tests every
month or every two to three months. These tests monitor the average blood sugar level
over the last few months rather than giving an instantaneous "snapshot" and thus can
provide valuable information about whether or not a treatment plan is working well.
A1C tests work by analyzing a molecule in your blood called hemoglobin. When
glucose enters your blood, some of it binds to these hemoglobin molecules.
Because hemoglobin molecules usually live for about 3 months, analyzing the
percentage of hemoglobin molecules that are bound to glucose can paint a picture
of how high blood sugar levels were over the past few months.
Test for ketones in your urine if you have ketoacidosis symptoms. If your body
lacks insulin and can't break down the glucose in the blood, its organs and tissues
will quickly become starved for energy. This can lead to a dangerous condition called
ketoacidosis in which the body begins to break down its fat stores to fuel its important
processes. Though this will keep your body functioning, this process produces toxic
compounds called ketones which, if allowed to build up, can be potentially life-
threatening. If you have a blood sugar reading over 240 mg/dL or exhibit the
symptoms listed below, test for ketoacidosis every 4-6 hours (this can be done with a
simple over-the-counter urine strip test). If your test reveals you have a high
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amount of ketones in your urine, call your doctor immediately and seek emergency
treatment. The symptoms of ketoacidosis are:
Nausea
Vomiting
Sweet-smelling, "fruity" breath odor
Unexplained weight loss.
Receive foot and eye tests regularly. Because Type 2 diabetes can progress so
gradually that it's difficult to detect, it's important to be on the lookout for possible
complications from the disease so that they can be addressed before becoming
serious. Diabetes can cause nerve damage and change circulation to certain parts of
the body, especially the feet and eyes. Over time, this can result in loss of the feet or
blindness. People with Type 1 and people with Type 2 diabetes are both at risk for
these complications. However, because Type 2 diabetes can progress gradually without
being noticed, it's extra-important to schedule regular foot and eye exams to prevent
either condition from developing.
Comprehensive dilated eye exams check for diabetic retinopathy (vision loss from
diabetes) and should normally be scheduled about once a year. During pregnancy
or illness, more-frequent is likely to be necessary.
Foot tests check for pulse, feeling, and the presence of any sores or ulcers on the
feet and should be scheduled about once per year. However, if you have had foot
ulcers before, having tests as often as once every 3 months may be necessary.
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Part
4 Managing Your Diet
Always defer to your dietitian's advice. When it comes to controlling your
diabetes, diet is crucial. Carefully managing the types and amounts of foods you
eat allows you to manage your blood sugar level, which has a direct effect on the
severity of your diabetes. The advice in this section comes from reputable diabetes
resources, but every diabetes plan should be individually-tailored for you based on your
age, size, activity level, condition, and genetics. Thus, the advice in this section is
intended only as a general advice and should never replace the advice of a qualified
doctor or nutritionist.
If you are unsure of how to obtain personalized diet information, talk to your doctor
or general practitioner. S/he will be able to guide your diet plan or refer you to a
qualified specialist.
Aim for a low-calorie, high nutrient diet. When someone eats more calories than
s/he burns, the body responds by creating an increase in blood sugar. Since
the symptoms of diabetes are caused by elevated blood sugar levels, this is
undesirable for people suffering from diabetes. Thus, people with diabetes are
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generally encouraged to eat diets which provide as many essential nutrients as
possible while keeping the total calories consumed per day at a sufficiently low level.
Thus, foods (like many types of vegetables) which are nutrient-dense and low-calorie
can make up a good portion of a healthy diabetes diet.
Low-calorie, high-nutrient diets are also helpful for diabetes because they ensure
you remain at a healthy weight. Obesity is known to strongly contribute to the
development of type 2 Diabetes.
Prioritize healthy carbohydrates like whole grains. In recent years, a lot of the
health dangers posed by carbohydrates have been brought to light. Most diabetes
resources recommend eating controlled amounts of carbohydrates - specifically,
healthy and nutritious varieties of carbohydrates. Generally, individuals with diabetes
will want to limit their intake of carbohydrates to moderately low levels and to make
sure that the carbohydrates they do eat are whole grain, high-fiber carbohydrates. See
below for more information:
Many carbohydrates are grain products, which are derived from wheat, oat, rice,
barley, and similar grains. Grain products can be divided into two categories - whole
grains and refined grains. Whole grains contain the entire grain, including the
nutrient-rich outer portions (called the bran and germ), while refined grains only
contain the innermost starchy portion (called the endosperm), which is less nutrient-
rich. For a given calorie amount, whole grains are much more nutrient-rich than
refined grains, so try to prioritize whole grain products over "white" breads, pastas,
rice, and so on.
Bread has been shown to raise a person's blood sugar more than two tablespoons
of table sugar.
Eat fiber-rich foods. Fiber is a nutrient contained in vegetables, fruits, and other
plant-derived foods. Fiber is largely indigestible - when it's eaten, most fiber passes
through the intestine without being digested. Though fiber doesn't provide much
nutrition, it does provide a variety of health benefits. For instance, it helps control
feelings of hunger, making it easier to eat healthy amounts of food. It also contributes to
digestive health and is famously known to help "keep you regular". High-fiber
foods are a great choice for people with diabetes because they make it easier to eat a
healthy amount of food each day.
High-fiber foods include most fruits (especially raspberries, pears, and apples),
whole grains, bran, legumes (especially beans and lentils), vegetables (especially
artichokes, broccoli, and green beans).
Eat lean sources of protein. Protein is often (rightly) lauded as a healthy source
of energy and muscle-building nutrition, but some sources of protein can come
loaded with fat. For a smarter option, choose low-fat, high-nutrient lean protein sources.
In addition to supplying the nutrition needed for a strong, healthy body, protein is also
known to produce a greater, longer-lasting feeling of fullness than other sources of
calories.
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Lean proteins include skinless white meat chicken (dark meat has a little more fat,
while the skin is high-fat), most fish, dairy products (full-fat is better than low-fat or
fat free), beans, eggs, pork tenderloin, and lean varieties of red meat.
Eat some "good" fats, but enjoy these sparingly. Contrary to popular belief,
dietary fat isn't always a bad thing. In fact, certain types of fat, namely mono and
polyunsaturated fats (which include Omega 3's) are known to provide health benefits,
including lowering the body's level of LDL, or "bad" cholesterol. However, all fats
are calorie-dense, so you'll want to enjoy fats sparingly to maintain a healthy weight.
Try to add small servings of "good" fats into your diet without increasing your overall
calorie load per day - your doctor or dietician will be able to help you here.
Foods that are rich in "good" fats (mono and polyunsaturated fats) include
avocados, most nuts (including almonds, pecans, cashews, and peanuts), fish, tofu,
flaxseed, and more.
On the other hand, foods that are rich in "bad" fats (saturated and trans fats)
include fatty meats (including regular beef or ground beef, bacon, sausage, etc.),
fatty dairy products (including cream, ice cream, full-fat milk, cheese, butter, etc.),
chocolate, lard, coconut oil, poultry skins, processed snack foods, and fried foods.
Avoid foods rich in cholesterol. Cholesterol is a lipid - a type of fat molecule -
that is naturally produced by the body in order to serve as an important part of cell
membranes. Though the body naturally requires a certain amount of cholesterol,
elevated levels of blood cholesterol can lead to health problems - especially for people
with diabetes. High cholesterol levels can lead to a variety of serious cardiovascular
problems, including heart disease and stroke. People with diabetes are naturally
predisposed to having cholesterol levels that are unhealthy, so it's extra important for
diabetes sufferers to monitor their cholesterol intake than for people without the
disease. This means choosing foods carefully to limit the intake of cholesterol.
Cholesterol comes in two forms - LDL (r "bad") cholesterol and HDL (or "good")
cholesterol. Bad cholesterol can build up on the inner walls of the arteries, causing
eventual problems heart attack and stroke, while good cholesterol helps remove
damaging cholesterol from the blood. Thus, people with diabetes will want to keep
their level of "bad" cholesterol intake as low as possible while eating healthy
amounts of "good" cholesterol.
"Bad" cholesterol sources include: Fatty dairy products, egg yolks, liver and other
types of organ meat, fatty meats, and poultry skin.
"Good" cholesterol sources include: Oatmeal, nuts, most fish, olive oil, and foods
with plant sterols
Consume alcohol cautiously. Alcohol is often called a source of "empty calories",
and for good reason - alcoholic beverages like beer, wine, and liquor contain
calories but little in the way of actual nutrition. Luckily, most people with diabetes can
still enjoy these entertaining (if not nutritious) drinks in moderation. According to the
American Diabetes Association, moderate alcohol use actually has little effect on blood
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glucose control and does not contribute to heart disease. Thus, people with
diabetes are generally encouraged to follow the same guidelines as people without
diabetes when it comes alcohol: men can enjoy up to 2 drinks daily, while women can
have 1 drink.
Note that, for medical purposes, "drinks" are defined as standard-size servings of
the beverage in question - about 12 ounces of beer, 5 ounces of wine, or 1 & 1/2
ounces of liquor.
Note also that these guidelines do not account for sugary mixers and additives
which may be added to cocktails and can negatively impact the blood glucose level
of someone with diabetes.
Use intelligent portion control. One of the most frustrating things about any diet,
including a diabetes diet, is that eating too much of any food - even healthy,
nutritious food - can cause weight gain which leads to health problems. Because it's
important for people with diabetes to keep their weight at a healthy level, portion control
is a serious concern. Generally, for a large meal, like dinner, those with diabetes will
want to eat plenty of nutritious, fiber-rich vegetables along with controlled amounts of
lean protein and starchy grains or carbohydrates.
Many diabetes resources offer sample meal guides to help teach the importance of
portion control. Most of such guides offer advice that strongly resemble the
following:
Devote 1/2 of your plate to non-starchy, fiber-rich vegetables like kale, spinach,
broccoli, green beans, bok choy, onion, pepper, turnip, tomatoes, cauliflower, and
many more.
Devote 1/4 of your plate to healthy starches and grains like whole grain breads,
oatmeal, rice, pasta, potatoes, beans, peas, grits, squash, and popcorn.
Devote 1/4 of your plate to lean protein like skinless chicken or turkey, fish,
seafood, lean beef or pork, tofu, and eggs.
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1
Part
5 Using Medication
Talk to your doctor before taking any medication for your diabetes. Diabetes
is a serious illness which can require special medications to treat. However, if
misused, these medications can lead to problems which can be serious in their own
right. Before taking any medication for your diabetes, talk to your doctor to develop a
plan that takes all treatment options (including diet and exercise) into account. Like all
serious medical conditions, a case of diabetes requires the advice of a qualified
professional. The information in this section is purely informative and should not be
used to pick medications or formulate dosages.

12. 2
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Additionally, you won't necessarily want to stop taking any medications you are
currently on if you discover you are have diabetes. A doctor must evaluate all of the
variables at play - including your current medication usage - to develop a plan to
treat your diabetes.
The effects of using too much or too little diabetes medication can be serious. For
instance, an overdose of insulin can result in hypoglycemia, leading to dizziness,
fatigue, confusion, and even coma in severe cases.
Use insulin to control your blood sugar. Insulin is perhaps the most well-known
diabetes medication. The insulin that doctors prescribe to people who have
diabetes is a synthetic form of a chemical naturally produced by the pancreas to
process sugar in the blood. In healthy individuals, after a meal, when blood sugar levels
are high, the body releases insulin to break down the sugar, removing it from the
bloodstream and rendering it into a usable form of energy. Administering insulin (via
injection) allows the body to process blood sugar properly. Since medicinal insulin
comes in several strengths and varieties, it's important to receive a doctor's advice
before starting to use insulin.
Note that people with Type 1 Diabetes must take insulin. Type 1 diabetes is
characterized by the body being completely unable to make insulin, so it must be
added by the patient. People with Type 2 Diabetes may or may not take insulin
depending upon the severity of their disease.
Use oral diabetes medications to control your blood sugar. There are a variety
of options when it comes to orally-administered diabetes medications (pills). Often,
for people with moderate cases of Type 2 diabetes, doctors will recommend trying
these types of medications before using insulin as the latter represents a more drastic,
life-affecting treatment option. Because there are such a wide variety of oral diabetes
medications with different mechanisms of action, it's important to talk to a doctor before
starting to take any sort of diabetes pills to ensure that the medication is safe for your
own personal use. See below for the different types of oral diabetes medications and a
brief description of the mechanism of action for each:
Sulfonylureas - stimulate the pancreas to release more insulin.
Biguanides - lower the amount of glucose produced in the liver and makes muscle
tissue more sensitive to insulin.
Meglitinides - stimulate the pancreas to release more insulin.
Thiazolidinediones - reduce glucose production in liver and increase insulin
sensitivity in muscle and fat tissue.
DPP-4 inhibitors - prevent the breakdown of normally short-lived chemical
mechanisms which regulate the level of blood glucose.
SGLT2 Inhibitors - absorbs blood glucose in the kidneys.
Alpha-glucosidase inhibitors - lower glucose levels by preventing the breakdown of
starches in the intestine. Also slow the breakdown of some sugars.
Bile Acid Sequestrants - reduces cholesterol and simultaneously lowers glucose
levels. The method for the latter is still not well understood.
[38]

13. 4 Consider supplementing your treatment plan with other medications. The
medications specifically designed to fight diabetes above are not the only
medications prescribed for diabetes. Doctors prescribe a range of medications, from
aspirin to flu shots, to help manage diabetes. However, even though these medications
are usually not as "serious" or drastic as the diabetes medications described above, it's
usually a good idea to consult with your doctor before supplementing your treatment
plan with one of these medicines just in case. Just a few supplementary medicines are
listed below:
Aspirin - sometimes prescribed to reduce the risk of heart attacks for people with
diabetes. Mechanism of action is not well-understood but is thought to relate to
aspirin's ability to prevent red blood cells from sticking together.
Flu shots - since the flu, like many illnesses, can cause blood glucose levels to
fluctuate and make diabetes harder to manage, doctors often recommend that
patients receive yearly flu shots to reduce their chance of contracting this disease.
Herbal supplements - though most "homeopathic" supplements have not definitively
been proven effective in a scientific setting, some diabetes patients offer anecdotal
testimonies to their effectiveness.
[39]
Community Q&A
Question
My mom's blood sugar level is 430. What can she do to reduce it effectively and are
there any side effects of having a high blood sugar level?
Question
At what level would your sugar count be before you have to go on insulin?
Sarah Gehrke, RN, MS
Registered Nurse
Expert Answer
The blood sugar level of 430 mg/dL is a critical number and needs medical attention,
often emergency medical attention. Hyperglycemia, blood sugars rising above 130
mg/dL, becomes a medical emergency when the glucose in your blood rises to
dangerous levels, usually above 240 mg/dL.
Sarah Gehrke, RN, MS
Registered Nurse
Expert Answer
Hyperglycemia, or having high blood sugar levels, is a fasting level if your blood
glucose level is above 130mg/dL. If blood glucose cannot be maintained below this
with lifestyle changes and/or oral medication, then a person may need supplemental

14. Question
For 10 years I have taken insulin three times a day. Is this controlled diabetes?
Question
My fasting level is normally 110-130'. How do I know whether it is type 1 or type 2
diabetes?
Question
Which is worse: type 1 or type 2 diabetes?
Question
I am 21 and diabetic. I take daily insulin, but my sugar is still not controlled. What
can I do?
insulin. This also depends on if the person with diabetes has type 1 or type 2. Type 1
diabetes will need insulin. The decision to start taking insulin isn't easy. Some experts
say initiating insulin or other blood glucose-lowering medications early in the course of
Type 2 diabetes can lower blood glucose and even preserve some beta cell function
(the function in the pancreas that helps secrete insulin).
Community Answer
If your blood sugars are mostly within the normal range, then your diabetes is
controlled. Ask your doctor what blood sugar range is ideal for you.
Community Answer
If you also live an inactive, unhealthy lifestyle, I would say it is type 2 diabetes. If you
are younger, healthy, and have ketones (like I did), I would say you have type 1
diabetes, however usually blood sugar levels when first diagnosed are higher. I would
not self-diagnosis this. If the doctor determines that you have diabetes, there is a
blood test they can do to determine which type you have.
Zoe Scheuren
Community Answer
It really depends on how you look at it. Type 2 can be cured, so there is that aspect,
but you must exercise and eat healthy which can be challenging for some people. It's
much harder to manage your day-to-day life with Type 1 diabetes though since there is
no cure.

15. Community Answer
Consult a dietician who is a certified diabetes educator. She can help you with all
aspects of nutrition and getting your food on track. This will greatly control your sugar.
Tips
Consistency is important in diabetes management, especially type 1's. For example,
you should eat at consistent times, eat a consistent amount of net carbohydrates (total
carbs - fiber and sugar alcohols/polyols), and take a consistent amount of medication
(e.g. insulin, pills) at consistent times. That way, you can adjust your medications and
spot patterns based on your blood glucose levels.
Warnings
Don't try to control your diabetes alone, as it could leave you feeling angry and tired,
leading you to give up. Once you get accustomed to your routine, with the help of your
medical, "diabetes team," you'll feel better -- and controlling your diabetes will be
easier.
Uncontrolled diabetes causes heart trouble, kidney failure, dry skin, nerve damage,
loss of sight, lower-extremity infections, and amputations, and it may lead to death.
If you develop Chronic Kidney Disease you may want to consider options for treating it.
References
1. https://medlineplus.gov/ency/article/000305.htm
2. http://www.mayoclinic.org/diseases-conditions/diabetes/basics/symptoms/con-20033091
3. http://www.nlm.nih.gov/medlineplus/ency/article/000305.htm

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