How is Diabetes Managed

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How is Diabetes Managed?


Understanding Diabetes Management


Before 1921, individuals with type 1 diabetes had a grim outlook, often succumbing to the disease within a few years of diagnosis. The discovery of insulin marked a significant breakthrough, though not a cure, it remains crucial in diabetes care.

Managing Type 1 Diabetes


For those with type 1 diabetes, the foundation of management includes healthy eating, physical activity, and insulin therapy. It's essential to balance insulin with food intake and daily activities. Regular blood glucose monitoring is vital, alongside periodic A1C tests that provide an average blood glucose level over 2-3 months.

Managing Type 2 Diabetes


Similarly, managing type 2 diabetes involves a commitment to healthy eating, physical activity, and regular blood glucose testing. Many individuals require oral medications or insulin to maintain proper blood glucose levels.

Addressing Cardiovascular Risks


Diabetes significantly raises the risk of cardiovascular disease (CVD); over 65% of people with diabetes succumb to heart disease or stroke. Thus, managing diabetes effectively means not only controlling blood glucose but also monitoring blood pressure and cholesterol levels. A combination of healthy lifestyle choices and medications, if needed, can mitigate these risks. Additionally, aspirin therapy and quitting smoking may be recommended by healthcare providers.

Daily Management and Healthcare Support


Daily care involves preventing blood glucose from dipping too low (hypoglycemia) or soaring too high (hyperglycemia), both of which pose serious health risks.

Effective diabetes management requires close collaboration with healthcare providers, including:

- Primary care providers such as internists, family practitioners, or pediatricians
- Endocrinologists specializing in diabetes
- Dietitians, nurses, and certified diabetes educators
- Podiatrists for foot care
- Ophthalmologists or optometrists for eye care

Expectant mothers with diabetes should also consult obstetricians skilled in managing diabetes during pregnancy.

The Importance of Intensive Management


The goal of diabetes management is to maintain blood glucose, blood pressure, and cholesterol levels as close to normal as possible. Research, such as the Diabetes Control and Complications Trial (DCCT) by the National Institute of Diabetes and Digestive and Kidney Diseases, demonstrates that intensive blood glucose management reduces risks of complications in type 1 diabetes.

This pivotal 10-year study included 1,441 participants and compared intensive versus standard management approaches. Results showed that maintaining near-normal A1C levels (around 6%) significantly decreased the risk of eye, kidney, nerve, and cardiovascular complications. A decade later, follow-up studies confirmed the lasting benefits of intensive management.

Similarly, the United Kingdom Prospective Diabetes Study (UKPDS) completed in 1998, found that intensive management of blood glucose and blood pressure greatly reduced the risk of blindness, kidney disease, stroke, and heart attacks in people with type 2 diabetes.

Conclusion


Diabetes management is a comprehensive approach that involves lifestyle adjustments, regular monitoring, and collaboration with healthcare professionals. By taking these steps, individuals with diabetes can lead healthier, more fulfilling lives while minimizing the risk of complications.

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