Diabetes Control for Healthy Living
   

Blood Glucose (BG) Control:

Targets

For Management Plan of:

 Results:

Date:
Diet/Exercise/Meds Diet/Exercise
Fingerstick Values Meter Type: Meter Type:
Plasma Whole Blood Plasma Whole Blood
Before Meals 90-130 80-120 under 130 under 120
1-2 hr After Meals under 200 under 180 under 200 under 180
Hemoglobin A1c under 7%
  • Blood Pressure Control:           Target: 130/80 or less
  • Blood Fat (Lipid) Control:

 

Targets If heart/vessel disease or diabetes Results:

Date:

 Lifestyle Changes
Total Cholesterol under 200 Low total fat, low chol, weight loss, BG control
 LDL-Cholesterol L under 100 Low sat fat, BG control
 HDL-Cholesterol J Men: 45-75+
Women: 55-75+		 Exercise, weight loss, BG control
Triglycerides under 150 BG control, weight loss, exercise, low fat diet, no alcohol
  • Weight Control: If overweight, lose 5-10% body weight in 6 months, then maintain
  • Establishing and keeping a daily hygiene / foot care routine
  • Not using tobacco
  • Regular medical check-ups

TOOLS FOR CONTROLLING LONG TERM HEALTH RISKS:

  • Tobacco cessation
  • A nutrition plan
  • Taking medications as prescribed
  • An exercise plan that works for you
  • Self blood glucose monitoring
  • Record keeping / tracking diabetes information and using the results
  • Daily aspirin therapy
  • Stress management techniques
  • Ongoing education & doctor visits

Steps That Lead to Control: Where to Begin

1st:  Consistent carbohydrate intake - based on healthy eating principles
2nd: Consistent exercise/activity
3rd: Establish goals for your blood glucose
4th: Monitor and record your blood glucose values - Compare results to targets
5th: Make necessary medication adjustments in conjunction with your health care team

 

Causes for Blood Glucose Below Target Causes for Blood Glucose Above Target
  • Not enough food
  • Increased exercise
  • Mistake in testing blood glucose
  • Too much insulin or diabetes medication
  • Some medications
  • Alcohol
  • Too much food
  • Not enough exercise
  • Mistake in testing blood glucose
  • Not enough insulin or diabetes medication
  • Some medications
  • Stress
  • Illness, infection, steroids

 

When to consider calling your doctor's office:
...Report routine BG problems during regular clinic hours...
BG Below Target: BG Above Target:
Oral Medication: Oral Medication:
  1. If blood glucose readings are below 100 for one week.
  2. If blood glucose is under 70 mg/dl without a food or exercise reason.
  1. If you have two blood glucose readings in a row over 240 mg/dl and you are sick.
  2. If your before breakfast blood sugar is above target for one week.
Insulin: Insulin:
  1. If blood glucose is under 80 mg/dl without a food or exercise reason, and you haven't been taught insulin adjustment.
  1. If you have two blood glucose readings in a row greater than 300 mg/dl.
  2. If your blood glucose values are above your target and you haven't been instructed how to adjust your insulin.

 

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Diabetes