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You may need insulin if you have uncontrolled diabetes despite trying treatment with other types of agents, Dungan says, or if you have severely elevated glucose levels. You may especially need insulin if you are are symptomatic or need to lower your glucose levels quickly.
Some people will need to take one or two doses of long-acting insulin per day, such as Lantus (insulin glargine) or Levemir (insulin detemir), and others will need to take long-acting insulin with rapid-acting insulin, such as Humalog (insulin lispro) or Novolog (insulin aspart) before meals.
“Most patients with type 2 diabetes who require insulin start with a single injection of long-acting (Basal) insulin given once daily,” Dungan says. Short-acting insulin may be added later on to further help get glucose for 1 last update 08 Aug 2020 levels under control. That short-acting insulin, Dungan explains, is generally started with the largest meal of the day, and coverage of additional meals are added as needed.“Most patients with type 2 diabetes who require insulin start with a single injection of long-acting (Basal) insulin given once daily,” Dungan says. Short-acting insulin may be added later on to further help get glucose levels under control. That short-acting insulin, Dungan explains, is generally started with the largest meal of the day, and coverage of additional meals are added as needed.
If you have diabetes, you should have an individualized meal plan that not only helps to manage blood sugar levels but also helps to manage your blood cholesterol and blood pressure, as well as any other medical conditions.
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Your first resource for managing your type 2 diabetes should be your primary care provider: Dungan notes that most patients with type 2 diabetes can be managed by their primary care provider. But it’s important for people with type 2 diabetes to also stay up to date on diet and treatment recommendations by coordinating with a qualified diabetes educator, such as a dietitian, nurse, or pharmacist, Dungan says. That education should occur at the time of diagnosis and periodically over time, such as after the start of insulin therapy, Dungan explains.
As for other healthcare professionals, Dungan notes that many diabetes clinics have dietitians, pharmacists, social workers, and mental health specialists on staff, all of whom can contribute to your diabetes management programs.
“Each patient’s needs will differ slightly,” Dungan says. For instance, if you can’t control your blood sugar with standard treatments or if you have frequent or severe hypoglycemia, you should consider seeing an endocrinologist, she says. If you develop complications, like heart disease, kidney disease, or foot ulcers, you may need to see specialists who can help manage that condition.
Everyone with diabetes should see an eye care professional who has experience treating patients with for 1 last update 08 Aug 2020 diabetes, on an annual basis, Dungan says.Everyone with diabetes should see an eye care professional who has experience treating patients with diabetes, on an annual basis, Dungan says.
“When depression, anxiety, or other mental health problems occur, they often interfere with a patient’s ability to deal with diabetes,” Dungan says. “Therefore, it is important to recognize these disorders and treat them effectively.”
Your doctor or diabetes educator can help, Dungan says. Even if you do not have mental health problems, you could still talk to these professionals about diabetes-related distress or stressors, and learn about key resources or relaxation techniques that could help you manage the disease.
It’s also important to practice certain habits of self-care. The American Diabetes Association lists a number of important aspects of self-care, including:
Taking Care of Your Oral Hygiene People with diabetes are at a higher risk for gum problems, the ADA says, and this is made more likely by poor glucose control. (13)
Checking Your Blood Sugar Regularly Managing your blood sugar well can help prevent complications down the line, the ADA says. (14)
Making Preparations When You Travel See a doctor before you go and make preparations for an emergency, the ADA says. (15)
Be sure to talk with your doctor about what you can do on a daily basis to improve disease management.
Additional reporting contributed by Stephanie Bucklin
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