An individual with diabetes can, in general, lead a normal, healthy, and long life. Looking after yourself and learning about your diabetes provides the best chance to do this. Your doctor and the other members of the health-care team (made up of doctors, nurses, dietitians, and chiropodists) are there to advise you and to provide the information, support, and technology for you to look after yourself and live your life in the way you choose. It is important for you to know what your health-care providers should provide to help you reach these goals and what you should do.
1. Your Rights: The health-care team should provide:
- A treatment plan and self-care targets
- Regular checks of blood sugar (glucose) levels and of your physical condition
- Treatment for special problems and emergencies
- Continuing education for you and your family
- Information on available social and economic support
Your role is to build this advice into your daily life and to be in control of your diabetes on a day-to-day basis.
2. Treatment Plan: You should receive the following:
- Personalized advice on proper eating -- types of food, amounts, and timing of meals
- Advice on physical activity
- Your dose and timing of tablets or insulin and how to take them; advice on how to change doses based on your self-monitoring
- Your target values for blood glucose, blood fats, blood pressure, and weight
3. Regular Assessments: At each visit, your health-care professional should:
- Review your self-monitoring results and current treatment.
- Talk about your targets and change where necessary.
- Talk about any problems and questions you may have.
- Continue diabetes education.
The health-care team should check:
- Your blood glucose control by taking special tests. (These tests -- done two to four times per year if diabetes is well controlled -- include measures of "glycohemoglobin" (sometimes abbreviated as HbA1c or GHb) or "fructosamine." Fasting blood glucose tests are advised for individuals treated without insulin.
- Your weight.
- Your blood pressure and blood fats, if necessary.
The following should be checked at least once per year:
- Your eyes and vision.
- Your kidney function (blood and urine tests).
- Your feet.
- Your risk factors for heart disease, such as blood pressure, blood fats, and smoking habits.
- Your self-monitoring and injection techniques.
- Your eating habits.
4. Continuing education
The following are important items you should learn about:
- Why to control blood glucose levels.
- How to control your blood glucose levels through proper eating, physical activity, tablets, and/or insulin.
- How to monitor your control with self-monitoring.
- The signs of low and high blood glucose levels and ketosis, how to treat them, and how to prevent them.
- What to do when you are ill.
- Prevention and treatment of long-term complications, including possible damage to eyes, nerves, kidneys, feet, and hardening of the arteries.
- How to deal with life-style variations, such as exercise, traveling, and social activities.
Information from the University of Massachusetts Medical Center
