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Diabetes
Diet?
The
Sweet Truth about Diabetes?
What
Kind of Diabetes Do You Have?
Diabetes
Diet
Monitoring
In
patients being treated with insulin or insulin-producing or sensitizing
drugs, it is important to monitor blood glucose levels carefully to avoid
hypoglycemia. Patients should aim for premeal glucose levels of between 80
and 120 and bedtime levels of between 100 and 140. Current intensive
treatment for type 1 diabetes to tightly control blood sugar levels
usually requires four or more daily blood sugar tests. Blood glucose
levels are generally more stable in type 2 diabetes than in type 1, so
experts usually recommend measuring blood levels only once or twice a day.
Other tests are needed periodically to determine potential complications
of diabetes, such as high blood pressure and kidney problems. Such tests
may also indicate whether current diet plans are helping the patient and
whether changes should be made. Glycolated hemoglobin (hemoglobin A1)
is measured periodically. Levels of 11% to 12% glycolated hemoglobin, for
instance, indicate poor control of carbohydrates. High levels also
indicate future kidney problems and the need to lower protein intake.
Annual urine tests showing even microscopic traces of a protein known as
albumin can also indicate a future risk for serious kidney disease. Blood
pressure and lipid levels should also be regularly monitored.
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