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DIABETIC EDUCATION

This document includes the following information:

Important Diabetes Facts

  • Diabetes is the 6th leading cause of death in the U.S.
  • 18.2 million Americans have diabetes.
  • 5.2 million Americans are living with undiagnosed diabetes.
  • 1.3 million new diabetes cases each year.

Major Types of Diabetes

Type 1 Diabetes
Occurs due to the body’s inability to make insulin, which brings energy into the cells. Insulin shots are required!
Type 2 Diabetes
Occurs due to the body becoming resistant to its own insulin. The body makes insulin but cannot use it.
Gestational Diabetes
Occurs in many women while they are pregnant. This condition may subside after the baby’s birth but does put the mother at a higher risk for diabetes in the future.
Pre-diabetes
A condition in which a person may have slightly elevated blood sugar levels but not high enough to be diagnosed with diabetes YET!

Risk Factors For Type 2 Diabetes

  • Age > 45
  • Overweight (BMI > 25kg/m2)
  • Family History (parents or siblings)
  • Habitual physical inactivity
  • High Blood Pressure > 140/90
  • Low HDL ("good") cholesterol < 35mg/dl
  • High Triglycerides > 250mg/dl
  • Polycystic ovarian syndrome (PCOS)
  • History of vascular disease
  • History of gestational diabetes
  • Having a baby > 9 pounds

Long Term Complications

  • Eyes: Eye disease that leads to blindness
  • Heart: Coronary artery disease, heart disease, risk of heart attack is similar to patients with diagnosed heart disease
  • Brain: Stroke risk is two-four times greater in patients with diabetes than people with out diabetes
  • Kidneys: Leading cause of End-stage Renal Disease (kidney’s stop working), may lead to dialysis or kidney replacement
  • Nerves: Neuropathy (loss of sensation) in extremities, numbness and tingling in hands and feet, risk of leg amputation, erectile dysfunction
  • Dental: Increased risk for tooth and gum diseases

Symptoms of Diabetes

  • Frequent urination
  • Excessive thirst
  • Extreme hunger
  • Unusual weight loss
  • Increased fatigue
  • Irritability
  • Dry skin
  • Blurred vision

Signs of Low Blood Sugar (hypoglycemia)

  • Mild: Sweating, Hunger and Irritability
  • Moderate: Headache, Drowsiness, Confusion and Weakness
  • Severe: Unresponsiveness, Unconsciousness, Convulsions

Treatment of Low Blood Sugar

  • Eat a form of sugar (fruit, fruit juice, 1 slice of bread, milk, or glucose tablets)
  • Check your blood sugar and record
  • Eat a healthy meal

How Diabetes Is Managed

In some cases Lifestyle Modifications are all that is needed to control diabetes. Some of these changes, which have been proven to help lower blood glucose levels, include:

  • Losing excess weight
  • Quitting smoking
  • Getting regular exercise (always consult your physician before starting any new exercise regimen)
  • Decrease the amount of alcohol you drink
  • Modify your diet to include healthy choices such as fruits, vegetables, lean meats and whole grains.

Sometimes, Medications are needed in addition to these lifestyle modifications to adequately control diabetes. There are many types of medications that can be used based on the type of diabetes you are diagnosed with. In such cases, it is extremely important to take your medication exactly as prescribed. With lifestyle modifications and medication intervention, it is very important you check your blood sugar (blood glucose) levels at least three times daily. This helps you and your physician know how well your diabetes is being managed. Your pharmacist can help you design a regimen on how to best take your medications.

What do my numbers mean?

American Diabetes Association (ADA) Guidelines for blood sugar (glucose) control

Parameters Normal Goal
Before Meals < 110 90-130
After Meals < 120 < 180
A1c < 6 < 7

*A1c measures blood sugar control of the 2-3 previous months

Other lab values to monitor:

  • Blood Pressure: < 130/80
  • LDL (bad cholesterol): < 100mg/dl
  • HDL (good cholesterol): > 40mg/dl
  • Triglycerides: < 150mg/dl

My Pharmacist Helps Me!

At Iverson Corner Drug, we are dedicated to helping you control your diabetes by:

  • Measuring your A1c and Blood Glucose levels with a simple finger prick and providing an interpretation of the results.
  • Reviewing the effectiveness, safety, and convenience of your medications and making appropriate recommendations to your doctor.
  • Providing you with important information and educational materials about diabetes and its treatment.
  • Generating computerized reports documenting trends in your A1c and Blood Glucose readings.

Tests we offer:

  • A1cTest ($20.00)
  • Blood Glucose Test ($5.00)

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