When your doctor tells you that you have diabetes, he or she may also say, "You're at risk for heart disease." It's normal to feel a little scared and overwhelmed when you hear that. But don't worry. The good news is that if you start taking control of your diabetes today, you can prevent many of the big problems you'll face in the future, like heart disease. Actually, managing diabetes isn't something you're born with. It takes time and you have to learn new things. But as you get used to it, you'll realize that it's not that hard. Let's see what those habits are.
Let's learn how to measure blood sugar levels accurately.
Controlling your blood sugar levels is one of the best ways to prevent heart disease and other complications of diabetes. That's why it's important to check your blood sugar levels regularly. If you find out that your blood sugar levels are high, you can make changes to your diet, lifestyle, and medications.
For this, we use a small electronic device called a `glucometer`. The way it is used is very simple:
- First, wash your hands thoroughly with soap and dry them.
- Then insert the test strip into the machine.
- Simply prick your fingertip with the small lancet that comes with the test kit.
- Touch the drop of blood to the designated spot on the test strip and hold it there for a while.
- In a few seconds, your sugar level will appear on the screen.
Although some meters allow you to record your readings, it is often helpful to write them down in a small notebook or calendar. Ask your doctor how often you should check your blood sugar. In general, unless otherwise instructed, your blood sugar level should be between 80 and 130 mg/dL before meals . Two hours after a meal, it should be less than 180 mg/dL .
Be well informed about your medication.
If you are taking medication for diabetes, it is essential to have a clear understanding of how the medication works and the possible side effects. Especially if you are taking insulin, it is very important to know exactly how much to take at different times. If you have any problems with this, do not be shy and talk to your doctor. He or she can help you, or refer you to a diabetes educator, who can help you take the correct dose every time.
The importance of keeping track of carbohydrates
Carbohydrates are the nutrient that has the greatest impact on blood sugar levels, more so than protein or fat in the foods we eat. So keeping track of how many carbohydrates you eat each day can go a long way in protecting your heart in the long run.
Think about it, when blood sugar is high for too long, it can damage the nerves and muscle tissue that help our heart function. It also increases inflammation, cholesterol, and blood fats called triglycerides. All of these things combine to pave the way for heart disease.
A nutritionist or diabetes educator can teach you how to count carbohydrates. Most of the time, this involves paying attention to portion sizes, reading food labels, and learning how to count things like vegetables and fruits that don't have labels.
The difference between good and bad carbohydrates
While counting carbohydrates is important, remember that not all carbohydrates are created equal. Some are good for our bodies, and some are not. Let's take a look at the difference.
| Type of carbohydrate | Examples | How it affects the body |
|---|---|---|
| Bad/simple carbohydrates (Refined/Simple Carbs) | White bread, bread products, biscuits, cakes, sweet drinks, potato chips | Low in nutrients and fiber. Raises blood sugar levels quickly. Causes weight gain. |
| Good/complex carbohydrates (Complex Carbs) | Vegetables, fruits, whole grains (buckwheat, barley), chickpeas, peas, green beans, brown rice, oats | High in fiber and nutrition. Helps control blood sugar. Helps with weight control and lowers cholesterol. |
So choose vegetables, fruits, legumes, and whole grains whenever possible. If you eat bread, pasta, or rice, try to choose those that say "100% whole grain."
Make time for exercise in your calendar.
If you have diabetes, daily exercise is essential for controlling your blood sugar levels and keeping your heart healthy. The easiest way to make this a daily habit is to schedule time for exercise in your calendar, along with your other important tasks. You also need to coordinate your exercise with your meals and medication. Talk to your doctor about the best time to exercise for you.
Another thing to mark on your calendar is your doctor's appointments. In addition to your annual check-up, make an appointment to see your doctor as soon as possible if you feel the need to change your medication dosage, if you are having difficulty controlling your blood sugar, or if you develop new symptoms.
Identify and manage stress
Stress can raise our blood sugar levels. Not only that, it can also cause sleep problems and lead to behaviors that are harmful to the heart and health, such as overeating, smoking, and drinking alcohol.
It's impossible to completely eliminate stressful situations from your life. So be aware of the signs that indicate that stress is building up. For example, worrying thoughts, a racing heart, or craving unhealthy foods like alcohol. In these cases, find a way to reduce the stress.
- Breathe deeply.
- Meditate.
- Go for a walk for a few minutes.
- Talk to a close friend.
If none of this works, see a mental health professional, such as a psychiatrist, social worker, or psychologist. They can help you learn new ways to manage these difficult feelings and manage stress.
Take-Home Message
- Checking and recording your blood sugar levels regularly is the first step in controlling diabetes and heart disease.
- Be aware of the medications you take, especially insulin. If in doubt, ask your doctor.
- Be mindful of the amount of carbohydrates in your meals. Choose good carbohydrates (vegetables, fruits, whole grains) instead of bad carbohydrates.
- Make daily exercise a mandatory habit. Mark it on your calendar.
- Eat home-cooked meals as much as possible. Planning meals in advance makes it easier to make healthy choices.
- Remember that stress is your enemy. Recognize it and practice healthy ways to manage it.
- Discuss any concerns you have about all of these things with your doctor.











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