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GPS for Diabetes: Giving People Strategies for living with Diabetes • Get your A1C checked every 3 months • Schedule your annual eye, foot, dental How do I know if I have Diabetes? Who is at • check-ups to prevent complications Get your complete labs checked every risk? 6-12 months per your provider Ethnic background Family history of Diabetes Test on schedule you can live with on a regular Overweight or obese basis; share your Diabetic log with your provider regularly. History of Diabetes while pregnant Diet: most “diets” are hard to maintain; learn Age: risk goes up with age meal planning from Pat Odiorne, RD, CDE Sedentary lifestyle that you can understand and make a part of your daily lifestyle. Stress: releases “stress hormones” which raise blood sugar Do physical activities you really like. The • Eat breakfast: people who maintain a healthy weight eat breakfast; a good Symptoms and signs: often several of the more fun you have, the more likely you will Diabetic breakfast is two eggs and a slice following do it each day. It can be helpful to exercise of toast; BUT cereal, oatmeal and cream Excessive thirst with a family member or friend. of wheat have loads of sugar, so they are Frequent trips to the bathroom to urinate • Monday–Wednesday- Friday schedule not good choices. Pat can give you other Blurred vision gives your provider enough information • suggestions. Dividing your plate into 4 sections to adjust your medication for you, but Weakness and fatigue you should test if you feel your sugar is with ½ for your vegetables and fruit, Cut or scratch that is slow to heal too low or too high, or if you just want to ¼ for your protein and only ¼ for your Tingling or numbness of feet see what a certain meal has done to your carbohydrates such as rice, potatoes and blood sugar. pasta. Limit bread to one slice per meal Diagnosis of Diabetes: • Write down the readings for your next or 1 ½ sandwiches daily; avoid regular Fasting Blood Sugar (FBS) greater than 126 or appointment. sodas or regular juices; have one serving A1C 6.5 or higher (fngerstick A1C test gives at meals. you your average blood sugar over the past 2-3 Feelings of Diabetes Distress Exercise months) Feelings of being overwhelmed and burned out • Walking three days a week for 30 2 hour after meal blood sugar >200 should be expected with Diabetes at times. minutes lowers your risk of a heart attack Almost everyone with Diabetes feels frustrated Random blood sugar >200 FBS 106-125 and distressed from time to time: “my blood by 50%, lowers blood pressure and helps Pre Diabetes sugar is just not going down,” I have been maintain a healthy weight. A1C of 5.7-6.4 is considered in the Pre going to the gym, but my weight just won’t go Chehalis Tribal Community Diabetic range (with Diabetes Prevention down,” “Everyone in my family has Diabetes, I Wellness Center Team Program of Pat Odiorne, RD, CDE, at can’t do anything to prevent it anyway.” Chehalis Tribal Wellness Center, if you have Some feel burdened by the demands of Barbara Mora, Paiute/Dine, says, “I Pre Diabetes you can reduce your risk of Diabetes management……testing, planning have a wonderful life, I am healthy becoming a Diabetic by 58% with lifestyle meals, when and how much to exercise. with Diabetes. If I can overcome the changes alone) fear, the pain, the hopelessness of This is especially true when a new Diabetes, you can too.” Self Monitoring of Blood Sugar complication occurs, such as an eye or kidney When Should I check it? problem……who’s to blame? If you are not on insulin with each meal on a sliding scale depending on your mealtime Some may simply feel they should give up… blood sugar to pick the correct dose, then ”What’s the use anyway?” testing before breakfast and two hours after a Disregarding or ignoring one’s feelings can meal is ideal. make it worse……can lead to depression. • A1C value depends on both Fasting Blood Sugar and 2 hour after meal Managing Diabetes Distress sugar result; an average of both of these Do one thing at a time: the greater the number numbers of things changed in your management plan • Goal Fasting Blood Sugar 90-120 at once, the greater the chance nothing will be • Goal 2 hour after meal sugar is 140-180. accomplished Portion size is crucial to successfully If both at goal, A1C will be 7.0 or less or • Make an appointment just to review your managing your diabetes. Here is an average blood sugar approximately 150 Diabetes every three months example in achieving your goals. chehalistribe.org greatwolfodge.com luckyeagle.com eagleslandinghotel.net Page 5