Managing Type 1 Diabetes
Diabetes is a lifelong (chronic) condition. Managing your diabetes means making some changes that may be hard. Your healthcare provider, nurse, diabetes educator, and others can help you.
Managing type 1 diabetes means balancing your insulin with diet and activity. You will have to check your blood sugar. Sometimes you will have to check your ketones. You will also have to work with your provider to prevent long-term problems.
Inject your insulin
You will need to inject insulin. Or you may have an insulin pump. The insulin moves the sugar in your blood into your cells.
Insulin comes in several different types, depending on how quickly it begins working and how long the effect lasts. There is also insulin that is a combination of more than 1 type of insulin. Your healthcare provider, nurse, or a diabetes educator can help you with injections.
Make sure you use insulin as directed by your healthcare provider. They may change the type, timing, or dose, if your blood sugar is not well controlled.
Also make sure your insulin is stored correctly and is not past the expiration date.
A healthy, well-planned diet helps to control the amount of sugar in your blood. It also helps you stay at a healthy weight.
Your healthcare provider, nurse, a dietitian, or diabetes educator will help you create a plan that works for you. You don't have to give up all the foods you like. To help control your blood sugar, you may want to develop a healthy meal plan with limited amounts of carbohydrates (carbs). It should also include the following:
Be physically active
Being active helps your body use insulin to turn food into energy.
Ask your healthcare provider to help you create an activity program that's right for you. Your activity program is based on your age, general health, and types of activity that you enjoy. Start slowly. But aim for at least 30 minutes of exercise or activity on most days. The 30 minutes doesn't need to happen all at once. Exercising for 10-minute periods during the day works just fine.
Monitor your blood sugar
Your healthcare provider will give you instructions about checking your blood sugar at home. Checking it tells you if your blood sugar is in your target range. Having blood sugar levels in your target range means that you are managing your diabetes well.
Your provider will tell you what is too high and too low for you. Call your provider if your blood sugar is often out of that range. Know how to spot and respond quickly to low blood sugar symptoms (such as sweating, trembling, or confusion).
Your provider may also tell you to check your blood sugar more often when you are sick. For example, when you have a cold or the flu.
If your blood sugar levels are often too high or too low, your provider may advise changes to your diet or activity level. He or she may also adjust your medicine.
Check for ketones
You may sometimes need to check your urine for ketones. Ketones are chemicals that are produced when fat, instead of glucose, is burned for energy. When this happens, it's called ketosis. To check for ketones, follow instructions that come with the strips and from your healthcare provider, nurse, or diabetes educator. If ketones are present, always call your provider right away. Some people also use home glucose monitors to check the blood for ketosis. Ask your provider, nurse, or diabetes educator for more information.
Take care of yourself
When you have diabetes, you may be more likely to develop other health problems. They include foot, eye, heart, nerve, and kidney problems. By controlling your blood sugar, and taking good care of yourself, you can help to prevent these problems. Your healthcare provider, nurse, diabetes educator, and others can help you.
Checkups. Have regular checkups with your provider. At these visits, you will have a physical exam. This includes checking your feet. Your provider will also check your blood pressure and weight.
Other exams. Also have complete eye, foot, and dental exams at least once a year. Always take your shoes off at each visit so your provider checks your feet.
Lab tests. You will have blood and urine tests.
At least 2 times a year, your healthcare provider will check your hemoglobin A1C. This blood test shows how well you have been controlling your blood sugar over 2 to 3 months. The results help your provider manage your diabetes.
You will also have other lab tests. These may check for kidney problems and abnormal cholesterol levels.
Smoking. If you smoke, think about quitting. Smoking increases the chance that you will have more problems from diabetes. Ask your provider about ways to quit.
Vaccines. Get a yearly flu shot. And ask your provider about vaccines to prevent pneumonia, hepatitis B, and shingles.
Stress and depression
Most people have challenges during their lives. Living with diabetes, or any serious condition, can increase your stress. It can make you feel a lot of different emotions. With diabetes, feeling stressed or depressed can actually affect your blood sugar levels.
If you are having trouble dealing with diabetes, tell your healthcare provider. He or she can help or refer you to other healthcare providers or programs.
Support and resources
Know where you can get help. You can try the following:
Support. Ask family and friends to support your efforts to take care of yourself. Or look for a diabetes support group at your local VA or on the Internet.
Counseling. Talk with a social worker, psychologist, psychiatrist, or other counselor.
Information. See the following resources: