Diabetes can have both short-term and long-term consequences. Discipline can help you reduce both sets of consequences.
Rapid spikes or dips in blood glucose level can result in several unpleasant effects: dizziness, disorientation, muscle weakness, nausea and others. For some diabetics, it’s very difficult to prevent this from happening at some time. But there are practices that can improve the odds.
Monitoring is vital. Pricking your finger three times a day is wearisome, but worth the effort. Some new glucose monitoring devices don’t require painful pricks.
The newer devices may have a laser which makes a hole in the skin from which to obtain blood; these are painless, producing a gentle tingling sensation. Another monitoring device can measure the glucose level by sending an infrared beam through the skin, drawing no blood.
The goal is to keep the glucose-insulin balance as close to normal levels as possible. Non-diabetics have a fasting glucose level under about 99 mg/dL. Even after a heavy meal, when glucose may rise to over 200 mg/dL, insulin is released which brings it back down within a couple of hours. That means that keeping the glucose level right isn’t so much achieving a static number as maintaining the correct dynamic balance.
Part of a long-term glucose monitoring strategy should encompass regular physician visits with a quarterly A1C test. Several tests exist to measure blood glucose level at a given time. The A1C test provides a picture averaged over a period of months. The name comes from HbA1c, an abbreviation for glycated hemoglobin.
Hemoglobin molecules in the red blood cells carry oxygen to tissues. The extra glucose in the bloodstream of a diabetic causes that hemoglobin to get glycated. That effect persists and allows an A1C test to measure the accumulated result.
The effects of diabetes continue over the long-term. In the past, many diabetics would suffer from kidney damage, blindness, nerve damage and ills within a decade or so of the condition’s onset. Luckily this need not occur. Modern medical knowledge enables most diabetics to lead nearly normal lives, with few ill effects.
Much of this management is disciplined exercise and diet. Many diabetics can keep their glucose-insulin balance nearly normal through diet and exercise, without medicine.
Because diet and exercise help keep body fat low, the effects of diabetes are minimized. Body fat plays a role in hormone production and release and it also interferes with the body’s reaction to glucose levels. Several studies show a definite correlation between the degree of diabetes and the degree of body fat, but the mechanisms for this are unclear.
Proper weight and body fat maintenance will also help keep blood pressure at the right level. Chronic high blood pressure is one of the major elements in increasing the risk of common diabetes problems: heart attack and stroke, eye and nerve damage, and others.
With a well-disciplined self-management routine, a diabetic can achieve a practically normal life. The pain of monitoring the disease is minor compared to the enormous benefits that result from doing so.