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Your Online Resource for Diabetes Treatment
Home > Type 2 Diabetes Treatment Guidelines: > Diabetes Self-Management Patient Handout
Patient Handout
Many people are surprised to learn that treating diabetes involves more than keeping blood sugar levels within range. In fact, treating diabetes also includes monitoring and treating total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, blood pressure, and weight. Type 2 diabetes has two features: resistance (a condition of low insulin sensitivity in which the body cannot successfully lower the blood sugar); and failure of the insulin-producing cells of the to make enough insulin to meet the body's demands. Early in type 2 diabetes, the pancreas tries to make up for the resistance by making 2 to 3 times more insulin than it does in people without diabetes. As the course of progresses, however, the pancreatic cells that make insulin cannot keep up with the high demand for insulin, and the blood sugar level starts to rise. In addition to high blood sugar levels, people with resistance are likely to have other changes in the way the body works. This is called the resistance syndrome, which consists of high blood sugar; high blood pressure; overweight, especially around the middle of the body; high triglyceride levels; and low HDL-cholesterol levels. This tool is divided so that you can keep track of blood pressure, blood cholesterol, weight, and blood sugar as measured by hemoglobin A1c (the blood test that reflects your blood sugar levels over the last 3 months). You can write down your result for today, your goal, and when the test should be done again. Your plan will help you reach your target goal. Keep in mind that your plan can include healthy actions already in place, such as taking pills for high blood pressure, and actions that you would like to take, such as walking for exercise a few times a week. By using this tool, you can make choices that will have a beneficial effect on your health.
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