Thursday, September 15, 2011

New to #Diabetes? Ask Your Doctor These Questions!


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Being diagnosed with diabetes can be a scary time for most patients. There is typically much uncertainty and an overload of information. If you have gotten the call to come in and talk with your doctor about your recent blood glucose testing, have this list of questions ready so that you can better understand your new diagnosis.
1. What is my fasting blood sugar? The fasting blood sugar is used to determine if a patient has hyperglycemia, or high blood sugar, or if the patient has diabetes. Any fasting value above 100 mg/dl is considered abnormal. A fasting blood sugar higher than 126 is diagnostic for diabetes. Anything in between these numbers is borderline high and at risk for developing type 2 diabetes.

2. What is my HbA1c? A hemoglobin A1c is a test that measures your blood sugar over 2-3 months. It gives an idea of what your average sugars have been. To manage diabetes with diet and exercise, the HbA1c should be below 7.0%. Anything higher than this may require the use of medications.

3. Do I need to see any specialists? Ask your doctor for a referral for an eye exam and ask if you need to see a foot doctor.

4. Can I test my sugars at home? Ask your doctor for a blood glucose machine, testing strips and lancets. Keep a daily log of readings and your food intake.

5. Can I see a certified diabetic educator? This may be the most valuable referral! These professionals will explain your condition and work with you to develop a personalized management plan.

6. Is it safe for me to exercise? You may need testing on your heart before you begin but weight loss and exercise are important parts of managing diabetes. Be sure that your doctor thinks that you are healthy enough to exercise before your begin.

7. Do I need any medications? As above, the need for medications depend on your blood sugar readings.

8. How often do I need to see my doctor or have blood work? You will likely need blood work checked every 3-6 months.

9. Is my blood pressure acceptable? Blood pressure readings should be less than 130/80 in diabetic patients.

10. Is my cholesterol acceptable? Your cholesterol should be in good control. Ask your doctors if your numbers are in line with the current recommendations for diabetic patients.
Bring this list with you to your appointment if you are overwhelmed and not sure which questions to ask. Understanding your diagnosis is the first step in learning how to live with diabetes and improve your blood sugars.

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