Our Dear Diabetic Patient
- Maintain regular clinical visits to your physician (3-6 months).
- Follow your physicians instructions in regards to the compliance of medication, timing and method of receiving it.
- Commit to a low carbohydrate, low glucose diet as well as visiting the dietitian that will help you arranging the most appropriate diet for you.
- Regular glucose checking on a daily basis. Record these results in the recording booklet that was given to you and bring it with you when visiting your doctor or health educator.
- Check the HBA1C every three months and maintain to be at the target level (7%) or according to your physicians speci c target for you.
- Maintain regular checks up, such as: eye, kidney function and foot examination (daily foot examination at home)..etc
If your blood sugar is high above 180
Symptoms
- Frequent urination.
- Extreme thirst .
- Blurred vision.
- Numbness in hands and feet
Treatment
- Diet manage.
- Take medication regularly.
- Monitoring blood sugar regularly until returns to normal range and reducing sugar intake.
If your blood sugar is low below 70
Symptoms
- Shivering or tremors
- Sweating
- Di culty speaking.
- Dizziness, fainting
Treatment
- you should always carry sugar with you.
- Take the proper amount of sugar.
- Check the blood sugar 15 minutes’ after eating.
- In cases of fainting: the use of a glucagon injection is necessary.
- Visit your doctor and take advice.
Note: feeling the symptoms of low blood sugar while it’s more than 70dl/min doesn't mean real low blood sugar. Rather, it is the body’s reaction to a high blood sugar for long time.
If you are taking insulin, you should visit the Patient Education Department to get these instructions
- Review the proper timing of taking your insulin injections.
- Learn how to inject your insulin, the correct sites of injection and the importance of changing the injection sites regularly.
- The storage of your insulin should be in place that the temperature is less than 25C (better to keep it in the refrigerator).
- Learn the different types of insulin you are taken and how it works.
Types of insulin
1. Long-acting (Basal insulin):
- Controls your glucose throughout the day. Reflexes the fasting glucose (8 hours after your last meal), which should be around 80-130 mg/dl.
- It is not related to your meal.
- It should be given regardless of eating or not.
- It should be taken at fixed time or according to your physician’s orders.
- Examples of this type of insulin: Glargine (Lantus, Tujio), Dugludeq (Trasiba), (Detemir) levemir.
2. Fast-acting (pre-meal):
- It maintains blood sugar that are related to meals, to keep your blood sugar less than 180 mg/dl two hours after your main meal.
- It should be taken 15 minutes or as a correction dose if blood sugar is high according to doctor or educator instrication.
- Examples of this type of insulin: Glulisine (Apidra), Lispro (Humalog), Aspart (Novorapid) & regular insulin.
