How To Reduce Sugar Level In Urine – Glycemic control is key to good management of type 2 diabetes. Here’s how to navigate this sometimes complicated diabetes care process.
Blood sugar testing tools can help you track how diet, exercise, and other lifestyle changes affect your blood sugar levels. Boissonnet/Alamy
Living with type 2 diabetes can sometimes seem like an hourly or even minute-by-minute struggle to stabilize your blood sugar. All of the advice and medicines given to you as part of your type 2 diabetes treatment plan are designed to help you achieve and maintain your blood sugar levels most of the time. But doctors are learning that better information about why blood sugar matters and how to manage it is critical to good control of type 2 diabetes.
As the American Diabetes Association (ADA) explains, your body needs sugar (glucose) for fuel, and there is a fairly complex process that allows your body to use this sugar. Insulin, produced by the pancreas, is a hormone that enables body cells to use sugar.
Type 2 diabetes occurs when your body cannot remove sugar from your blood. This can happen if your body is not sensitive to insulin, or if it starts responding sluggishly or overreacting to changes in blood sugar.
An elevated blood sugar level above 126 milligrams per deciliter (mg/dL) on a fasting blood test or above 200 mg/dL at any time of the day indicates diabetes. It can also be indicated by a hemoglobin A1C level of 6.5% or higher, which is a measure of the percentage of blood sugar bound to hemoglobin in the blood over the past two to three months. (Hemoglobin is the protein in red blood cells that carries oxygen throughout the body. So an A1C of 6.5 means 6.5 percent of red blood cells contain sugar.)
Uncontrolled high blood sugar can gradually damage the blood vessels in your body. In the long run, this slow, gradual damage can lead to dangerous loss of feeling in the legs and feet, loss of vision and kidney function, and increased risk of heart disease and stroke.
Both high and low blood sugar are health threats. “Hypoglycemia can lead to hypoglycemia, which puts a person at risk of confusion and loss of consciousness, and thus can be life-threatening,” explains endocrinologist Lauer. Or high blood sugar can lead to fatigue and dehydration. Syed Ghasem, MD, Assistant Professor of Medicine, Case Western Reserve University School of Medicine, Cleveland. Well-managed diabetes can help reduce the risk of heart attack, stroke, vision impairment, kidney disease, and peripheral artery disease.
Getting your blood sugar to a healthy level may take trial and error, but there are steps you can take to help you reach your goals.
“Having a daily schedule is very important for good diabetes control,” says Dr. Kassim. “That means following your eating habits, exercising regularly, keeping up with your blood sugar tests and following up with your doctor regularly.” Tracking carbs is especially important. “Daily variations in carbohydrate intake can cause blood sugar fluctuations,” he added. For example, when you eat extra carbohydrates, your body digests them like sugar and sends them directly into your bloodstream, increasing your risk for this disease. elevated blood sugar
Exercise A regular exercise program has been shown to help control blood sugar levels over time, and a varied approach to fitness can benefit diabetes and overall health. Participants in a 12-week program who performed one-hour aerobic and resistance training three times a week improved their diabetes management, according to research published in the February 2015 issue of “Journal of Sports Medicine and Fitness.” So combine it with strength training, cardio, and any other activity you enjoy.
Losing Weight If you’re overweight, it’s easier and more effective to stabilize your blood sugar even if you lose a few pounds. For most people with diabetes, losing just 5 or 10 pounds is enough to control the diabetes or require medication, says Joseph Alvey, MD, endocrinologist at Wake Forest Baptist Health Center in Winston-Salem Scientist, Head of Department and Professor of Endocrinology and Metabolism. Salem, North Carolina
Diet Many people with diabetes can better control their blood sugar by limiting the types of foods that raise blood sugar. For example, your doctor may recommend cutting back on carbohydrates and eating more lean protein, fruits, and vegetables. Fiber is so beneficial, Dr. Alvey says, that even small amounts of fiber supplements can help stabilize blood sugar when added to meals that can cause blood sugar spikes because fiber slows down the body’s digestive process.
Drinking alcohol judiciously can cause an immediate spike in blood sugar, followed by a drop a few hours later. It is best to eat in moderation and drink some complementary food.
Medications Your doctor may prescribe different types of medications at different times during your diabetes treatment. Treatment options include:
Don’t be shy to ask your doctor or diabetes educator for more questions or clearer instructions on how to interpret your blood sugar values to help stabilize your blood sugar. “You have to know what your drug is and what your target is,” Alvey said. Blood sugar stabilization strategies are most effective when you understand how they work and how to use them. The answer could be right next to your phone. When Australian researchers gave telephone counseling to 94 adults with type 2 diabetes, they found it improved diabetes management, according to a study published in the Journal of Internal Medicine in September 2014.
Specific recommendations for blood sugar testing depend on the type of treatment you are receiving. “If it’s an oral treatment, do it gradually, because it gives us a better picture of blood sugar throughout the day,” Qassem explained. This allows us to better tailor the medication. “But people who take insulin should be tested regularly every day.”
From self-tests to lab tests, daily tests to tests every few months, these different blood sugar tests can give you a more complete picture of your diabetes and how to best manage it:
Dipsticks and Glucose Monitors These are fingerstick blood tests that you can do at home. Depending on your diabetes status and your doctor’s recommendations, you may need to monitor your blood sugar levels by testing several times a day. Get a better sense of where you are by logging your meals and activities, and the resulting blood sugar levels.
Use these self-diagnostic tools to learn how your body responds to changes in diet, exercise, and overall health. There are many brands of monitors, each with its own lens and test strips, so talk to your doctor about which design is best for you and how often you should check your blood sugar levels at home.
Lab Work As part of your regular visits, your doctor will usually order blood sugar lab tests to monitor how you are managing your diabetes and other chronic diseases.
A1C Test This is a laboratory blood test that gives your doctor information about how well your blood sugar control has been over the past three months. Every time your A1C drops by one point, you lower your risk of diabetes complications by about 30 percent, says Alvey.
As you learn more about living with diabetes and monitoring your blood sugar levels, you will experience situations where your blood sugar levels are too high or too low. But don’t be alarmed by these results, Alvey said. Diabetes complications are caused by poor long-term blood sugar control — not usually occasional spikes in blood sugar levels. However, it is important to understand the long-term effects of blood sugar that is too high (hyperglycemia) or too low (hypoglycemia) and how to treat it.
Blood sugar levels that are too high for a prolonged period of time are considered hyperglycemia. According to the ADA, if your blood sugar is over 240 mg/dL, you should also test for ketones in your urine before taking steps to lower your blood sugar. Rarely, people with type 2 diabetes develop diabetic ketoacidosis (DKA), a serious condition characterized by high blood sugar, low insulin, and moderate to high ketone levels. DKA is a medical emergency that requires immediate medical attention.
Sports. Physical activity is a great way to lower blood sugar. Alvey notes that 10 minutes of exercise is recommended for children with type 1 diabetes as a way to stabilize blood sugar before regular use of insulin. However, if you have high levels of ketones in your urine, stop exercising, as this may make the situation worse. Tell your doctor if your blood sugar or ketone levels are high for an extended period of time.
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