The endocrinologist diagnoses and treats diabetes with diet and medications, including insulin and works closely with patients to control blood sugar and monitors them so they can prevent other health problems.
Continuous Glucose Monitoring:
A small device that is worn for 3-5 days that will measure and record a person’s blood sugar every 5 minutes, up to 288 times a day. This allows nurses and doctors to study changes that occur in blood glucose levels every few minutes, so they can see the “whole picture.” This results in better decisions about changes in diet and medication, better blood glucose control and less complications from diabetes.
Diabetes Self-Management Education:
A collaborative process where patients gain knowledge and skills needed to manage their diabetes. They also learn about behavior modification including healthy eating, being active, monitoring blood sugar, taking medication including insulin, problem solving, healthy copying and reducing risk factors. Diabetes Self-Management Education classes are taught by a Registered Nurse and a Registered Dietitician, both Certified Diabetes Educators.
Microvascular disease (disease of small blood vessels) is a very common complication of diabetes, so care of the feet is of critical importance. The patient should see a podiatrist at least once or twice a year.
Diet forms the cornerstone of the management of diabetes as well as hyperlipidemia (an elevation of fats in the bloodstream), and hypertension. One of the major problems facing us today is obesity, which is increasing in leaps and bounds. Coupling better nutrition with lifestyle modifications is critical in the management of diabetes as well as other cardiac risk factors.