Diabetes and your Physical Health

There is a debate within the medical community about how tightly diabetics should control their blood sugars. Some argue that extremely tight control can increase the frequency of low blood sugars which can be very dangerous. Others say that without tightly controlled blood sugars, diabetics become susceptible to a wide range of complications down the line. Below is a video discussion presenting both perspectives.

Important points from above video "what is considered good control?"

Points made by Dr. Richard Bernstein

Diabetics are entitled to the same blood sugars as non-diabetics. That is an Hemoglobin A1c of 4.2-4.6%
It is relatively easy to achieve normal blood sugars.
There is no way to control blood sugars on a high carb diet.
To switch over to a low-carb diet, one must do it quickly. When patients see the results, they are motivated to continue.

Points made by Dr. Howard Wolpert

The American Diabetes Association recommend a Hemoglobin A1c of 7% or less.
Over-idealized goals run the risk of making patients feel like they are failing if and when they can't carry out the plan.
It's important to give patients a plan they can stick to.
Food is one of the pleasures of life ... it is important to consider this as well when determining how diabetics should eat.

Session 4: July 27, 2009

Important points re: low blood sugars

You may feel dizzy.
Diabetics often become over-emotional or over-anxious when low.
You may have difficulty finding the words to express yourself when low.
For many, it seems like the lows last a long time.
Some report that they have difficulty reading small words (such as food labels).

Some points to remember re: complications

The best way to avoid complications is to have tight control of blood sugars
Eye problems may develop with poorly controlled diabetes, but there are no obvious symptoms. Therefore, it is important to see an opthamologist once a year.
Diabetics are more likely to have teeth problems including gingivitis.
It is important to check your feet daily. If you go for a pedicure, NEVER allow them to remove calluses.
To learn more about foot care, click on links below:

Diabetic complications article: