Staying on Track

Having diabetes means paying attention to what you eat and when, your exercise regimen and, maybe, a medication schedule. It can all seem overwhelming at first. But if you begin a good routine that helps you track your blood glucose levels, and your diet and exercise, you can see how well you are controlling your disease. And good control promotes a healthier life. Use the following guidelines to monitor your disease-to confirm that your blood glucose levels are appropriate or to alert you that you should consult your health care professional.

If you meet all the criteria below, you're on track

Hemoglobin A1c (HbA1c) under 7%
- This test should be conducted every 3 to 6 months according to your doctor's recommendations. It measures what your average blood glucose levels have been over the previous 3 months.
Average blood glucose levels usually under 150 mg/dL (8.3 mmol/L)
- Average includes blood glucose levels both before and after meals and at bedtime
Most fasting blood glucose levels under 140 mg/dL (7.8 mmol/L)

What to do:

You are doing a great job of keeping your blood glucose under control-continue your diet, exercise and medication regimen
Continue to monitor your levels as determined by your health care professional and keep all physician/health care professional appointments

If your blood glucose levels fall in any of these ranges, you are taking a detour

HbA1c between 7% and 9%
Average blood glucose levels are between 150 mg/dL (8.3 mmol/L) and 210 mg/dL (11.7 mmol/L)
Most fasting blood glucose levels between 140 mg/dL (7.8 mmol/L) and 200 mg/dL (11.1 mmol/L)

What to do:

Your blood glucose levels suggest you may need adjustments in your diet, exercise, and/or medication regimens
Consult your physician

If you meet any of the criteria below, you need to check your road map

HbA1c greater than 9%
Average blood glucose levels over 210 mg/dL (11.7 mmol/L)
Most fasting blood glucose levels are well over 200 mg/dL (11.1 mmol/L)

What to do:

Call your physician for professional evaluation

Disclaimer:

These guidelines are for reference only and are not intended as a substitute for medical diagnosis or treatment by a trained professional. You should always consult your physician about any health care questions you may have, especially before trying a new medication, diet, fitness program, or approach to health care issues.