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Before having an alcoholic beverage, a person with diabetes should ask three simple questions: Is my blood glucose (sugar) under control? Does my doctor agree that I am free from health problems that alcohol could make worse? Do I know how alcohol will affect my diabetes? If the answer to all three questions is “Yes,” then it’s okay to have an occasional drink. The American Diabetes Association suggests that you have no more than two drinks that contain alcohol a day if you are a man, and no more than one drink a day if you are a woman. The reason is that alcohol is a toxin that your liver wants to quickly clear out of your body and your liver won’t release glucose until it’s finished working on the alcohol. The result is LOW blood sugar, also called hypoglycemia. If you drink more than your liver can process over a period of time, the excess alcohol enters your blood…
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Everyone knows the harmful effects that smoking has, but for a person with diabetes it is especially important not to smoke. The good news for those who do smoke is that no matter how long you’ve smoked, your health will improve after you’ve quit. Smoking damages and constricts blood vessels, and that can lead to foot ulcers, blood vessel disease, and leg and foot infections. It also raises your blood sugar levels which makes it harder to control diabetes. Another good reason to quit is that smoking raises blood pressure and can lead to heart disease. In fact, according to the American Diabetes Association, people with diabetes who smoke are three times more likely to die of cardiovascular disease than are other people with diabetes. Because nicotine is so addictive, you may want to ask your doctor for help in quitting. There are many methods you can try that will assist you in quitting, and the outcome will be well…
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What is the HbA1c test, and why is it important in the management of diabetes? The HbA1c test (also called a hemoglobin A1c test) is a simple finger stick blood test that will tell you what your blood glucose (sugar) levels have averaged over the past 2 – 3 months. Daily blood glucose monitoring is also very important, but average blood glucose levels are not affected by the time of day or food you’ve most recently eaten. They give you an overall picture of your glucose control and will tell you and your doctor if you should make changes in your treatment plan. Your HbA1c test results are reported as a percentage. It is the percentage of hemoglobin in your blood that has sugar attached. The higher the percentage, the higher your average blood glucose level has been for the past 2 –3 months. According to the American Association of Clinical Endocrinologists (AACE), the target HbA1c level for most people…
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