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Lifestyle and home remedies

By Mayo Clinic staff

Careful management of type 2 diabetes can reduce your risk of serious — even life-threatening — complications. Consider these tips:

  • Make a commitment to managing your diabetes. Learn all you can about type 2 diabetes. Make healthy eating and physical activity part of your daily routine. Establish a relationship with a diabetes educator, and ask your diabetes treatment team for help when you need it.
  • Identify yourself. Wear a tag or bracelet that says you have diabetes. Keep a glucagon kit nearby in case of a low blood sugar emergency — and make sure your friends and loved ones know how to use it.
  • Schedule a yearly physical exam and regular eye exams. Your regular diabetes checkups aren't meant to replace yearly physicals or routine eye exams. During the physical, your doctor will look for any diabetes-related complications, as well as screen for other medical problems. Your eye care specialist will check for signs of retinal damage, cataracts and glaucoma.
  • Keep your immunizations up to date. High blood sugar can weaken your immune system. Get a flu shot every year, and get a tetanus booster shot every 10 years. Your doctor will also likely recommend the pneumonia vaccine.
  • Take care of your teeth. Diabetes may leave you prone to gum infections. Brush your teeth at least twice a day, floss your teeth once a day, and schedule dental exams at least twice a year. Consult your dentist right away if your gums bleed or look red or swollen.
  • Pay attention to your feet. Wash your feet daily in lukewarm water. Dry them gently, especially between the toes, and moisturize with lotion. Check your feet every day for blisters, cuts, sores, redness or swelling. Consult your doctor if you have a sore or other foot problem that isn't healing.
  • Keep your blood pressure and cholesterol under control. Eating healthy foods and exercising regularly can go a long way toward controlling high blood pressure and cholesterol. Medication may be needed, too.
  • If you smoke or use other types of tobacco, ask your doctor to help you quit. Smoking increases your risk of various diabetes complications, including heart attack, stroke, nerve damage and kidney disease. In fact, smokers who have diabetes are three times more likely to die of cardiovascular disease than are nonsmokers who have diabetes, according to the American Diabetes Association. Talk to your doctor about ways to stop smoking or to stop using other types of tobacco.
  • If you drink alcohol, do so responsibly. Alcohol, as well as drink mixers, can cause either high or low blood sugar, depending on how much you drink and if you eat at the same time. If you choose to drink, do so only in moderation and always with a meal. The recommendation for women is no more than one drink daily, and for for men, no more than two drinks daily.
  • Take stress seriously. If you're stressed, it's easy to abandon your usual diabetes management routine. The hormones your body may produce in response to prolonged stress may prevent insulin from working properly, which only makes matters worse. To take control, set limits. Prioritize your tasks. Learn relaxation techniques. Get plenty of sleep.

Above all, stay positive. Diabetes is a serious disease, but it can be controlled. If you're willing to do your part, you can enjoy an active, healthy life with type 2 diabetes.

Alternative medicine Treatments and drugs
References
  1. Diabetes Mellitus (DM). The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec12/ch158/ch158b.html#sec12-ch158-ch158b-1105. Accessed April 2, 2009.
  2. Your guide to diabetes: Type 1 and type 2. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/type1and2/index.htm. Accessed April 1, 2009.
  3. The dangerous toll of diabetes. American Diabetes Association. http://www.diabetes.org/diabetes-statistics/dangerous-toll.jsp. Accessed April 3, 2009.
  4. Jeerakathil T, et al. Short-term risk for stroke is doubled in persons with newly treated type 2 diabetes compared with persons without diabetes. Stroke. 2007;38:1739.
  5. Heart Disease and Stroke Statistics: 2009. American Heart Association. http://www.americanheart.org/downloadable/heart/123565990943909Heart%20and%20Stroke%20Update.pdf. Accessed April 1, 2009.
  6. Standards of medical care in diabetes — 2009. Alexandria, Va.: American Diabetes Association. http://care.diabetesjournals.org/content/vol31/Supplement_1/. Accessed April 1, 2009.
  7. What people with diabetes need to know about osteoporosis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Accessed Jan. 9, 2009.
  8. Xu WL, et al. Uncontrolled diabetes increases the risk of Alzheimer's disease: A population-based cohort study. Diabetologia. In Press. Accessed April 7, 2009.
  9. Launer LJ. Diabetes: Vascular or neurodegenerative: An epidemiologic perspective. Stroke. 2009;40(suppl):S53.
  10. Bainbridge KE. Diabetes and hearing impairment in the United States: Audiometric evidence from the National Health and Nutrition Examination Survey, 1999 to 2004. Annals of Internal Medicine. 2008;149:1.
  11. Screening for type 2 diabetes mellitus in adults: U.S. Preventive Services Task Force recommendation statement. Rockville, Md.: U.S. Preventive Services Task Force. Annals of Internal Medicine. 2008;148:846.
  12. Estimated average glucose, eAG. American Diabetes Association. http://professional.diabetes.org/GlucoseCalculator.aspx. Accessed Jan. 6, 2009.
  13. Delahanty LM, et al. Nutritional considerations in type 2 diabetes mellitus. http://www.uptodate.com/home/index.html. Accessed Jan. 6, 2009.
  14. Diabetes and women's sexual health. American Diabetes Association. http://www.diabetes.org/type-1-diabetes/women-sexual-health.jsp. Accessed April 3, 2009.
  15. Denkins DJ, et al. Effect of a low glycemic index or a high cereal fiber diet on type 2 diabetes: A randomized trial. Journal of the American Medical Association. 2008;300:2742.
  16. Sigal RJ, et al. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes. Annals of Internal Medicine. 2007;147:357.
  17. About omnipod. Omnipod.com. http://www.myomnipod.com/products/. Accessed April 3, 2009.
  18. High blood sugar: Definition, symptoms. Juvenile Diabetes Research Foundation. http://www.jdrf.org/index.cfm?fuseaction=home.viewpage&page_id=EC92D98E-1321-C844-13EB771367A49526. Accessed April 3, 2009.
  19. What is hyperosmolar hyperglycemic nonketotic syndrome? American Diabetes Association. http://www.diabetes.org/type-2-diabetes/treatment-conditions/hhns.jsp. Accessed April 7, 2009.
  20. Smoking. American Diabetes Association. http://www.diabetes.org/type-1-diabetes/smoking.jsp. Accessed April 3, 2009.
  21. Anderson RA. Chromium and polyphenols from cinnamon improve insulin sensitivity. Proceedings of the Nutrition Society. 2008;67:48.
  22. Baker WL. Effect of cinnamon on glucose control and lipid parameters. Diabetes Care. 2008;31:41.
  23. International Expert Committee. International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes. Diabetes Care. 2009;32:1.

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June 13, 2009

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