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your health Symptoms of Diabetes Signs that you may be diabetic Diabetes occurs when your blood sugar rises too high because your body doesn't produce enough of the hormone insulin, or the insulin doesn't work correctly. • • • • Frequent infections, or wounds that don't heal. Blurred vision. Numbness or tingling in hands and feet. Dry, itchy skin. If you have any of these symptoms, visit your doctor to be tested for diabetes, especially if you are 45 or older. Insulin, made by the pancreas, helps body cells absorb sugars from food. Here are some common warning signs of diabetes, courtesy of the U.S. Department of Health and Human Services: • • • • Excessive thirst and urination. Feeling very hungry frequently. Feeling very tired. Unintentional weight loss. Gestational Diabetes Overview Definition Gestational diabetes is a condition characterized by elevated blood sugar brought on by pregnancy. The condition affects 4 percent of all pregnancies in the United States each year, according to the American Diabetes Association. The condition affects the mother in late pregnancy usually beginning sometime around weeks 20 through 24 - after the baby is formed. Gestational diabetes can hurt the baby if not controlled. The blood sugars of most women return to normal after they deliver. However, they are at risk of again developing gestational diabetes with subsequent pregnancies. Other women go on to develop type 2 diabetes and require treatment for the rest of their lives. © HealthAtoZ.com Sources: HealthDay Prognosis The good news is that gestational diabetes often can be controlled with diet and exercise. But for a few women, the condition may require insulin injections. Gestational diabetes ends once the pregnancy has ended, but it increases the risk of the mother developing type 2 diabetes later in life. There is also a higher chance for developing the condition in later pregnancies. If you have gestational diabetes, the American Diabetes Association recommends that you get a glucose screening at least six weeks after you deliver. If your glucose level is normal, you can wait up to three years to get another screening. If your post-partum glucose level is not normal, you should get annual glucose screenings to follow up. © HealthAtoZ.com Sources: HealthDay Don’t Let Diabetes Get You Down: Preventing a Low Blood Sugar Emergency By Laurie Sammeth, HealthAtoZ Writer One minute you're feeling fine and the next you're sweaty, shaky and dizzy. If you have diabetes, you might be having symptoms of low blood sugar. This condition is called hypoglycemia. It's important to recognize and treat low blood sugar symptoms right away. Quick action can prevent an emergency. What is a low blood sugar emergency? Hypoglycemia (low blood sugar) is sometimes called "an insulin reaction". It can develop quickly and can lead to a sudden loss of consciousness. It may occur if you: • • • • Have too much insulin in your body Don't eat enough Exercise too much Take certain medicines Be on the lookout for warning signs Learning to recognize warning signs of hypoglycemia may help you avoid a low blood sugar emergency. These signs may vary from time to time. They can also differ from person to person. They include: • • • • • • • • Low blood sugar levels Dizziness Shakiness Sweating Heart palpitations (heart pounding) Hunger Pale skin Trouble concentrating If you have had diabetes for many years, you may not always be able to recognize the subtle signs of hypoglycemia. This is known as hypoglycemic unawareness. It occurs more in people who have neuropathy (nerve damage) caused by diabetes, or who take certain medications for heart disease or high blood pressure. Although you may not feel the physical symptoms of low blood sugar, you may still have mental symptoms of hypoglycemia, such as: • • • Trouble concentrating Slowed speech Coordination problems Tell your doctor if your blood sugar level drops below 50 and you do not have any symptoms of hypoglycemia. Be prepared! To help prevent a low blood sugar emergency, you need to plan ahead. Wear a medical alert bracelet and always have the following at hand: • • • A blood sugar (glucose) meter. Glucose tablets, hard candies or another form of sugar. A syringe of glucagon (a hormone that quickly raises blood sugar). Ask your doctor to prescribe it and show your family, friends and coworkers how to inject you. Tips for preventing a low blood sugar emergency To help prevent low blood sugar, check your blood sugar levels as often as your doctor tells you to. And keep your blood sugars in your target range. If you do become hypoglycemic: Eat something with sugar in it, such as: • Three glucose tablets • One-half cup of fruit juice, or • Five to six pieces of hard candy • Then wait 15 minutes and check your blood sugar levels. • If your blood sugar level is still low and you still have symptoms, have the same amount of sugary food again. Be sure to act fast - hypoglycemia can quickly cause you to lose consciousness. If you do pass out, you'll need a glucagon shot right away. If this is not possible, someone needs to call 9-1-1 to get you immediate medical assistance. © HealthAtoZ.com Common Myths About Diabetes Special diabetic foods found in grocery stores cost more and can raise blood sugar levels. By Melissa Tennen, HealthAtoZ writer Fact: People with diabetes can - and should - exercise. Working out regularly means better control of your diabetes and helps your body to better use insulin. Talk to your doctor first before starting any exercise program. Diabetes is a complicated disease. If you have it or even if you don't, there's a lot for you to learn, including separating fact from fiction. Take a look at some of these common myths about diabetes. Myth: Eating too much sugar causes diabetes. Fact: Diabetes is not caused by eating too much sugar. Rather diabetes is caused by a lack or complete absence of insulin, which is a hormone that helps blood sugar get into cells. When you eat, food is turned into a type of sugar, but it's not the same as the refined sugar you buy at the store. If you exercise and follow a healthy diet, you can eat sweets. However, you have to be very careful not to overdo it and to balance your fats, protein and carbs throughout the day. Myth: I'll know if I have diabetes because I'll feel sick. Fact: One third of the 21 million people with diabetes don't know they have it. Uncontrolled diabetes damages blood vessels and other parts of your body. Even if you have been diagnosed with diabetes and feel OK, you still need to take extremely good care of your disease. The damage from diabetes may take years to show, and you may not be able to undo such conditions as heart disease and nerve damage. Only a doctor can tell you for sure if you have diabetes. Myth: I can't exercise because it will just worsen my diabetes. Myth: I don't need to change my diabetes treatment program if my A1c count is lower than 8 percent. Fact: The reason for any diabetes treatment plan is to get your numbers as close to normal as possible and to gain tight control of your diabetes. The closer your A1c is to normal range - less than 7 percent - the lower your chances for complications, such as nerve damage and eye disease. Myth: I won't be able to eat starchy foods, like bread and potatoes. Fact: High carbohydrate foods are your main source of energy. If you are a diabetic, talk to your dietitian to work out your daily carb need. Your dietitian will also teach you how to measure out the right portion sizes and to read food labels so you get enough carbs each meal and not overdo it. Diabetics need from six to 11 servings of carb-containing foods, which include starchy vegetables such as yams and potatoes as well as bread, pasta and grains. Myth: I don't have a family history of diabetes, so I won't get it. Myth: I have diabetes, but I don't have the serious kind. Fact: Some people are born with a greater chance of developing diabetes than others. However, plenty of people diagnosed with the disease don't have a family history of diabetes. Your weight and lifestyle can be factors in whether you develop diabetes. Fact: Diabetes is always serious. Even if you don't have to inject insulin or take medications, your diabetes still has to be controlled. © HealthAtoZ.com Myth: I'll have to eat all those horrible diabetic foods. Fact: You don't need special foods. All you need is a healthy diet that balances your carbs, proteins and fats. Just like anyone else, your diet should be low in fat, low in sodium and rich in whole grains, fruit and vegetables. Keep Gestational Diabetes Under Control Take good care of yourself during pregnancy Gestational diabetes occurs in women during pregnancy, and it requires careful attention to keep mother and baby safe and healthy. When you're pregnant, your body produces hormones that impair the work of insulin. So the pregnant woman produces extra insulin, but in some women this isn't enough. They get gestational diabetes, which tends to go away when pregnancy ends. • • • • • • The U.S. Department of Health and Human Services offers these guidelines if you're prone to gestational diabetes: Diabetes: Getting Cholesterol Down People with diabetes should try to keep their cholesterol as low as possible. That's because low cholesterol can help prevent diabetes complications. People with diabetes have a higher risk of heart attack and stroke. If you have high levels of cholesterol and triglycerides, your risk increases even more. Diabetes and heart disease go hand-in-hand. Cardiovascular disease is the leading cause of diabetes-related death. In fact, people with diabetes are two to four times more likely to develop cardiovascular disease than those without. At least 65 percent of people with diabetes die from heart disease or stroke. The American Diabetes Association suggests people with diabetes keep low-density lipoprotein (LDL) cholesterol, the bad Work with a dietitian to develop a meal plan that accommodates both you and baby. Avoid eating sweets, eat frequent small meals throughout the day, and watch your carbohydrate intake. Eat sufficient fresh fruits, vegetables and whole grains. Generally, exercise for at least 30 minutes each day is recommended. Talk with your doctor about how much and what kind of exercise is appropriate for you. Check your blood sugar frequently as recommended by your doctor, and record your results so you can monitor them. Take your diabetes medications exactly as prescribed by your doctor. © HealthAtoZ.com Sources: HealthDay. cholesterol below 100 milligrams per deciliter (mg/dL), high density lipoprotein (HDL) cholesterol, the good cholesterol above 40 mg/dL for men and higher than 50 mg/dL for women, and triglycerides below 150 mg/dL. Results from the latest studies have led to the recommendation that LDL cholesterol should be less than 70 mg/dL in people with diabetes. Your best bet to help reduce your risk is to keep your cholesterol levels as low as possible, and to control your blood pressure and blood sugar. Start by getting a blood test once a year to check your cholesterol levels. Your doctor can tell you if you need checks more often than that. By Melissa Tennen, HealthAtoZ writer © HealthAtoZ.com your health Articles on health and wellness, as well as those on UnitedHealthcare programs and services, are provided by and copyrighted by UnitedHealthcare. They may not be alerted or reprinted without permission. All other information is provided by your employer.