Tight Control: The Key to Live Well With Diabetes
By Nina Nazor
Normal Blood Glucose Levels May Delay Complications
Keeping your blood glucose levels as close to normal
as possible means tight control. Blood glucose concentrations below 120 mg/dL before meals and below 180 mg/dL (less than
140 mg/dL if possible) after meals, for most people, is a good goal.
Also, having a HbA1c below 7% checked every
three or four months. In babies and children the goals are different. We know now that tight control can prevent or slow the
development of diabetes complications, improving the quality of life of people with diabetes.
But tight control involves hard work and commitment with yourself.
Reasons for tight control
The Diabetes Control and Complications
Trial (DCCT), a study which followed almost 1,500 people with type 1 diabetes for 10 years, proved that tight control could
reduce eye disease in 62%, kidney disease in 56% and nerve damage in 60% in people with type 1 diabetes.
On the other hand, the UK Prospective Diabetes Study (UKPDS), which followed over 5,000 patients
with type 2 diabetes in 23 clinics in Europe for 20 years, proved for the first time that better blood glucose control reduces
the risk of eye disease by a quarter, and early kidney damage by a third in people with type 2 diabetes.
How do you get tight control?
must need to pay a lot of attention to your diet, exercise, and blood glucose levels and, if you take insulin, you must adjust
your dose constantly.
Yes, it seems to be complicated, that’s why
you must work all this out with your your health care team. You shouldn't try tight control on your own.
Having a good control will make you feel better and will give you the ability to take more
choices and enjoy more freedom, but can also make you feel overwhelmed sometimes and possible spend more money in your treatment.
If you think you can achieve tight control, talk with your Diabetes Team, it's worth to
work on it.