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Diabetes - Tight Control: The Key to Live Well With Diabetes

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Tight Control: The Key to Live Well With Diabetes

By Nina Nazor

Near Normal Blood Glucose Levels May Delay Complications

What is tight control?

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?

You 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.

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