If you have
nephropathy and are pregnant or are planning to become pregnant, talk with your
doctor about which medicines you can take. You may not be able to take some
medicines (for example, angiotensin-converting enzyme [ACE] inhibitors, such as
captopril, lisinopril, ramipril, or enalapril) during pregnancy, because they
may harm your developing baby.
Keep your blood sugar levels within a target range.
Manage your blood sugar by eating a balanced diet, taking your medicines
(insulin or oral medicines), and getting regular exercise. The American
Diabetes Association recommends that you keep your blood sugar levels
70 mg/dL to 130 mg/dL before meals and
110 mg/dL to 150 mg/dL at bedtime.
Less than 180 mg/dL 1 to 2 hours after meals.
Your doctor will want you to check your blood sugar several
times each day. For more information, see:
Do not smoke or use other tobacco products. For
more information, see the topic
If you already have diabetic nephropathy, you may be able
to slow the progression of kidney damage by:
dehydration by promptly treating other conditions-such
as diarrhea, vomiting, or fever-that can cause it. Be especially careful during
hot weather or when you exercise.
Reducing your risk of heart
disease. Lifestyle changes such as eating a low-fat diet, quitting smoking , and
getting regular exercise can help reduce your overall risk of developing heart
disease and stroke. For more information, see the topics
Avoiding X-ray tests that require IV
contrast material, such as angiograms, intravenous
pyelography (IVP), and some CT scans. IV contrast can cause further kidney
damage. If you do need to have these types of tests, make sure your doctor
knows that you have diabetic nephropathy.
Avoiding situations where
you risk losing large amounts of blood, such as unnecessary surgeries. Do not
donate blood or plasma.
Lowering your blood pressure, because high
blood pressure can make kidney damage even worse.
your doctor to find out if it is safe for you to drink alcohol. If you do drink
alcohol, have no more than 1 drink a day. Limiting alcohol can lower your blood
pressure and lower your risk of kidney damage.
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Your level is currently
If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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