Type 1 Diabetes: Living With the Disease - Home Treatment
Type 1 diabetes requires daily attention to diet, exercise, and insulin. You may have times when this job feels overwhelming, but taking good care of yourself will help you will feel better, have a better quality of life, and prevent or delay complications from diabetes.
Eat well and count carbohydrate grams
Follow one of these meal-planning methods to help you eat a healthful diet and spread carbohydrate through the day. This will help prevent high blood sugar levels after meals. For more information, see:
-
Diabetes: Counting Carbs if You Use Insulin. -
Diabetes: Using a Plate Format for Eating. -
Diabetes: Eating a Low Glycemic Diet.
Focus on the type of carbohydrate as well as the amount. This might help you stay at your target blood sugar level. Foods with a low glycemic index (GI) may help prevent spikes in blood sugar. It is not yet known if these foods help prevent complications. Low glycemic foods do not raise blood sugar as quickly as high glycemic foods. Foods with a low GI include high-fiber whole grains, lentils, and beans. High GI foods include potatoes and white bread.
Using fat replacers-nonfat substances that act like fat in a food-may seem like a good idea, but talk with a registered dietitian before you do. Some people may eat more food, and therefore more calories, if they know a food contains a fat replacer.
Take insulin
Make sure you know how to give yourself insulin.
If you are using an insulin pump or an insulin pen, make sure you know how to use them properly.
Exercise
Try to do at least 2½ hours a week of
moderate activity. One way to do this is to be active
30 minutes a day, at least 5 days a week. Be sure to
exercise safely. Drink plenty of water before, during,
and after you are active. This is very important when it’s hot out and when you
do intense exercise. It may help to keep track of your exercise on an
activity log
(What is a PDF document?).
Monitor your blood sugar
Checking your blood sugar level is a major part of controlling your blood sugar level and keeping it in a target range you set with your doctor. For more information, see the topic Continuous Glucose Monitoring or see:
Handle high and low blood sugar levels
Be sure you:
- Recognize and treat high and low blood sugar levels. For more information, see:
- Always wear
medical identification
to let medical personnel know that you have
diabetes. - Take precautions when you are driving and do not drive if your blood sugar is below 70 milligrams per deciliter (mg/dL).
Control your blood pressure and cholesterol
- For people who have diabetes, the blood pressure goal is 130/80. But your goal may be different. Your doctor will help you set a blood pressure goal that is based on your health. Moderate exercise, such as 30 minutes of brisk walking most days of the week, can help lower blood pressure. But you may need to take one or more medicines, such as angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs) to achieve your goal.
- A low-fat diet, exercise, and weight loss can lower your cholesterol. Your body needs insulin to process fats, as it does with carbohydrate. If your diabetes is poorly controlled, the fats in your blood (especially triglycerides) can rise a lot. You should strive for a goal of less than 100 milligrams per deciliter (mg/dL) or aim for keeping it at 70 mg/dL, for low-density lipoprotein (LDL), or "bad," cholesterol. HDL, or "good," cholesterol should be more than 40 mg/dL for men and more than 50 mg/dL for women. Triglycerides should be less than 150 mg/dL. You may need to take lipid-lowering medicines, such as statins, to reach your goals.5
Limit alcohol
WebMD Medical Reference from Healthwise

