Mastering the ABCDESSS of Diabetes Management
Living with diabetes requires a delicate balance. It may seem daunting at times, but the ABCDESSS of diabetes health management guides you through the complexities of diabetes care without overwhelming you. Let's explore this acronym that captures essential aspects of diabetes management, from blood sugar control to self-management strategies.
What is Diabetes?
Before delving into the ABCDESSS of diabetes management, let's take a moment to understand what diabetes is. Diabetes is a chronic condition that occurs when the body either cannot produce enough insulin or cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood sugar (glucose) and allows it to enter cells, providing them with the energy they need. There are two main types of diabetes: Type 1 and Type 2.
Type 1 Diabetes:
Autoimmune disease that’s often diagnosed in childhood or adolescence, but can also develop in adulthood.
People aren’t able to produce their own insulin (and can’t regular their blood sugar) considering their body is attacking the pancreas.
Requires insulin injections or an insulin pump for management.
Type 2 Diabetes:
Typically develops in adulthood, but is increasingly seen in children and adolescents.
The body either doesn't produce enough insulin, or it can’t properly use the insulin made.
Managed through lifestyle changes like healthy eating and exercise, but may also require medications, and sometimes insulin.
Now, let's explore the ABCDESSS of diabetes health management.
A: A1C – Aim for 7% or Less
Keeping your A1C levels at 7% or less is crucial for long-term diabetes health. The A1C test, conducted by your healthcare provider, provides insight into your average blood sugar levels over the past two to three months. Work closely with your healthcare team to set personalized targets and develop a plan to achieve them.
Implementing lifestyle changes, such as adopting a balanced diet and increasing physical activity, can significantly impact your A1C levels. Consistency is key, so make gradual adjustments to your routine and celebrate small victories along the way.
Create a routine for monitoring your diabetes symptoms, and don't hesitate to discuss your progress and challenges with your healthcare provider. Regular check-ups will help fine-tune your approach and ensure you stay on track. Consult your healthcare provider on how regularly you should get your A1C levels checked.
B: Blood Pressure – Aim Less Than 130/80 mmHg
High blood pressure is a common companion to diabetes, increasing the risk of heart disease and other complications. Aim for a blood pressure reading below 130/80 mmHg to safeguard your heart and overall well-being.
Incorporate heart-healthy habits into your daily life, such as reducing sodium intake and following a healthy eating plan, staying physically active, and managing stress. These lifestyle changes can have a positive impact on your blood pressure and contribute to comprehensive diabetes care.
Regularly check your blood pressure at home with a blood pressure monitor and share the results with your healthcare team. Open communication ensures that adjustments can be made to your treatment plan if necessary.
C: Cholesterol – LDL Cholesterol Should Be Less Than 2.0 mmol/L
Diabetes can elevate cholesterol levels, specifically LDL cholesterol. Keeping LDL levels below 2.0 mmol/L is vital for cardiovascular health.
Embrace a diet rich in fiber and healthy fats to support optimal cholesterol levels. Additionally, stay active, as regular exercise can positively influence your cholesterol profile.
Have your cholesterol levels tested yearly through blood tests or as indicated by your healthcare provider, and collaborate with your healthcare provider to make informed decisions about your diet, exercise routine, and any necessary medications.
D: Drugs to Protect the Heart – Blood Pressure Pills, Cholesterol-Lowering Pills, Medications That Lower Blood Sugar With Proven Heart Benefit, or ASA
Certain medications play a crucial role in protecting your heart while managing diabetes. These may include blood pressure pills, cholesterol-lowering medications, and drugs that provide dual benefits by lowering blood sugar and supporting heart health. Aspirin (ASA) might also be recommended based on your individual risk factors.
Adhere to your prescribed medication regimen consistently. Attend regular check-ups with your healthcare team to monitor the effectiveness of your medications and make adjustments as needed.
Keep a record of your medications, and set reminders to ensure you never miss a dose. Discuss any concerns or side effects with your healthcare provider promptly.
E: Exercise and Healthy Eating – Regular Physical Activity and Follow a Healthy Eating Plan
Regular exercise and a healthy diet are cornerstones of diabetes management. Exercise helps control blood sugar levels, improves insulin sensitivity, and supports overall well-being. Adopting a balanced, nutritious diet is equally vital for managing weight and optimizing blood sugar control.
Find enjoyable ways to stay active, whether it's walking, cycling, or engaging in fitness classes. Experiment with nutritious diabetes-friendly recipes and implement portion control to create a sustainable and satisfying eating plan.
Incorporate physical activity into your daily routine, and plan meals ahead to avoid impulsive food choices. Seek guidance from a dietitian or fitness professional to tailor your plan to your individual needs.
S: Self-Management – Set Goals and Identify Barriers Preventing You From Reaching Them
Taking an active role in your diabetes care involves setting realistic goals and understanding potential obstacles. Self-management empowers you to make informed decisions about your lifestyle and treatment plan.
Establish short-term and long-term goals that align with your overall health objectives. Break these goals into manageable steps, making it easier to track your progress and celebrate achievements.
Regularly assess your goals, acknowledging successes and identifying areas for improvement. If you encounter challenges, explore strategies to overcome them and seek support from your healthcare team, friends, or family.
S: Screening – Ask Your Doctor About Tests for Your Heart, Feet, Kidneys, and Eyes
Regular screenings are essential for detecting and preventing potential complications associated with diabetes. These screenings may include tests for heart health, foot care, kidney function, and eye health.
Proactively engage with your healthcare provider to schedule and attend recommended screenings. Early detection and intervention can significantly reduce the risk of complications. You can also check your own feet at home – look out for cuts, cracks, bruises, blisters, sores, infections or unusual markings.
Keep track of screening schedules and attend appointments as advised. Communicate any symptoms or concerns promptly to ensure timely evaluation and appropriate action.
S: Stop Smoking – Ask Your Doctor for Help if Needed
Smoking poses significant risks for individuals with diabetes, increasing the likelihood of cardiovascular issues and complicating overall health. Quitting smoking is a crucial step toward a healthier future.
Seek support from your healthcare team to develop a personalized smoking cessation plan. Explore various strategies, such as nicotine replacement therapy or counseling, to enhance your chances of success.
Commit to the journey of quitting smoking, and celebrate milestones along the way. Lean on friends, family, or support groups for encouragement, and keep your healthcare provider informed of your progress.
As you navigate the ABCDESSS of diabetes, remember that taking action and consistent practice transform positive intentions into lasting habits. By integrating these principles into your daily life, you're not just managing diabetes – you're actively cultivating a healthier, more vibrant future.
Resources
Diabetes Canada - ABCDESSS of Staying Healthy with Diabetes
Diabetes Canada - What is Diabetes?
Diabetes Canada - High Blood Pressure
Diabetes Canada - Cholesterol and Diabetes
Diabetes Canada - Smoking and Diabetes
