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Your Question And My Answers - Diabetic Consultancy

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1…I was recently diagnosed with type 2 diabetes. Do I need to see an endocrinologist?
Answer: While diabetes is an endocrine disease and falls under the specialty of an endocrinologist, there are only 3,000 of us in the U.S. who treat diabetes. Do the math: 25 million people have diabetes; there are not nearly enough endocrinologists. Most people with type 2 diabetes, especially in the early years, can partner with a primary care provider who takes an active interest in their diabetes.
2… What should my blood sugar be when I wake up (fasting) and before meals? What about after? Answer: For most people with diabetes, we recommends a fasting or before-meals blood glucose (or blood sugar) goal of 70–130 mg/dl. One to two hours after eating, a postprandial blood sugar reading at or under 180 mg/dl is recommended.
3… Does a diagnosis of type 2 diabetes mean I will have to go on insulin?
Answer: No. People with type 2 diabetes may or may not ever need to take insulin injections, depending on several factors, including the timing of diagnosis. Research indicates that if type 2 diabetes is treated early and blood sugar is controlled initially and over the years, the pancreas is more likely to produce enough insulin longer.
4… . How can I learn to accept my diabetes?
Answer: Accepting that you have diabetes is largely an act of cognition—a realignment of what you view as real and vital to your existence and how it can impact your life. Diabetes becomes an integral part of a person’s life. Accept that diabetes will, for the rest of your life, be there. And it’s a very treatable disease,
.5… Will insulin make me gain weight?
Answer: The reason we need insulin as a hormone made in our bodies or as a medication is to push glucose into cells for energy. Insulin’s job is to process calories. For this reason, it can but doesn’t have to cause weight gain. To prevent weight gain: Practice portion control. Burn extra calories with exercise.
6…Can your menstrual cycle and/or going through menopause affect glucose levels?
Answer: Yes and yes! It’s common for women to have hormone fluctuations the week before their period, and those can affect glucose control. After ovulating, estrogen and progesterone rise. Estrogen can make women more sensitive to insulin and cause hypoglycemia. Progesterone can do the converse. Glucose levels often return to their usual patterns after the first few days of the menstrual cycle.
7.. Why is weight loss so important? What’s the best way for a person with type 2 to lose weight?
Answer: Weight loss is vital, particularly just after a diagnosis of type 2 or prediabetes. Weight loss increases insulin sensitivity, allowing cells to more effectively use the insulin the body continues to make. Losing just 10–20 pounds can accomplish a boatload of benefits. Among them are improved blood sugar, blood pressure, and cholesterol levels and possibly taking fewer medications or lower doses.

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