Part5 Visiting Your Doctor
1 Take a blood sugar test. For this test, you must fast from any
food or drinks except water for about 6-8 hours beforehand to get accurate
results. Fasting normal values are between 75-115 mg/dl; borderline results,
like 115 or 120 mg/dl, should undergo further tests, such as the oral glucose
tolerance test, or OGTT.
- Post prandial (“PP”) blood sugar tests are usually
given after two hours from starting to eat, or after two hours of a 75 mg
glucose intake. Normal values are known as <140mg/dl; readings of PP
with more than 200 mg/dl is a confirmed diagnosis of DM.
2 Alternatively, take an oral glucose tolerance
test. This is usually
performed in cases with borderline readings, in suspected individuals, or in
case of gestational diabetes. With this test, the patient should consume a
normal diet for at least three days, then a fasting venous sample is taken and
the glucose level is identified. The patient is then asked to empty their
bladder before taking the sample.
- Then the adult patient eats 75 mg glucose orally; for
pregnant women, a 100 mg tablet of glucose is given to them. After that,
blood and urine samples are taken at time intervals like of half, one, two
and three hours.
- It’s said to be normal when having fasting results of
<126 mg/dl, pp <140 mg/dl and having a peak for results not
exceeding 200mg/dl.
- However; some abnormalities are seen with OGTT, like
impaired glucosuria, or a flat response. This is when the difference
between the fasting and your peak is about 20 – 25 mg/dl. This can happen
due to absorption abnormalities or over insulin production.
3 Make sure you fully understand your
medications and how to use them. The most important thing when it comes to diabetes is
patient education. You need to fully understand how to use your medications,
their mechanisms of actions, why you're taking this drug and why your doctor
selected it for you, in addition to the hazards, interactions, and side
effects.
- This step, along with diet control and performing
exercises, will lead to greater success in managing the disease and
suppressing the progress of the complications process, leading to
enhancing your lifestyle and keeping you healthy.
4 Talk to your doctor if you notice any changes. During a visit to your doctor, report
any signs of a complication or new symptom that you have experienced. Your
doctor will physically examine you to evaluate your neurological state, examine
your feet and legs for any sign of a diabetic foot, ulcers or infections, and
do all periodic tests that should be performed, like blood, urine, lipid
profile, renal and hepatic functional tests and serum creatinine levels.
- Your doctor should talk to you about the risk of having
a diabetic foot and how to control it with early antibiotics treatment.
Taking care of yourself with personal hygiene to avoid the progression of
gangrene is effective, too.
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