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The main goal of diabetes management is to restore carbohydrate metabolism to as close to a normal state as possible. To achieve this goal, individuals with an absolute deficiency of insulin require insulin replacement therapy, which is given through injections or an insulin pump. Insulin resistance, in contrast, can be corrected by dietary modifications and exercise. Other goals of diabetes management are to prevent or treat the many complications that can result from the disease itself and from its treatment.
The targets are:
  • HbA1c of 6%[1] to 7.0%[2]
  • Preprandial blood glucose: 3.9 to 7.2 mmol/L (70 to 130 mg/dl)[3]
  • 2-hour postprandial blood glucose: <10 mmol/L (<180 mg/dl)[3]
  • Goals should be individualized based on:[3]
  • Duration of diabetes
  • Age/life expectancy
  • Comorbidity
  • Known Cardiovascular disease or advanced microvascular disease
  • Hypoglycemia awareness
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The glucose cycle is a system which is affected by two factors: entry of glucose into the bloodstream and also blood levels of insulin to control its transport out of the bloodstream

As a system, it is sensitive to diet and exercise

It is affected by the need for user anticipation due to the complicating effects of time delays between any activity and the respective impact on the glucose system

Management is highly intrusive, and compliance is an issue, since it relies upon user lifestyle change and often upon regular sampling and measuring of blood glucose levels, multiple times a day in many cases

It changes as people grow and develop

It is highly individual

As diabetes is a prime risk factor for cardiovascular disease, controlling other risk factors which may give rise to secondary conditions, as well as the diabetes itself, is one of the facets of diabetes management. Checking cholesterol, LDL, HDL and triglyceride levels may indicate hyperlipoproteinemia, which may warrant treatment with hypolipidemic drugs. Checking the blood pressure and keeping it within strict limits (using diet and antihypertensive treatment) protects against the retinal, renal and cardiovascular complications of diabetes. Regular follow-up by a podiatrist or other foot health specialists is encouraged to prevent the development of diabetic foot. Annual eye exams are suggested to monitor for progression of diabetic retinopathy.
Contact Us :
Telephone: (805) 687-1505
Fax: (805) 682-8241
Email: admin@fpmgsb.com
Address :
200 North La Cumbre Rd.
Suite E
Santa Barbara, Ca. 93110
What We Do :
Specializing in the delivery of Primary Care Medicine to the community and the people of Santa Barbara.