Type 2 diabetes is a condition where blood sugar is too high. It can develop when your body is unable to make enough insulin and/or respond properly to insulin. Insulin is a hormone that normally helps our bodies use or store glucose from food. Having type 2 diabetes increases your risk for life-threatening complications, such as heart disease and other organ damage.
Guidelines are meant to support clinical judgment not replace it. They should support shared decision making in practice. In that spirit, we present thematic groupings of guideline recommendations for adults with type 2 diabetes that we believe FPs will find important and useful. Specifically, the guidelines encourage 3 crucial conversations that FPs can have regularly with their patients to identify key considerations for comprehensive primary care across the lifespan. Family physicians might like to ask themselves and their patients with diabetes whether there are opportunities at each visit for the following:
In Canada, blood glucose is measured as millimoles per liter (mmol/L). In the US, it is measured as milligram per deciliter (mg/dL). If you’re reading a US article about blood sugar, and can’t make sense of the blood glucose measurement being discussed, there’s an easy conversion calculation: you simply divide the units expressed as mg/dL by 18. So, a blood glucose level of 90 mg/dL¸18 = 5.0 mmol/L.
High-quality diabetes care involves a series of periodic conversations about self-management and about pharmacologic and nonpharmacologic treatments that fit with each patient’s goals (ie, shared decision making). Incorporating these conversations into regular practice provides FPs with opportunities to maximize likely benefits of treatments and decrease the risk of harms, to support patients in initiating and sustaining desired lifestyle changes, and to help patients cope with the burdens of diabetes and comorbid conditions.
People with diabetes should have an individualized plan for activity and nutrition. Intensive, group-based behavioural interventions can help patients to achieve their goals. Patients should be encouraged to seek nutrition counseling from a registered dietitian; in some regions dietitian consultations are available free of charge (eg, Ontario [www.unlockfood.ca/en/default.aspx], British Columbia [www.healthlinkbc.ca/dietitian-services], and Manitoba [www.wrha.mb.ca/prog/nutrition/files/204DADStickerEnglish.pdf]).
You can manually enter your blood glucose values in the app or buy their special cable to upload your glucometer readings to the app. For every glucose entry, add notes about medications, mood, exercise, and meals (you can even add a photo of your meal for a quick record), and then track your trends over the course of the day and long term. This app also has features for tracking blood pressure, weight, and A1C.
Its Drive for Excellence in Diabetes Care program (17% of program spending) condenses the best research on how to manage diabetes into a set of recommendations people can act on. It recognizes that there is an overwhelming volume of research evidence for front-line health-care providers to stay on top of. By creating the Diabetes Canada Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada, the best and most recent information is in the hands of front-line healthcare providers. Webinars and local educational events across the country are used to build providers’ knowledge and confidence in applying the Guidelines. In F2017, the charity reports that 16,771 healthcare providers attended 163 Diabetes Canada health education events.
A Great Diabetic Log Program. I have been using this program for several months now and cannot go without it. I can accurately keep my glucose and dietary levels. I can also keep track of my blood pressure readings, weight levels, A1C levels and much more. I can prepare and print many different reports for my doctors. If you are a diabetic, you should use this program.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In type 1 diabetes, the pancreas loses its ability to make insulin because the body's immune system attacks and destroys the cells that produce insulin. No one knows exactly why this happens, but scientists think it has something to do with genes. But just getting the genes for diabetes isn't usually enough. A person probably would then have to be exposed to something else — like a virus — to get type 1 diabetes.

Enter your weight, blood pressure, HbA1c levels, and more into Glucose Buddy and see why people with diabetes find this app effective and easy to use. It also lets you track carb intake and workouts, and monitor trends so you get a better idea of how to best manage your condition. Subscriptions are $14.99 per month or $59.99 per year and give users access to premium features such as other fitness apps, advanced graphs, and custom tagging tools.
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