An individual with type 2 diabetes has the same level of heart attack risk as someone who's already had a heart attack, according to the National Heart, Lung, and Blood Institute. There are numerous reasons for the link between diabetes and heart disease, Dr. Sullivan says, including a "group attack" from diabetes and other heart disease risk factors like high blood pressure and high cholesterol, which already affect many people with type 2 diabetes.
This diabetes-management and weight-loss app (it works similarly on Apple and Android devices, despite the separate names) features a log for blood glucose readings, A1C results, food, exercise, blood pressure levels, and medication use plus reminders to check your blood glucose. Upgrade to the “maximum” version for integration with fitness trackers (such as Jawbone and Fitbit) and extra features—nutrition planning and more charts and reports. This is for people with type 1 or type 2 diabetes and for those seeking to lose weight.
In older people with type 2 diabetes with no other complex comorbidities but with clinical CVD and in whom glycemic targets are not achieved with existing antihyperglycemic medications, an antihyperglycemic agent with demonstrated CV outcome benefit could be added to reduce the risk of major CV events (grade A, level IA for empagliflozin; grade A, level IA for liraglutide; grade C, level II for canagliflozin) Interactive tool for individualizing HbA1c target:
Glucagon is a hormone that causes the release of glucose from the liver (for example, it promotes gluconeogenesis). Glucagon can be lifesaving and every patient with diabetes who has a history of hypoglycemia (particularly those on insulin) should have a glucagon kit. Families and friends of those with diabetes need to be taught how to administer glucagon, since obviously the patients will not be able to do it themselves in an emergency situation. Another lifesaving device that should be mentioned is very simple; a medic-alert bracelet should be worn by all patients with diabetes.
Since cardiovascular disease is a serious complication associated with diabetes, some have recommended blood pressure levels below 130/80 mmHg. However, evidence supports less than or equal to somewhere between 140/90 mmHg to 160/100 mmHg; the only additional benefit found for blood pressure targets beneath this range was an isolated decrease in stroke risk, and this was accompanied by an increased risk of other serious adverse events. A 2016 review found potential harm to treating lower than 140 mmHg. Among medications that lower blood pressure, angiotensin converting enzyme inhibitors (ACEIs) improve outcomes in those with DM while the similar medications angiotensin receptor blockers (ARBs) do not. Aspirin is also recommended for people with cardiovascular problems, however routine use of aspirin has not been found to improve outcomes in uncomplicated diabetes.
With a cheeky logo (“We make diabetes suck less”) and a cute cartoon monster to greet you in the app, mySugr almost makes logging your diabetes data fun. You can input and track blood glucose levels, meds, meals, and carb intake, and it syncs with the Apple Health app to collect physical activity and step data points. It can also sync with Accu-Check glucose meters and give you an estimated hemoglobin A1C.
Diabetes can occur temporarily during pregnancy, and reports suggest that it occurs in 2% to 10% of all pregnancies. Significant hormonal changes during pregnancy can lead to blood sugar elevation in genetically predisposed individuals. Blood sugar elevation during pregnancy is called gestational diabetes. Gestational diabetes usually resolves once the baby is born. However, 35% to 60% of women with gestational diabetes will eventually develop type 2 diabetes over the next 10 to 20 years, especially in those who require insulin during pregnancy and those who remain overweight after their delivery. Women with gestational diabetes are usually asked to undergo an oral glucose tolerance test about six weeks after giving birth to determine if their diabetes has persisted beyond the pregnancy, or if any evidence (such as impaired glucose tolerance) is present that may be a clue to a risk for developing diabetes.
Scientist at Women’s College Research Institute in Toronto, Ont, a family physician at Women’s College Hospital, Adjunct Scientist in ICES, Assistant Professor in the Department of Family and Community Medicine at the University of Toronto, and Innovation Fellow at the Women’s College Hospital Institute for Health System Solutions and Virtual Care.
The pain of diabetic nerve damage may respond to traditional treatments with certain medications such as gabapentin (Neurontin), phenytoin (Dilantin), and carbamazepine (Tegretol) that are traditionally used in the treatment of seizure disorders. Amitriptyline (Elavil, Endep) and desipramine (Norpraminine) are medications that are traditionally used for depression. While many of these medications are not indicated specifically for the treatment of diabetes related nerve pain, they are used by physicians commonly.
In this simple app, you can record your blood sugar, meals, insulin, and medications. If there’s a feature in the app you don’t need, you can switch it off to keep the interface as clean as possible. The app syncs across multiple devices and creates clear graphs and reports so you can see the big picture of your data. If simplicity is your goal, this may be the right app for you.
Symptoms of type 1 diabetes can start quickly, in a matter of weeks. Symptoms of type 2 diabetes often develop slowly—over the course of several years—and can be so mild that you might not even notice them. Many people with type 2 diabetes have no symptoms. Some people do not find out they have the disease until they have diabetes-related health problems, such as blurred vision or heart trouble.
Still, these choices are just the beginning, and there are lots of other options to explore. We’ve listed our top picks for several types of apps, focusing on those that have numerous and consistent good reviews from users and have been updated recently. Many offer similar features, so you may want to download a few and see which is easiest for you to use.
Selected high-priority type 2 diabetes recommendations and relevant tools for FPs: Highlighted recommendations were prioritized for dissemination by those involved in preparing this review. They are not presented in any particular order and are not necessarily the most important recommendations for a given practice or patient; the full guideline is available at guidelines.diabetes.ca.
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The treatment of low blood sugar consists of administering a quickly absorbed glucose source. These include glucose containing drinks, such as orange juice, soft drinks (not sugar-free), or glucose tablets in doses of 15-20 grams at a time (for example, the equivalent of half a glass of juice). Even cake frosting applied inside the cheeks can work in a pinch if patient cooperation is difficult. If the individual becomes unconscious, glucagon can be given by intramuscular injection.
Sometimes the simplest technology is the most important. Jeniece Ilkowitz, CDE, a research nurse and diabetes educator at New York University Langone Health in New York City, recommends that all her patients have this app and set it to show a medical alert on the lock screen, information that can be critical to first responders in an emergency. The Medical ID app is part of the Health app that comes standard on iPhones (therefore, there's no rating on Apple), and it’s simple to set up. If you have an Android device, you’ll have to download it from Google Play.