A member asked:

Please share some do's and dont's for patients with type 2 diabetes.

110 doctors weighed in across 139 answers
Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Checking: Checking blood sugar before breakfast gives a more reliable indication of how your diabetes is doing.

Answered 11/23/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Regular: Regular exercise and avoiding becoming overweight help prevent type ii diabetes.

Answered 7/23/2015

5.2k views

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Don't: Don't focus on the illness. Stay active & exercise. Go out and help someone. Count your blessings!

Answered 9/29/2016

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Education,diet,exercise,weight: Education, diet, exercise, weight loss, monitoring, medication, control of bp/lipids, listen to your doctor.

Answered 10/25/2018

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7%: 7% weight loss and exercising 150 minutes/wk can prevent the progression of prediabetes to diabetes.

Answered 8/23/2017

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Check: Check your feet every day and don't go barefoot.

Answered 5/9/2013

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The: The need for Insulin therapy is not a failure on the part of the patient but often inevitable.

Answered 6/25/2014

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It: It is now known that both types i & ii excrete large amounts of vit b1 in urine. B1 supplement required.

Answered 4/15/2014

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Protect the feet: Do wear socks or shoes at all times to protect the feet. Don't walk around barefooted.

Answered 9/29/2016

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Do:: Do: cut out fats. Do: increase fiber. Do: exercise daily. Don't: pretend you don't have diabetes.

Answered 5/6/2014

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Exercise: Exercise daily, avoid getting fat, avoid over-eating, stay hydrated. Eat high fiber!

Answered 8/16/2014

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For: For better control avoid 'diet soda's'. They create carb craving.

Answered 2/5/2014

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Achieve: Achieve ideal body weight by good nutrition and exercise. Avoid a fatty diet and refined carbs.

Answered 9/29/2016

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Diabetic: Diabetic complications are reduced when people exercise regularly and maintain a normal weight.

Answered 3/23/2014

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Dr. Marvin Den answered

Specializes in Internal Medicine

Besides: Besides the meds, do not eat simple sugars or anything processed. Complex carbs in moderation are ok.

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

Metformin: Metformin stops the liver from uncontrollably releasing sugar into the bloodstream.

Answered 8/28/2020

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Dr. William Harris answered

Specializes in Family Medicine

Although: Although cheap, sulfonylureas like Glipizide have a higher rate of heart attacks than any other class.

Answered 6/28/2018

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Dr. William Harris answered

Specializes in Family Medicine

The: The action of Actos (pioglitazone) is to overcome Insulin resistance, one of several mechanisms at play in diabetes.

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

The: The new incretin medications are one of the few treatments that help with weight loss in diabetes.

Answered 8/24/2017

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Dr. William Haynes answered

Specializes in Internal Medicine - Endocrinology

Do: Do exercise daily. Do a mixture of aerobic and strength training. Don't eat sweets and starches.

Answered 5/8/2016

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Diabetics: Diabetics should do daily foot checks for cuts, sores or abnormalities on feet.

Answered 4/16/2017

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Diabetics: Diabetics should be taught appropriate ways to cut nails to avoid ingrown nails, infection or wounds.

Answered 2/14/2014

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Diabetics: Diabetics do not always get the same foot care from pedicurist as they do from a podiatrist.

Answered 3/30/2014

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Know: Know your cholesterol numbers. A high triglyceride level, low hdl, and/or high LDL can be a set-up!

Answered 5/31/2014

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Dr. Thomas Namey answered

Specializes in Rheumatology

Hyperinsulinemia: Hyperinsulinemia is in dm2. Insulin is toxic. Sulfonylureas increase Insulin - which is bad. Metformin lowers!

Answered 6/25/2014

5.2k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

'Coffee: Coffee ingestion decreases the risk of dm-2 in "a linear way from 2-7 cups per day!" great news!

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

Have: Have a packet of peanut butter on hand for times you may become hypoglycemic.

Answered 6/4/2014

5.2k views

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Dr. William Harris answered

Specializes in Family Medicine

Want: Want to eat more veggies? Try picking from the rainbow of colors available to maximize variety.

Answered 9/29/2016

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Cope: I have suggested to many patients to visit a mental health professional or support group.

Answered 7/22/2014

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Diabetes: If it runs in your family start diet and exercise early and stick with it.

Answered 9/29/2016

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Do's ad Dont's: Do exercise & don't drink alcohol.

Answered 7/3/2014

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Insulin: Some patients do well on Insulin pump instead of injections.

Answered 10/9/2017

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Myth..diabetics: Myth: diabetics end up taking insulin. On the contrary, many type 2's manage with oral meds only.

Answered 11/27/2017

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Dr. Thomas Namey answered

Specializes in Rheumatology

Alpha-glucosidase: Alpha-glucosidase inhibitors prevent conversion of starch to sugar. Very effective, little used!

Answered 10/22/2017

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Plaquenil, (hydroxychloroquine): Plaquenil, (hydroxychloroquine) a drug for rheumatoid arthritis, lowers hgba1c in diabetics. Ask your doctor about it!

Answered 9/29/2016

5.1k views

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Eat: Eat right, exercise regularly, sleep well.

Answered 7/29/2014

5.1k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

ALL: All diabetics must have a dilated eye exam by an ophthalmologist yearly. Not eyeglass store exams!

Answered 5/31/2013

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Alpha-glucocidase: Alpha-glucosidase inhibitors should be taken by type 2 diabetics! decrease starch impact on sugar!

Answered 5/5/2014

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Dr. Steve Springer answered

Specializes in Family Medicine

Once: Myth: once you start medications, you can never come off.

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Getting: Getting your vit d level up to 40ng/ml benefits glycemic control. Get your d checked & take 2000iu!

Answered 9/29/2016

5.1k views

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Dr. Gregg Nishi answered

Specializes in Bariatrics

Type: Type 2 diabetes and obesity are closely linked. Eating a healthy diet and exercising are key!

Answered 9/29/2016

5.1k views

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Dr. Gregg Nishi answered

Specializes in Bariatrics

It: Myth: if you feel fine, your diabetes must not be too bad. Wrong! it is a silent disease.

Answered 9/29/2016

5.1k views

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Dr. Libby Putnam answered

Specializes in Podiatry

See: See a podiatrist regularly. You only get one set of feet, and you need to keep them healthy!

Answered 6/9/2014

5.1k views

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Dr. Libby Putnam answered

Specializes in Podiatry

Check: Check your feet daily. If you see any redness, swelling, or open wounds, see your podiatrist!

Answered 6/7/2014

5.1k views

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Dr. Libby Putnam answered

Specializes in Podiatry

Wear: Wear good supportive shoes, and don't go barefoot. You need to protect your feet!

Answered 5/29/2014

5.1k views

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Dr. Libby Putnam answered

Specializes in Podiatry

Keep: Keep your blood sugar nice and low and level to help prevent neuropathy in your feet.

Answered 11/28/2016

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Alpha-glucosidase: Alpha-glucosidase inhibitors (glyset) can lesson the impact of carbs on blood sugar. Ask your doc!

Answered 10/12/2014

5.1k views

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Dr. Steve Springer answered

Specializes in Family Medicine

Do: Do know your abc's: a1c, blood pressure, and cholesterol numbers! these numbers help save lives.

Answered 5/31/2014

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Dr. Steve Springer answered

Specializes in Family Medicine

30minutes: 30 min. A day of moderate activity plus 5-10% drop in weight = 60% drop in risk of getting diabetes.

Answered 7/16/2013

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Dr. Steve Springer answered

Specializes in Family Medicine

The: The best way to beat diabetes is through the acquisition of knowledge about diabetes.

Answered 6/22/2013

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Dr. Tod Haller answered

Specializes in Ophthalmology

All: All diabetics, type 1 or 2, need an eye exam by an ophthalmologist every year.

Answered 6/16/2014

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Dr. Tod Haller answered

Specializes in Ophthalmology

Yearly: Yearly eye exams can be done in eyeglass stores, but you need ophthalmologist.

Answered 9/29/2016

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Dr. Mohammed Parvez answered

Specializes in Internal Medicine

Diabetic/Heart: Diabetic/heart healthy diet; plus regular exercise, minimum 30 minutes a day, 5 days a week.

Answered 12/10/2013

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Dr. Mohammed Parvez answered

Specializes in Internal Medicine

The: The best and effective treatment: "life style changes" with healthy diet and regular exercise.

Answered 3/28/2014

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Dr. Mohammed Parvez answered

Specializes in Internal Medicine

Meditation,: Meditation, relaxation techniques, biofeedback, etc., can help patients cope up with diabetes.

Answered 11/13/2014

5k views

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Dr. Alan Ali answered

Specializes in Psychiatry

Diets,: The proper diet, exercise, and lifestyle changes.

Answered 5/29/2014

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Dr. Grace Torres-hodges answered

Specializes in Podiatry

Numbers: Numbers that diabetics should know are their abcs (abacavir) - hemoglobin a1c, blood sugar, and cholesterol.

Answered 7/7/2013

5k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Low: Low vit d levels are associated with a 38-106% increase in type 2 diabetes! take vit d3-2000iu/ day!

Answered 10/4/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Most: Most type 2's have cholesterol issues and take statins! i recommend co-q10 supplements, 200mg/day!

Answered 7/10/2013

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Dr. Thomas Wright answered

Specializes in Phlebology

An: An aspirin-like anti-inflammatory drug, salsalate, may help with blood sugar control.

Answered 8/18/2013

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Ask: Ask your doctor whether or not you need to fast before getting labs drawn.

Answered 9/29/2016

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Careful: Careful with hot rocks or hot packs because you won't feel your skin burn until after it's infected.

Answered 11/11/2013

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Non-starchy: Non-starchy vegetables: broccoli, brussels sprouts, arugula, cauliflower, kohlrabi. Unlimited refills!

Answered 2/17/2020

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Don't: Don't eat starchy vegetables as much. Non-starchy: broccoli, brussels sprouts, arugula, cauliflower.

Answered 10/4/2016

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Have: Have common sense and select foods wisely. In the end it is our own choice how we eat and feel!

Answered 5/31/2014

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Do:: Do: practice mindfulness. Stress increases glucose values. Dont: say you can't do it!

Answered 1/22/2014

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Keep: Keep your weight down w/diet and exercise, particularly if you have a positive family history of dm.

Answered 7/21/2013

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Keep: Keep your weight down w/diet & exercise, particularly if you have a positive family history of t2 dm.

Answered 7/21/2013

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Keep: Keep your weight down w/diet & exercise, particularly if you have a positive family history of t2 dm.

Answered 7/21/2013

5k views

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Keep: Keep your weight down w/diet & exercise, particularly if you have a positive family history of t2 dm.

Answered 7/21/2013

5k views

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Keep: Keep your weight down w/diet & exercise, particularly if you have a positive family history of t2 dm.

Answered 7/21/2013

5k views

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Keep: Keep your weight down w/diet & exercise, particularly if you have a positive family history of t2 dm.

Answered 7/21/2013

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Dr. Tim Conrad answered

Specializes in Ophthalmology

Keeping: Keeping your weight under control is the best way to avoid type 2 diabetes.

Answered 8/19/2016

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Exercise: Exercise is extremely important. Weight control may cure it.

Answered 7/15/2014

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Do: Do exercise, eat vegetables and lean protein. Don't get overweight or eat high carbs.

Answered 5/29/2015

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Dr. Thomas Wright answered

Specializes in Phlebology

Studies: Studies in healthy animals: metformin may extend life even beyond its help with blood sugar control.

Answered 4/19/2019

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Dr. Hashmat Rajput answered

Specializes in Internal Medicine

With: With diabetes & anytime vision problem, see eye doctor right away. Protect your self from blindness.

Answered 1/11/2015

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Dr. Thomas Wright answered

Specializes in Phlebology

Traditional: Traditional mediterranean, low glycemic, diet helps controls blood sugar. Enjoy and benefit !

Answered 8/31/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Traditional: Traditional mediterranean, low glycemic, diet helps control blood sugar. Enjoy and benefit !

Answered 8/17/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Traditional: Traditional mediterranean, low glycemic, diet helps control blood sugar. Enjoy & benefit in many ways!

Answered 8/18/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Traditional: Traditional mediterranean, low glycemic, diet helps control blood sugar. Enjoy & benefit in many ways!

Answered 8/17/2013

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Regular: Regular exercise and weight management can help prevent type 2 diabetes.

Answered 7/28/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Don't: Don't eat quick carbs like sugars and starchy foods.

Answered 7/28/2014

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Oral: Oral medications are the mainstay of treatment for type 2 diabetes. Diet and exercise are a big help.

Answered 7/28/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

As: As you lose weight, your medication dosage may need to be reduced.

Answered 7/29/2014

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Those: Those with type 2 diabetes have twice the risk of dementia.

Answered 8/19/2016

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Dr. Soren Singel answered

Specializes in Neurosurgery

Stay: Stay away from the inside aisles in the supermarket - that's where they got processed (bad) foods.

Answered 8/16/2014

4.9k views

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Planning: Planning for a major surgery? Work hard with your primary doctor to get your a1c down around 7.

Answered 10/2/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Low: Low calorie, protein rich diet increased gut microbial diversity and lessened metabolic syndrome.

Answered 7/6/2014

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Eating: Eating lots blueberries, grapes, & apples fruit but not juices, lowered the risk of type 2 diabetes.

Answered 11/17/2014

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Eating: Eating more blueberries, grapes, and apples lowered the risk of type 2 diabetes. Enjoy and be healthy!

Answered 2/3/2017

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Eating: Eating more blueberries, grapes, & apples, fruits, not juices, lowered the risk of type 2 diabetes.

Answered 9/6/2013

4.9k views

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Dr. Jodi Luchs answered

Specializes in LASIK Surgery

Patients: Patients with diabetes should have yearly dilated eye examination to rule out diabetic retinopathy.

Answered 9/1/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Mediterranean: Mediterranean diet that focuses on nuts, legumes, fruit n vegetables can lower type 2 diabetes risk.

Answered 9/1/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

In: In 40 years the rate of obesity has more than doubled in this country from 15% to 36%.

Answered 9/1/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Each: Each minute of high intensity exercise was linked to .O7 reduced risk of obesity.Each minute counts!

Answered 9/6/2013

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Obesity: Obesity can cause multiple medical issues including diabetes, heart disease, stroke, and cancer.

Answered 11/10/2014

4.9k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Avoid: Avoid carbs and sugar. Do not avoid "good" fats and cholesterol (eggs). The latter are myths!

Answered 10/4/2016

4.9k views

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Dr. Steven Ferguson answered

Specializes in General Practice

Check: Check your feet daily, often diabetics have a decrease sensation in feet, possible lead... Injury.

Answered 4/12/2016

4.9k views

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Dr. Steven Ferguson answered

Specializes in General Practice

Weight: Weight loss down to ideal body range will usually lead to needing less medicine.

Answered 4/18/2017

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Make: Make sure to eat some protein and complex carbs at breakfast.They will keep you from binging at lunc.

Answered 5/8/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Ask: Ask your doctor if you need to take less medicine each time you lose 5% of your body weight.

Answered 9/28/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Do: Do have an eye exam once per year, every 3 months once retinopathy appears.

Answered 4/3/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Early: Early diabetic retinopathy can most often be treated with painless, in-office laser treatments.

Answered 5/8/2016

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Use: Use a mirror to help examine the bottoms of your feet if you have difficulty seeing them.

Answered 5/8/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Do: Do pack your own lunch. You will be better able to control your blood sugar and lose weight.

Answered 5/8/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

If: If you can't exercise at least 30 minutes in a row, do several shorter sessions that total 30 or more.

Answered 5/8/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Do: Do make a goal of walking 5 miles per day. Work up to it a half mile at a time.

Answered 5/8/2016

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Do: Do tell your ophthalmologist right away if your vision gets blurry.

Answered 5/8/2016

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Do: Do get an annual dilated eye exam from an ophthalmologist. Diabetes is a leading cause of blindness.

Answered 6/13/2017

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Be: Be prepared! always carry glucose tablets or something similar with you to treat hypoglycemia.

Answered 9/2/2014

4.9k views

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Dr. Thomas Wright answered

Specializes in Phlebology

The: The huge weight loss ~100lbs from gastric bypass causes remission in 60% of diabetics from diabetes.

Answered 10/1/2013

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Dr. Harold Peltan answered

Specializes in Ophthalmology

25,000: 25, 000 diabetics go blind each year. See your eye md for regular check-ups.

Answered 1/20/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

As: As you lose weight, check in with your doctor to see if your meds can be reduced.

Answered 10/22/2013

4.8k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Diabetic: Diabetic retinopathy is easiest to treat when it is caught early. Get checked by your eye md.

Answered 10/22/2013

4.8k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Bringing: Bringing your own lunch to work instead of eating out will help you stick to your diet plan.

Answered 4/3/2016

4.8k views

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Dr. Vikram Patel answered

Specializes in Pain Management

Regular: Regular exercises control blood glucose levels better than drugs!

Answered 10/11/2013

4.8k views

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Dr. Colin McCannel answered

Specializes in Retinal Surgery

Annual: Annual eye exams can detect diabetic eye disease early, and ultimately save vision!

Answered 11/20/2013

4.7k views

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Dr. Colin McCannel answered

Specializes in Retinal Surgery

Vision: Vision loss form diabetes is common, control blood sugars too prevent going blind!

Answered 11/24/2013

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: Eat healthy portion controlled meals ; snacks; exercise!

Answered 12/1/2013

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: Avoid simple sugars, alcohol, and exercise as much as possible

Answered 12/1/2013

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: Diet, exercise, oral meds, and finally Insulin when your pancreas has burned out.

Answered 6/25/2014

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: If taking Insulin do take whats prescribed. Don't assume more is better.

Answered 6/25/2014

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If: If you are over 70, hb a1c of 7-8 is ok.

Answered 12/10/2013

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Ignore: Liraglutide and canagliflozin are some of the newer treatments. Remain expensive. Prices will drop.

Answered 12/15/2013

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Ignore: If you have a family history you are at increased risk. Diet, exercise and wt loss are key!

Answered 12/15/2013

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Ignore: It's a myth that: Insulin injections are painful ; bad. Fact: they may be your best treatment.

Answered 6/25/2014

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Ignore: Don't let the condition dominate your life. Measure only as much as needed to maintain targets.

Answered 12/15/2013

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Ignore: Exercise = insulin/diabetic meds. So exercises not only controls dm but its good for the heart/body.

Answered 12/25/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Salsalate,: Salsalate, an arthritis medication, can lower hgba1c in type 2 diabetics. Suggest to your doctor!

Answered 10/4/2016

4.6k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Avoid: Avoid sulfonoureas such as Glyburide and glipizide! they make metabolic syndrome worse!

Answered 6/25/2014

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A: A retina examination for retinopathy or diabetic macular edema is needed even without symptoms.

Answered 9/29/2016

4.5k views

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Dr. Joseph Mathews answered

Specializes in Internal Medicine - Endocrinology

Ignore: Lifestyle modification through improved diet and exercise may be enough to prevent diabetes!

Answered 5/23/2015

4.4k views

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Dr. Joseph Mathews answered

Specializes in Internal Medicine - Endocrinology

Ignore: Your children are also at risk for diabetes. Have the whole family participate in a better lifestyle.

Answered 5/23/2015

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Dr. Quang Nguyen answered

Specializes in Endocrinology

Ignore: The best treatment regimen is one that does not cause low blood sugar but helps with weight loss.

Answered 3/31/2014

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Ignore: By losing even 5% of body weight will improve diabetes.

Answered 8/27/2014

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Ignore: Get a few friends with diabetes and have your doctor to send your crew to a diabetes educator.

Answered 4/26/2015

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Ignore: Do's: watch the diet (see dietician), Exercise daily 30mins, be compliant with medications/doctors.

Answered 5/10/2015

2.8k views

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Dr. Ira Katz answered

Specializes in Endocrinology

Ignore: With diabetes do watch your diet & exercise. Don't try to be perfect it's not possible!

Answered 12/9/2015

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