A member asked:

Please share some do's and dont's for patients with type 1 diabetes.

126 doctors weighed in across 124 answers
Dr. John Munshower answered

Specializes in Family Medicine

Self: Self motivation and patient education about diabetes, diet, and exercise remains the #1 treatment with meds.

Answered 9/29/2016

5.2k views

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Dr. John Munshower answered

Specializes in Family Medicine

Educate: Educate yourself about diabetes, signs/symptoms, diet, exercise, healthy living, med compliance.

Answered 9/29/2016

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There'is: There is no way to prevent type 1 dm. It is an autoimmune disease. Goal: prevent complications.

Answered 9/29/2016

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Get: Get your yearly eye exam by an ophthalmologist - "better to see you my dear"!

Answered 10/19/2013

5.2k views

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Dr. Marcus Degraw answered

Specializes in Pediatrics

Myth:: Myth: your doctor can order a test to find diabetes before a child shows signs or symptoms.

Answered 5/9/2013

5.2k views

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Make: Make sure you alternate your injection sites to prevent scarring (lipodystrophy) of your sites.

Answered 4/24/2016

5.2k views

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Dr. Lance Ashworth answered

Specializes in General Practice

Keep: Keep weight as close to normal as you can. Exercise 4/7 days a week. Monitor sugar 3x a day to keep Insulin req low.

Answered 9/29/2016

5.2k views

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Type: Type 1 diabetes can now be better controlled with a continuous glucose sensor and an Insulin pump.

Answered 9/29/2016

5.2k views

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

If: If you wake up with a headache, check your blood sugar at 4 am, make sure not too low during the night.

Answered 10/12/2013

5.2k views

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Dr. Oscar Novick answered

Specializes in Pediatrics

Follow: Follow your diet faithfully and take your Insulin to avoid problems later on in life.

Answered 6/25/2014

5.2k views

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Dr. Oscar Novick answered

Specializes in Pediatrics

Dont: Dont cheat on your diet and make sure you take your Insulin as prescribed.

Answered 9/29/2016

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We: We don't know what causes it, so at this time there's no known prevention except try to stay healthy.

Answered 9/25/2013

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Since: Since the predisposition is genetic, be careful who your parents are.

Answered 11/19/2013

5.2k views

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Essentials:: Essentials: education, diet, exercise, insulin, monitoring and following doctor's orders properly.

Answered 10/13/2013

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Monitor: Monitor your blood pressure and cholesterol to reduce heart risk. Eye exam yearly. Always check feet.

Answered 11/27/2017

5.1k views

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Coping: Coping with diabetes is easier with good medical care: your doctor, nutritionist, pharmacist, exercise.

Answered 9/29/2016

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Do: Do watch blood pressure, blood sugar, feet & eyes! don't eat sugary foods, be overweight, be sedentary.

Answered 11/27/2017

5.1k views

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Dr. Linda DiMeglio answered

Specializes in Pediatric Endocrinology

Learn: Learn good habits. Tie self-care behaviors to things you do every day anyway to help remembering.

Answered 7/26/2013

5.1k views

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Dr. Darrell Herrington answered

Specializes in Family Medicine

Watch: Watch for the research on implantable pancreatic cells; it's making progress, showing promise.

Answered 5/12/2016

5.1k views

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Do's and dont's : Do follow the prescribed diet. Don't ignore numbness in your feet.

Answered 10/9/2017

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Pump: Insulin pumps are possible instead of injections, discuss with treating doctor.

Answered 9/29/2016

5.1k views

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Preventing diaproble: Specially made diabetic soles can prevent diabetic ulcers on feet.

Answered 10/9/2017

5.1k views

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Counciling: Often, newly diagnosed patients have a hard time dealing with type 1 & benefit from emotional help or support groups.

Answered 9/29/2016

5.1k views

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Exercise: Consistent exercise can keep blood levels lower but check with treating doctor before starting.

Answered 10/9/2017

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 5/28/2013

5.1k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

Type: Type 1 diabetics do need yearly eye exams, contrary to what many think!

Answered 12/31/2014

5.1k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

DO:: Do: get a dilated eye exam from ophthalmologist yearly! not eyeglass store exams.

Answered 9/29/2016

5.1k views

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Type: Type 1 dm is not preventable it is autoimmune disorder but it can be successfully treated.

Answered 6/13/2013

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Is: It is autoimmune and future treatments might include a viral vaccination!

Answered 9/29/2016

5.1k views

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Do: Do not take up smoking---the diabetes already elevates your risk of cardiovascular disease.

Answered 9/29/2016

5.1k views

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See: See if your local hospital or dm center has a support group. Talking to others can be helpful.

Answered 2/28/2014

5k views

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Dr. Alan Ali answered

Specializes in Psychiatry

Live: Live with your illness, not for your illness. Enjoy life. Be active.

Answered 7/20/2014

5k views

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Dr. Wenjay Sung answered

Specializes in Podiatry

Seek: Seek out group help and therapy. Always easier to manage a condition with a team effort.

Answered 6/24/2013

5k views

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Exclusively: Exclusively breastfeeding your child for the first 5 months will lower the risk in that chlld.

Answered 4/9/2014

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Good: Good oral hygiene, and a healthy mouth makes it easier to control blood sugar levels.

Answered 4/11/2014

5k views

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Dr. John Scuba answered

Specializes in Oral and Maxillofacial Surgery

Currently: Currently not "preventable", relatives of type 1s should watch weight and monitor sugar levels.

Answered 7/16/2013

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Do: Do not take Insulin and not eat. Take extra food or carbs to compensate when physically active.

Answered 6/25/2014

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Dr. Joseph Accurso answered

Specializes in Radiology

Take: Take control! keep track of exercise, food eaten, how you feel, and take blood sugar levels often!

Answered 3/28/2014

5k views

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The: The most important component in the treatment of type 1 diabetes is Insulin and close monitoring.

Answered 1/3/2015

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Do: Do not guess carbohydrate intake and do not miss Insulin injections.

Answered 1/3/2015

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Type: Type 1 diabetics - get your thyroid checked routinely!

Answered 9/29/2016

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Tight: Tight blood glucose control, healthy eating and regular health checks are essential.

Answered 8/23/2013

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Healthy: Healthy low carbohydrate diet, close monitoring, and insulin.

Answered 7/20/2014

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Dr. I. Jay Freedman answered

Specializes in Dentistry

All: All diabetics are at greater risk of gum disease! dental care must be regular and always excellent.

Answered 12/27/2014

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Dr. Alan Ali answered

Specializes in Psychiatry

Foot: Foot care is important to detect early blood circulation changes.

Answered 2/26/2014

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Do: Do remember to take basal (long-acting) Insulin when sick. It is necessary even when not eating.

Answered 6/25/2014

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Dr. Barbara Lavi answered

Specializes in Clinical Psychology

There's: There's no way to prevent type1 diabetes. Control your sugar levels by eating well and exercising.

Answered 2/21/2014

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Strict: Strict adherence to diet and Insulin dosing are key to success.

Answered 6/25/2014

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Dr. Mohammed Parvez answered

Specializes in Internal Medicine

Keep: Keep blood sugars under control and live a happy, healthy & prosperous life.

Answered 8/17/2013

4.9k views

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Dr. Mohammed Parvez answered

Specializes in Internal Medicine

Just: Just be yourself ! don't let diabetes over whelm and affect your daily life.

Answered 8/17/2013

4.9k views

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There: There r currently no way to prevent it.Good news is, ongoing studies r testing islet cell antibodies.

Answered 7/23/2014

4.9k views

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Check: Check your blood sugar regularly, keep your sugar at target, keep your appointments with your doctor.

Answered 7/23/2014

4.9k views

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Eat: Eat more fibers- slows digestion to help prevent blood sugar spikes. Spread total carbs across d day.

Answered 7/24/2014

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More: More frequent monitoring of blood sugar through your day reduces risk of blindness from diabetes.

Answered 5/8/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Regular: Regular exercise may help you reduce the amount of Insulin your body needs.

Answered 6/25/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Check: Check your blood sugar frequently, and adjust your Insulin dosage accordingly.

Answered 8/18/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Sticking: Sticking to a careful diet plan can help control your blood glucose levels.

Answered 8/18/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Don't: Don't throw caution to the wind and eat what everyone else at the party is eating.

Answered 6/23/2014

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Insulin: Insulin is a must! watch what you're eating. Avoid low blood sugar readings.

Answered 6/25/2014

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Diabetics: Diabetics should give themselves a yearly birthday present of an eye exam and visit to a podiatrist!

Answered 12/17/2013

4.9k views

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Avoid: Avoid processed food. Have regular meals. Do not skip meals. Try to avoid gluten.

Answered 1/10/2018

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Try: Try to avoiding gluten containing foods. Do not eat processed foods. Avoid all soda!

Answered 10/31/2014

4.9k views

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Eating: Eating regular meals. Avoid soda. Get aerobic exercise. Positive thoughts. Eat organic foods.

Answered 11/3/2013

4.9k views

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Dr. Daniel Kessler answered

Specializes in Family Medicine

Eat: Eat healthier. Try local co-ops or farmers markets for organic food. Become a mentor for diabetes.

Answered 11/15/2013

4.9k views

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Wash: Wash your hands first with soap and water. Touching food before sampling can give a false read.

Answered 9/1/2013

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We: We cannot prevent t1dm. However, once diagnosed, using an Insulin pump can restore some beta cells.

Answered 11/1/2014

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Dr. Ravi Chand answered

Specializes in Psychiatry

Eating: Eating healthy such a fruits of diff colors, non starchy veggies, beans, lentils, sugar free drinks.

Answered 9/1/2013

4.9k views

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Dr. Ravi Chand answered

Specializes in Psychiatry

Insulin: Insulin is the mainstay of treatment along with healthy diet and lifestyle.

Answered 6/25/2014

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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Possible: Possible tx includes Insulin shots, Insulin pumps , healthy eating , exercise, medications, lifestyle.

Answered 6/25/2014

4.9k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Do: Do accurately count each carb and don't make assumptions about your intake.

Answered 4/10/2015

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Don't:: Don't: let your sugar get out of control do: exercise regularly!

Answered 12/27/2013

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Don't: Don't be shy to tell people you have Insulin dependent diabetes.

Answered 4/30/2015

4.9k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Type: Type 1 diabetes is an autoimmune condition and there is nothing you can do to prevent it.

Answered 9/10/2013

4.9k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Realize: Realize it is for life and controlling it will save your life.

Answered 1/8/2014

4.9k views

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Do: Do keep tight control to prevent blindness, kidney dysfunction, neuropathy, and joint dysfunction.

Answered 4/30/2015

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CHECK: Check glucose before you eat, and two hours after. Eat same type of foods and quantity always.

Answered 5/16/2016

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Must: Must treat your body like a 'stick shift' car! must anticipate your food to handle Insulin dose!

Answered 6/25/2014

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Unfortunately: Unfortunately nothing. Type 1 diabetes may come from an infection, genetics, or auto-immun response.

Answered 1/23/2014

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Do: Do get an annual dilated exam of the retina. Diabetes is a leading cause of blindness.

Answered 12/16/2013

4.9k views

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You: You can have a very normal type life and do most anything you would like to do.

Answered 6/4/2015

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Medicine: Medicine can be used in combinations to help give you an easier daily life style.

Answered 6/6/2015

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Eat: Eat regular meals at regular time and take your medicine.

Answered 6/6/2015

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Losing: Losing some weight will lower your blood sugar , improve your health and help you feel better.

Answered 5/3/2014

4.9k views

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Dr. Dennis Higginbotham answered

Specializes in American Board of Obstetrics and Gynecology

Type: Type 1 diabetes is manageable, but may not be preventable.

Answered 7/14/2015

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Keeping: Keeping tight control of your blood sugar usually slows advancement of diabetic retinopathy.

Answered 4/3/2016

4.9k views

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Dr. Carlos Satulovsky answered

Specializes in Psychiatry

Follow: Follow up and monitor with precision as indicated. Don t ever feel you are alone..

Answered 12/6/2013

4.9k views

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Dr. Carlos Satulovsky answered

Specializes in Psychiatry

Myth:: Treatment compliance really does affect the outcomes and consequences.

Answered 7/20/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

An: An Insulin pump may help achieve tighter control of blood sugar and fewer long term complications.

Answered 5/23/2016

4.8k views

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be: Be ready, learn as much as you can, a low blood can be worse than a high blood sugar, ask questions.

Answered 10/4/2015

4.8k views

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Dr. Barbara Lavi answered

Specializes in Clinical Psychology

Diabetes: Diabetes is a disease. It is no one's fault. Learn ways support your loved ones who have it.

Answered 10/14/2013

4.8k views

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Dr. Joseph Mathews answered

Specializes in Internal Medicine - Endocrinology

Adding: Adding a cgm to your regimen can help avoid the severe hyperglycemias and dangerous hypoglycemias.

Answered 1/27/2014

4.8k views

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there: There are none - be more careful picking your parents and not getting childhood infections, i guess.

Answered 12/20/2013

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basal/bolus: Basal/bolus Insulin treatment (either injections or pump) is the best way to control type1 diabetes.

Answered 10/4/2015

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Dr. Kelvin Barry answered

Specializes in Podiatry

Check: Check the bottom of your feet and between your toes everyday like you brush tour teeth everyday.

Answered 3/30/2014

4.8k views

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Dr. Gena Kluwe answered

Specializes in Internal Medicine

Ignore: Do make sure to wear a medicalert bracelet that identifies you as a type i diabetic.

Answered 12/9/2013

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Ignore: Maintain a healthy life style with plenty of exercise and appropriate weight management.

Answered 11/2/2013

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Ignore: Keep good track of blood sugars and have regular, frequent follow up visits with your doctor.

Answered 11/2/2013

4.8k views

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Dr. Felicia Mata answered

Specializes in Cosmetic Dentistry

Ignore: Regular dental visit will help prevent loss of teeth because of susceptibility to bone damage.

Answered 11/9/2013

4.8k views

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Ignore: Can't prevent type 1 diabetes, this is caused by damage to the pancreas so it can't make insulin.

Answered 11/16/2013

4.7k views

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Ignore: Exercise daily and it will help to keep your sugar better controlled.

Answered 11/16/2013

4.7k views

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Dr. Ramon Garcia-septien answered

Specializes in Sports Medicine

Ignore: Nutrition exercises and Insulin are the key of the successfull.

Answered 4/24/2015

4.7k views

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Ignore: Keep close monitoring of glucose and hba1c and keep monitoring for end organ damage.

Answered 11/22/2013

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Ignore: Most common treatment is insulin. New - islet cell transplant and stem cell research.

Answered 11/22/2013

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Ignore: Understand that there was nothing that could have prevented this.

Answered 11/22/2013

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Ignore: Do monitor your blood sugar levels regularly. Don't take extra Insulin so you can eat that donut!

Answered 6/25/2014

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Dr. Vicki Levine answered

Specializes in Dermatology

Ignore: At this point in time I do not think there is a way to prevent type 1 diabetes.

Answered 12/14/2013

4.7k views

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Dr. Clarence Lyons answered

Specializes in Family Medicine

Ignore: Insulin is often used. You can help yourself by watching your diet and checking your blood sugars.

Answered 6/25/2014

4.7k views

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Dr. Bradford Romans answered

Specializes in Internal Medicine

Ignore: Keep a regular and consistent schedule, especially with regard to mealtime.

Answered 12/21/2013

4.7k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

Ignore: Diabetics need yearly eye exams and podiatry exams.

Answered 12/22/2013

4.7k views

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Ignore: Have always a source of quick sugar available.

Answered 12/27/2013

4.6k views

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Dr. Bradford Romans answered

Specializes in Internal Medicine

Ignore: Stay on schedule with eating, meds, and blood auger checks.

Answered 12/29/2013

4.6k views

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

Ignore: Make sure to visit your podiatrist and ophthalmologist regularly.

Answered 1/4/2014

4.6k views

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Ignore: You can't prevent it. This is an autoimmune disorder that destroys the ability to make insulin.

Answered 1/5/2014

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Ignore: Know how to count your carbs because you will need Insulin for every carb you consume.

Answered 6/25/2014

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Ignore: Eat regularly and take your Insulin because your eyes and kidneys and your heart depends on it.

Answered 11/1/2015

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Ignore: Healthy eating consisting of more protein and less sugar, regular physical exercise.

Answered 1/18/2014

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Dr. Martin Fried answered

Specializes in Nutrition

Ignore: Peer support- join a support group and speak to other people. Learn from those before you.

Answered 1/27/2014

4.5k views

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Ignore: Take Insulin regularly, ; take long-acting Insulin even if sick and not eating, skip short- acting.

Answered 6/25/2014

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Ignore: Must check blood sugar before and after meals to keep things balanced.

Answered 2/1/2014

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Ignore: Best to use an insulin pump. The systems are all being upgraded. Eat properly, exercise regularly.

Answered 12/23/2014

3.4k views

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Dr. Stuart Seigel answered

Specializes in Endocrinology

Ignore: Do count your carbohydrates and treat them with insulin. Don't skip your insulin shots.

Answered 9/5/2015

3.1k views

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Dr. Natalie Hodge answered

Specializes in Pediatrics

Ignore: Do keep A1c at or below ranges as recommended by your endocrinologist.

Answered 6/18/2017

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Dr. Clarence Grim answered

Specializes in Endocrinology

Ignore: Validate u r on DASH diet, have team check spot urine Na,K,Creat. If Na/K ratio not <0.3 not DASHing.

Answered 5/15/2020

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