Key Treatment

Diabetic care is best individualized for children, pregnant women, elderly patients, and hospitalized and seriously ill patients (ADA, 2009).

Children with type 1 diabetes are prone to hypoglycemia, which can cause apprehensive stress and result in maladjustment to diabetic treatment. Clinicians need to consider options as diverse as intensive insulin pump therapy to deferring tight glycemic goals until the child attains the maturity to participate in care (SOR: C). In women with preconception diabetes, to lessen the risk of diabetic embryopathy, glycemic goals are to tighten HbA1c within 1% of normal. Planning pregnancy appropriately motivates patients, and the goal can be attained with frequent glucose monitoring (Goldman et al., 1986; Kitzmiller et al., 1991) (SOR: B). In patients older than 65, glycemic control has not been shown to reduce the risk of micro- and macroangiopathy. Clinical judgment suggests that geriatric patients with short-term life expectancy (<10 years) should be treated to a relaxed HbA1c range of about 7.5% to 8.5%, which provides some reserve in preventing acute hyperglycemia and delaying dehydration associated with acute illness, while limiting the risk of hypoglycemia (Brown et al., 2003) (SOR: B). In critically ill surgical patients, glucose level generally should be kept below 140 mg/dL to ensure better outcomes (Furnary et al., 2003; van den Berghe, 2001) (SOR: A).

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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