Living Well with Type 1 Diabetes: Essential Management and Prevention Strategies

A Comprehensive Guide for Patients with Type 1 Diabetes

Endocrinology

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Last updated: Mar 24, 2025

Blood Glucose Monitoring

  • Check blood glucose 4-6 times daily
  • Record readings in a logbook or app
  • Learn to identify patterns
  • Use CGM devices when available

Insulin Management

Basal Insulin

  • Maintain consistent timing
  • Adjust doses with physician guidance
  • Monitor for overnight fluctuations

Bolus Insulin

  • Calculate doses based on:
    • Carbohydrate intake
    • Pre-meal blood glucose
    • Physical activity plans

Preventing Complications

Short-term Prevention

  1. Hypoglycemia

    • Carry fast-acting glucose
    • Test before driving/exercise
    • Wear medical ID
  2. DKA Prevention

    • Never skip insulin doses
    • Check ketones when sick
    • Stay hydrated

Long-term Prevention

  • Schedule regular eye exams
  • Maintain foot care routine
  • Monitor kidney function
  • Keep up with vaccinations

Lifestyle Considerations

Diet Management

  • Count carbohydrates accurately
  • Time meals consistently
  • Choose low-glycemic foods
  • Stay well-hydrated

Exercise Guidelines

  • Check glucose before, during, and after
  • Carry emergency supplies
  • Adjust insulin for activity
  • Stay well-hydrated

Emergency Preparedness

  • Keep supplies in multiple locations
  • Have backup insulin
  • Emergency contact list
  • Sick day protocol

Regular Medical Care

  • Quarterly endocrinologist visits
  • Annual comprehensive screenings
  • Regular dental check-ups
  • Mental health support

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