Living with Type 1 Diabetes: Essential Management Guide

Expert Answers to Your Most Common Questions

Endocrinology

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Last updated: Mar 24, 2025

Blood Sugar Monitoring

How Often Should I Check My Blood Sugar?

  • At least 4-6 times daily
  • Before meals and snacks
  • Before and after exercise
  • Before bedtime
  • When feeling symptoms of low/high blood sugar

Target Blood Sugar Ranges

  • Before meals: 80-130 mg/dL
  • 2 hours after meals: Below 180 mg/dL
  • Bedtime: 90-150 mg/dL

Insulin Management

Types of Insulin

  1. Rapid-acting: Works in 15 minutes, peaks 1-2 hours
  2. Short-acting: Works in 30 minutes, peaks 2-3 hours
  3. Intermediate-acting: Works in 2-4 hours, peaks 4-12 hours
  4. Long-acting: Works over 24 hours, no peak

Storage Guidelines

  • Unopened insulin: Refrigerate (36-46°F)
  • In-use insulin: Room temperature (<86°F)
  • Never freeze

Lifestyle Considerations

Exercise

  • Check blood sugar before, during, and after
  • Carry fast-acting carbs
  • Adjust insulin as needed
  • Stay hydrated

Diet Management

  • Count carbohydrates accurately
  • Maintain consistent meal times
  • Balance nutrients
  • Monitor portion sizes

Emergency Preparedness

Hypoglycemia Kit Contents

  • Glucose tablets/gel
  • Glucagon injection
  • Medical ID
  • Emergency contacts

When to Seek Medical Help

  • Blood sugar >300 mg/dL with ketones
  • Severe hypoglycemia
  • Persistent vomiting
  • Chest pain or difficulty breathing

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