Читать книгу Intimacy & Diabetes - Janis Roszler - Страница 45

3. Diabetes and Your Body33

Many of the following diabetes-related health issues may be familiar to you. After all, you live with your diabetes every day and may have expe-rienced many of them. Let’s consider them and the effect they can have on your health using the Diabetes A-B-Cs.

A – Your A1C (and other blood glucose measures).

Your blood glucose level and how long you maintain it in a range of 70–180 mg/dL (time in range) can be managed well with healthy eat-ing, physical activity, steps that enhance your emotional well-being, and medication. But it is not possible to manage blood glucose levels per-fectly. Your level can climb and fall for many reasons, including hormone swings, stress, illness, and how quickly your body digests certain foods. These swings can leave you too exhausted for sex. Keep an eye on your blood glucose level with routine blood checks (as directed by your team) and an A1C check at least twice a year.

Below 7% (53 mmol/L) is an appropriate goal for many nonpregnant adults if they can achieve this level without significant hypoglycemia or other problems.

A more or less stringent glycemic goal may be appropri-ate for you.

Consult with your health care team about your specific target.

Goals should be individualized to the patient.

A1C Goals

The A1C, which is done at your doctor’s office, provides a picture of your average blood glucose level for the past 2–3 months. But it is only part of the picture and may be less accurate for some individuals. Many people with diabetes wear a continuous glucose monitor (CGM) to obtain even more immediate information about their glucose ups and downs. These additional data can help fill in the gaps. Ask your health care provider about effective ways to collect blood glucose data.