I can live healthy with Diabetes by… Slowly improving the way I eat A Healthier Diet:

will reduce my risk for complications such as heart disease and stroke. Healthier eating includes slowly changing my current diet with a wide variety of foods such as:

Water, Fish, Beans, Poultry, Vegetables, Lean meats, Whole grains, Non-fat dairy products,

and Whole Fruits (blueberries, grapes/raisins, apples, pears, bananas, and grapefruit).

I will remember that changing toward a better and healthier diet takes time. I must be patient. Maintaining good habits over a long period of time takes patience. I will make this possible by trying to take a moment every day to review what I eat on a daily basis and consider switching things little-by-little with healthier options. I will do my best to remember to…

(walking or light aerobic exercise) 30 Exercise minutes every other day. Just keep moving!

for sores or skin changes Check my feet daily which can lead to infection.

for diabetic eye Have my eyes checked annually disease that can lead to blindness.

that are Ask my doctor about vaccines recommended for diabetes.

with my doctor who helps Keep my appointments me improve my diabetes.

instead of sugary drinks. Drink more water

I WILL CHECK MY GLUCOSE: EACH MORNING BEFORE MY FIRST MEAL RIGHT BEFORE EACH LARGE MEAL TWO HOURS AFTER EACH LARGE MEAL TWO HOURS AFTER DINNER IN THE EVENING AT BEDTIME EVERY TIME I FEEL DIZZY, LIGHT-

HEADED, NAUSEATED, OR “SICK” IN ANY OTHER WAY

_________________________________________ MY DAILY GLUCOSE GOALS: IN THE MORNING, BEFORE BREAKFAST: 100-126 (GOOD )

126-140 (MODERATE) >140 (POOR)

TWO HOURS AFTER EVERY MEAL: BETWEEN 140 TO 160 ( ) GOOD 160 OR GREATER (MODERATE) 200 OR GREATER (POOR)

I MUST CALL MY DOCTOR’S OFFICE WHEN: LESS THAN ____________ (DANGEROUS) MORE THAN ___________ (DANGEROUS)

FOR ___________ MANY TIMES EVERYDAY. MY CURRENT “A1C” IS: __________ MY GOAL “A1C” IS: __________ MY CURRENT WEIGHT IS: __________ MY GOAL WEIGHT IS: __________

WHAT IS ? HEMOGLOBIN-A1CA HEMOGLOBIN-A1C (aka “A1C”) TELLS ME ABOUT MY AVERAGE GLUCOSE OVER THREE MONTHS OF TIME. Average blood glucose values based on the Hemoglobin A1C:

14.6-15.0 372-383

>15.0 >384

13.1-13.5 329-34313.6-14.0 344-35714.1-14.5 358-371

11.6-12.0 286-30012.1-12.5 301-31412.6-13.0 315-328

A1C (%) Avg Glucose7.0-7.5 154-1707.6-8.0 171-185

10.6-11.0 258-271

8.1-8.5 186-1998.6-9.0 200-2149.1-9.5 215-228

11.1-11.5 272-285

9.6-10.0 229-24210.1-10.5 243-257

NAME: ____________________________________ DOB: _____________________________________ NEXT HEMOGLOBIN A1C CHECK: __________________________________________

MY GLUCOSE LOG

MY GLUCOSE LOG

877 W. Faris Rd Greenville SC 29605 – (864) 455-7800 MY PERSONALIZED DIABETIC

PROGRAM

/ / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /

Date Morning MEALS Bedtime / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /

Date Morning MEALS Bedtime

mg

I take them this many times a dayDrug Name Dosage per

tabletNumber of tablets by

mouth

mg mg

LONG-acting Insulin

I take this many units at a time

I do this how many times a day

units

SHORT-acting Insulin

I take this many units at a time

I do this how many times a day

units

/ units

MIXED-acting Insulin

Mix ratio

I take this many units at

a timeI do this how

many times a day

/ units

ALWAYS REMEMBER TO BRING THIS PAMPHLET TO EVERY DOCTOR’S APPOINTMENT.

ALWAYS REMEMBER TO BRING THIS PAMPHLET TO EVERY DOCTOR’S APPOINTMENT.

ALWAYS REMEMBER TO BRING THIS PAMPHLET TO EVERY DOCTOR’S APPOINTMENT.