1-control your diabetes
This is the first thing to do in order to avoid any complications. The first objective is always a good control of the blood sugar level, advises Dr. Huet. Beyond the daily control of If blood glucose levels are self-monitored at home, diabetic patients should have their blood glucose levels monitored.
This is a much more reliable indicator than just your blood glucose level. It’s a much more reliable indicator than just the blood glucose level. It shows whether the blood glucose level is being monitored over the long term and not just on a one-time basis,” says Huet. “If the glycated hemoglobin level remains below 7 %, the risk of microvascular complications is almost nil”
2-Monitor blood pressure and blood lipids
These two factors are important in the prevention of macrovascular complications. Diabetic patients should maintain a blood pressure of less than 14/8.5 mmHg,” explains diabetologist Dominique Huet.
cholesterol and triglycerides), LDL (
bad cholesterol). This LDL must be less than 1.30 mg/L for diabetic patients,” continues Dr. Huet. But these numbers vary if other risk factors come into play. The LDL must be less than 1.0 mg/kg/L for diabetics who smoke and even less than 0.7 mg/kg/L if there is a history of smoking and a history of Cardiovascular disease;
The tobacco has no direct influence on diabetes. It is, however, a recognized risk factor for vascular disorders. People with diabetes who smoke considerably increase their risk of developing serious macrovascular complications, which can lead to stroke, myocardial infarction or lower limb arteritis. If, unfortunately, the diabetes factor cannot be eliminated, it is possible to eliminate the smoking factor by getting help to
4-Balance your diet
Among the rights of diabetic patients is the right not to have to suffer complications in addition to their disease,” Dr. Huet says. But beside these rights, there are also duties, the first being to monitor one’s diet to control one’s diabetes. No surprise, diabetic patients can’t do just anything when it comes time to sit down to eat. A In other words, the general recommendations of the National Nutrition and Health Programme (PNNS) apply. The term diabetic diet is no longer used. Patients can eat anything, in a balanced way. Just be a little more careful with sugars, and don’t consume them too often. There are no bans, not even alcohol. As always, it’s all about moderation.
5-Control your weight
Weight is also a factor to be monitored. We don’t ask diabetics to lose weight at all costs, they simply need to be around their ideal weight,” recommends Dominique Huet. In the event of overweight, a diet may be considered, in particular by limiting fat intake (delicatessen, butter, cheese, etc.). The head of the Diabetology Department of the Paris Saint-Joseph hospital group insists on the importance of making overweight diabetic patients feel free from guilt. Overweight or obesity are not necessarily the trigger of their disease, at least not the only one. They should not be burdened, but rather encouraged to take care of their health.
6-To practise a minimum of physical exercise
Here again, there is nothing surprising Diabetic people must take care of themselves and commit to a minimum of physical exercise, just as people who are not ill must do, advises diabetologist Dominique Huet. The National Nutrition and Health Program (PNNS) recommends that adults should, on average, take the equivalent of 30 minutes of brisk walking every day.
The benefits of sport are recognized in the prevention of many chronic diseases, cardiovascular disease, overweight and obesity, as well as improving general well-being and reducing stress.
7-Carry out an annual general health check-up
Various checks are mandatory, at least once a year, to avoid diabetes-related complications, explains Dr Huet, who, according to the head of the Diabetology Department of the Paris Saint-Joseph Hospital Group, include a “check-up” of the patient’s blood pressure, a “check-up” of the patient’s blood pressure, and a “check-up” of the patient’s blood sugar level.
An electrocardiogram to check the health of the heart A fundus to check the state of the retina A check-up of the kidney functions A check-up of the kidney functions A search for nervous complications A dental examination A foot examination These examinations, carried out on a regular basis, make it possible to detect the slightest sign of a possible complication. A program (called Sophia) has been set up by Medicare to help patients create a routine of check-ups to make them aware of their condition, without scaring them, explains Dr. Huet. Nurses regularly call patients enrolled in this program to see if they are up to date in their check-ups and to refer them to the diabetologist if necessary,” says Dr. Huet. Participation in this program is free and without obligation, simply by registering by mail (see details on the CPAM website).
8-Be up to date with your vaccinations
It’s not an obligation, as it is for the rest of the population,” says Dr. Dominique Huet. But being up to date in your vaccinations can be recommended for diabetics, especially to prevent certain infectious diseases. Diseases can unbalance a perfectly controlled diabetes, even if this imbalance is far from being systematic. Influenza, for example, can cause problems for people with diabetes. This is why the head of the Diabetology Department at Paris Saint-Joseph recommends systematic vaccination for patients he sees in consultation.
9-Watch your feet
Feet are sometimes the obsession of patients, who fear one of the most common complications of diabetes: gangrene and, ultimately, foot rot.amputation. But daily monitoring is not warranted for all patients. It is recommended only for those already suffering from neuropathy, nerve damage,” says Huet. These patients don’t feel much, they don’t feel pain. So they may injure themselves without realizing it, and the injury itself may cause complications. On the other hand, patients who don’t have nerve damage should not focus on their feet. According to the diabetologist, this complication should be downplayed. Monitoring during check-ups at the doctor’s is sufficient. Make sure that this check-up is carried out, as not all professionals perform it systematically.
10-manage your stress
Easy to say, and yet! Stress can’t create diabetes, but it can unbalance it,” explains Dr. Dominique Huet. Since stress hormones raise blood sugar levels, this is an important factor to monitor in people with diabetes. The Sleep disturbances can also have a negative effect on blood sugar control. We always begin our consultations by asking the patient how he or she is doing. It’s not just a routine question but a way to make sure that he or she is not under stress that could cause problems in the control of his or her disease,” concludes the head of the Diabetes Department at Paris Saint-Joseph. Stress is an often overlooked risk factor for diabetes complications, so it should not be taken lightly. Remember to report any new sources of stress (trauma, bereavement, separation, dismissal, etc.) to your doctor, so that he or she can work with you to ensure that this episode does not have a negative impact on your diabetes.