Chapter11 Self‑Management of Diabetes
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These audio videos have been created using artificial intelligence (AI) tools, based on the original content from the book “”माझा मधुमेह, माझे नियंत्रण“ i.e. My Diabetes, My Control.
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The best “medicine” for diabetes is self‑management. The DCCT and UKPDS trials also emphasize knowledge. Regular measurement is important. Lifestyle changes are at the center. Reduce modifiable risks: weight/BMI, waist circumference, high sugar/HbA1c, blood pressure, cholesterol, tobacco/alcohol, excess calories, and low activity.
At home, use a weighing scale, measuring tape, glucometer, BP machine, pedometer, and a diary/calorie chart to keep monthly records. Calculate calorie expenditure through walking or exercise. Once a year, do HbA1c, lipid profile, urine micro‑albumin, and checkups of teeth, eyes, feet, and heart; ensure multi‑disciplinary coordination. When routine changes (travel/fasting/illness), check sugar 3–4 times a day. Adjust medicine timings accordingly. Recognize hypoglycemia and keep sugar tablets or a glucagon kit handy.
In short— “measure, record, adjust”: the right calories and diet are essential. Daily movement and exercise are crucial. Stress reduction and ongoing motivation prevent complications. These actions save costs and build confidence: –
- Diabetes is a 24 x 7 disease.
- It has serious effects on blood vessels.
- Learning the art of self‑control helps prevent these; it protects the senses and organs.
- Stress reduces and confidence increases.
- Self‑management is simple and saves significant expense.
