What is diabetes? It’s blood sugar (BS) more than 126mg/dl on fasting on 2 occasions or Random BS is more than 200mg/dl on 2 occasions or one time fasting BS >126 + random >200mg/dl

What Type of Diabetes DO you have? Ask your Doctor.
Type I: Insulin dependent, their body lack cells which secret insulin therefore they need Insulin all their life.
Type II: They are obese, They have insulin But their body cell NOT responding to insulin level they have in their blood .

Why Should I get treatment for Diabetes?  Diabetes If not treated properly can cause: 1. Kidney destruction, need dialysis and kidney transplant. 2. Cause obstruction of your artery and causing early stroke or heart attack. 3. Cause Blindness (you should see eye specialist at least every six months) 4. Cause Neurophaty (nerve damage), when you feel pain on your feet and hands, It’s because of that.

Goal for therapy   decrease Blood Sugar to less than 125 and Hemoglobin A1c(HbA1c) of less than 7 (Which shows long term sugar control in your blood) By decreasing Blood Sugar and HbA1c your risk of having Kidney Failure, Heart Attack, Blindess and Stroke will decrease by 12 – 60% and the good out come depends on your proper and tight control of sugar in your blood.

How should I control my Blood Sugar?It all depends on you If you respect yourself, your family and children you will understand that your life and the happiness of your love ones depends on your sugar control so get the equipment, check your BS as Dr says and bring the results for your provider to tell you if you need to increase medication or decrease medication.

What you should do if you are diabetic?

1-Diet and Exercise and develop new habits:

Diet and Exercise:  Healthy lifestyle choices — including diet, exercise and weight control — provide the foundation for managing type 2 diabetes. However, you may need medications.Low Sugar diet is very important abandon adding Sugar to your food and remove Sugar container from your table you should check your blood Sugar three times per day and keep it less than 126. If you have hypertension  Low sodium (Salt) diet is very important abandon adding salt to your food and remove salt container from your table and check your blood pressure and keep it below 140/80, Do not use can product since they have lots of salt in them. An over weight person need to have Low calorie diet in order to loose weight and lower blood sugar and blood pressure. Low fat food and preparing food in water not in oil is better. One-hour exercise per day like walking, running and swimming will help to lower blood sugar and blood pressure. Quite smoking and alcohol habit.

2-Medication for Diabetes and which one is good for you?

Healthy lifestyle choices — including diet, exercise and weight control — provide the foundation for managing type 2 diabetes. However, you may need medications to achieve target blood sugar (glucose) levels. Sometimes a single medication is effective. In other cases, a combination of medications works better.

Several classes of type 2 diabetes medicines exist. Each works in different ways to lower blood sugar. A drug may work by:

Each class of medicine has one or more drugs. Some of these drugs are taken orally, while others must be injected.

Compare diabetes medications

 Here’s an at-a-glance comparison of common diabetes medications. More medications are available depending on your needs and situation. Ask your doctor about your options and the pros and cons of each.

Oral medications



Dipeptidyl-peptidase 4 (DPP-4) inhibitors



These medications shouldn’t be used in people with kidney disease or heart problems.

Alpha-glucosidase inhibitors

Sodium-glucose transporter 2 (SGLT2) inhibitors

Bile acid sequestrants

Injectable medications

Amylin mimetics

Incretin mimetics


How to choose your diabetes medication

No single diabetes treatment is best for everyone, and what works for one person may not work for another. Your doctor can determine how a specific medication or how multiple medications may fit into your overall diabetes treatment plan and help you understand the advantages and disadvantages of specific diabetes drugs.

Adjunctive Medication you should get: 1-cozar pills 50-100mg (to prevent renal damage) 2-zocor pills 40mg ( to lower down cholesterol and prevent early heart attack) 3- asprin pills to reduce risk off heart attack and brain strok
If your on insulin use following sliding scale:
If your  blood sugar is between 100-150    do nothing just use ur current dosage
If your  blood sugar is between 150-200    add 2 unite of insulin
If your  blood sugar is between 200-250    add 4 unite of insulin
If your  blood sugar is between 250-300    add 6 unite of insulin
If your  blood sugar is between 300-350    add 8 unite of insuline
If more than 350 consult your doctor immediately
Your Doctor Q&A Guide

When you are keeping on track with Insulin


What is my A1C level?
A1C measures your average blood sugar level for the past 2 to 3 months. The American Diabetes Association (ADA) recommends an A1C of <7% for most people with diabetes.Ask your doctor what A1C goal is right for you.
Now that I have started with the insulin, has my A1C level improved?
A1C indicates your average blood sugar level for the past 2 to 3 months, so it may be too soon to tell if your A1C level has improved. Your daily blood sugar readings may give you a better idea when your blood sugar levels are changing.
Indications and Usage for Lantus is a long-acting insulin used to treat adults with type 2 diabetes and adults and pediatric patients (6 years and older) with type 1 diabetes for the control of high blood sugar. It should be taken once a day at the same time each day to lower blood glucose.

to treat diabetic ketoacidosis.

Important Safety In
Does my current dose need to be changed?
Adjustments are common. It doesn’t mean you’ve done anything wrong.
Since everyone is different, it may take some time to find the right
Lantus (insulin glargine [rDNA origin] injection) dose for you.
I understand many healthcare professionals design a dose adjustment
schedule for their patients;can you do this for me?
Your doctor will design a schedule that is right foryou. A complete log of your blood sugar readingswill help him or her determine if a dose change is needed. Once my blood sugar is under control
will my Lantus dose ever need to be adjusted again?
Any change in your lifestyle that you experience can change your blood sugar levels. Forexample, if you start a new exercise routine, your body will readjust and your blood sugar levelsmay fluctuate. Discuss any changes with your doctor. He or she will determine if an adjustment to your medication regimen is necessary.
Important Safety Information
You must test your blood sugar levels while using insulin, such as Lantus
. Do not make any changes to your dose or type of insulin without talking to your healthcare provider. Any change of insulin should be made cautiously and only under medical supervision.
Should we review my current diet, medication, and exercise program?
You should review your diet, medication, and exercise program at every visit, especially if you
notice a change in your blood sugar levels, or if you want to change your diet or exercise plan.
Any lifestyle change may require a change to your insulin dose. Talk to your doctor before making any change to your insulin regimen and about the need for more frequent bloodsugar monitoring.
What are my goals for my next appointment?
When you talk to your doctor, you should take the time to set up expectations for your next visit.
Tell your doctor about other medicines, especially ones commonly called TZDs
(thiazolidinediones), and supplements you are taking because they can change the way insulin works. Before starting Lantus, tell your doctor about all your medical conditions including if you have heart failure or other heart problems, liver or kidney problems, are pregnant or planning to become pregnant, or are breast-feeding or planning to breast-feed. If you have heart failure, it may get worse while you take TZDs with Lantus. The most common side effect of insulin, including Lantus, is low blood sugar (hypoglycemia), which may be serious. Some people may experience symptoms such as shaking, sweating, fast heartbeat, and blurred vision. Severe hypoglycemia may be serious and life threatening. It may cause harm to your heart or brain. Other possible side effects may include swelling, weight gain, injection site reactions, including changes in fat tissue at the injection site, and allergic reactions, including itching and rash. In rare cases, some allergic reactions may be
life threatening.
¿Debo revisar mi dieta, medicación
y programa de ejercicios actuales?
Debe revisar su dieta, su medicación y su programa
de ejercicios en cada visita
, especialmente si nota un
cambio en sus niveles de azúcar en sangre o si
quiere cambiar su dieta o plan de ejercicios.
Cualquier cambio en su estilo de vida puede requerir
una modificación de su dosis
de insulina. Hable con
su médico antes de hacer algún cambio en su régi
men de insulina y sobre la
necesidad de aumentar la
frecuencia con la que se controlan
sus niveles de azúcar en sangre.
¿Cuáles son mis objetivos para mi próxima cita?
Cuando hable con su médico, debe tomarse el tiempo
para establecer las expectativas para su próxima
Información importante de seguridad de Lantus
(insulina glargina [origen ADNr]
Infórmele a su médico sobre otros medicam
entos, especialmente los
comúnmente llamados TZD
(tiazolidinedionas), y supl
ementos que esté tomando, ya que pueden
modificar la forma en que actúa la
insulina. Antes de comenzar a usar Lantus, infórmele a
su médico sobre todas su
s afecciones médicas, por
ejemplo, si tiene insuficiencia cardíaca u otros problem
as cardíacos, problemas hepáticos o renales, si está
embarazada o planea quedar embarazada,
o si está amamantando o planea
amamantar. Si tiene insuficiencia
cardíaca, esta podría empeorar si toma TZD con Lantus.
El efecto secundario más frecuente
de la insulina, incluida Lantus
, es un nivel bajo de azúcar en
sangre (hipoglucemia), el
cual puede ser grave.
Algunas personas pueden exper
imentar síntomas como
temblores, sudoración, latidos cardíacos rápidos y
visión borrosa. La hipoglucemia severa puede ser grave y
poner en peligro la vida. Puede causar
daños en el corazón o el cerebro. Otros posibles efectos secundarios
pueden incluir hinchazón, aument
o de peso, reacciones en el lugar de la
inyección, incluidos cambios en el
tejido adiposo del lugar de la inyección, así como tamb
ién reacciones alérgicas, in
cluidas erupciones cutáneas
y picazón. En casos aislados, algunas reacciones
alérgicas pueden poner en peligro la vida.
es una pluma de insulina precargada desechabl
e. Hable con su proveedor de atención
médica sobre la técnica de inyección adecuada y siga la
s instrucciones del folleto instructivo que acompaña a
la pluma