Type 2 Diabetes: Recently Diagnosed

Prevention

Because you have type 2 diabetes, you need to take precautions to protect yourself from life-threatening situations and prevent or delay the progression of long-term complications.

Prevent complications

People with diabetes are 2 to 4 times more likely than people who don't have diabetes to die from heart and blood vessel diseases.5 If you are 21 or older, talk to your health professional about taking a low-dose ASA daily to help prevent heart attack, stroke, or other large blood vessel disease (macrovascular disease). You can reduce your risk further by lowering high blood pressure and high cholesterol. If you smoke, quitting may also lower your risk of diabetes complications.

Exercise helps prevent heart disease. Exercise helps control your blood sugar by using glucose for energy during and after activity. It also helps you maintain a healthy weight; lower high cholesterol; raise high-density lipoprotein (HDL), or "good," cholesterol; and lower high blood pressure. Try to do activities that raise your heart rate. Each week, exercise at least 150 minutes spread over at least 3 days that are not in a row. Or, if you can, get more than 4 hours each week. The Canadian Diabetes Association suggests that you include resistance exercises in your program.6 Resistance exercises can include activities like weight lifting or even yard work. See the topic Fitness for ideas on to how add daily activity to your life. Work with your health professional to develop a safe exercise program.

Prevent high blood sugar emergencies

Blood sugar usually rises above a normal or near-normal range slowly, but it can lead to a life-threatening emergency called a hyperosmolar state if it is not treated quickly. Your blood sugar may rise when you are ill; following the guidelines for when you are sick can help prevent a high blood sugar emergency.

Prevent low blood sugar emergencies

Low blood sugar is not likely to develop, unless you take insulin or some kinds of oral medications for type 2 diabetes that can cause low blood sugar as a side effect. If you are at risk for low blood sugar, recognize and treat your symptoms early. Low blood sugar can lead to a life-threatening emergency if it is not treated quickly. Do not drive if your blood sugar level is below 4 millimoles per litre (mmol/L) . Take precautions when you are driving, and be prepared to stop and treat low blood sugar.

Wear medical identification

Wear medical identification at all times. If you are involved in an accident or taken to a hospital, identification lets people know that you have diabetes so they can care for you appropriately. You can buy medical identification as bracelets, necklaces, or other forms of jewellery at your local pharmacy or on the Internet.


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Author: Merrill Hayden
Carrie Henley
Last Updated: November 27, 2006
Medical Review: Adam Husney, MD - Family Medicine
Caroline S. Rhoads, MD - Internal Medicine
Hanan Bassyouni, MD - Endocrinology and Metabolism
Matthew I. Kim, MD - Endocrinology & Metabolism

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