Ways To Help Yourself

Maintain a Healthy Blood Sugar Level

There’s a secret to keeping your blood sugar in check: Be prepared.

Diabetes on the job

Talk with your doctor about how to manage diabetes at work. Be sure to:

• Eat meals at about the same time every day. Try not to skip meals or snacks.
  
• Take your medicines and test your blood sugar as directed by your doctor.
  
• Describe the signs of low blood sugar to close co-workers. You may need their help if your blood sugar drops.
  
• Keep sugar snacks or glucose pills in your desk, in case your blood sugar gets too low. Carry some with you.
  
• Tell the company nurse that you have diabetes.
  
• Keep tabs on your stress. Try deep breathing, relaxation, or take a short break from the office.
  

Dealing with sick days

A cold or the flu can make it harder to keep your blood sugar in check. It is recommended that people with diabetes get a flu shot every year. Also, you and your healthcare provider should make a “sick-day” plan. When you’re sick:

• Check your blood sugar four times a day. If it’s higher than 300 mg/dL, use a home test to check your urine for ketones.
  
• Keep taking your diabetes medicines.
  
• Drink plenty of water or sugar-free drinks to stay hydrated.
  
• Try to eat as usual. If your stomach can’t handle it, try clear soups or gelatin.
  
• Check any over-the-counter medicines for sugar. Ask your pharmacist for sugar-free options.
  

Call your doctor if your blood sugar is lower than 70 mg/dL several times a week, or if it stays higher than 240 mg/dL. Also, call if you’ve been vomiting or had diarrhea for several hours, or if your urine has high ketone levels.

Diabetes on the road

To prepare for your vacation, follow these steps:

• See your healthcare provider before your trip to go over your plans.
  
• Plan for changes in meal patterns, time zones, and activity levels.
  
• Take along twice as many medicines and supplies as you think you’ll need.
  
• Always carry medicines and snacks with you, and wear a medical ID bracelet or necklace.
  
• Wear comfortable, closed shoes, change them often, and never go barefoot. Check your feet every day for calluses, bunions, sores, or discolored skin.
  
• Find out how to get healthcare where you’re going. Locate the nearest hospital or Red Cross center in advance.
  
• Get any travel shots you need at least one month before you go.
  
• Tell the airline and cruise-ship staff that you have diabetes. They can give you special meals.
  
• If you’re traveling by car, test your blood sugar before you leave. Stick as close to your regular routine as you can.
  
• Learn important phrases in the local language, such as “I need help” or “I have diabetes.” And words, like “sugar” or “orange juice.”