Saturday 21 November 2015

Healthy Diabetic Lifestyle: CONSISTENCY IS THE MAGIC KEY

Healthy Diabetic Lifestyle: CONSISTENCY IS THE MAGIC KEY: Hello my dear diabetic friends, Consistency is a word which many people don't like. It points to boring all over and over b...

CONSISTENCY IS THE MAGIC KEY





Hello my dear diabetic friends,
Consistency is a word which many people don't like. It points to boring all over and over behaviours and attitudes. If you see it in a creative or other context, this might even be true., here variety would be the spice of life.
This does not mean that diabetic consistency in treatment has to be boring. The variety of delicious healthy recipes, of lifestyle options in exercise and (Oh my! I hear you say) even sports and other recreational activities is anything but mindlessly boring. The consistency refers to the actual treatment, eating times, medication times and a relatively regular daily lifestyle routine.

IF YOU ARE LUCKY AND BLESSED ENOUGH TO KNOW ABOUT YOUR DIABETIC STATUS YOUR LIFE CAN BE PROLONGED DRASTICALLY AND YOU CAN BE SPARED POTENTIAL BLINDNESS, AMPUTATIONS, KIDNEY FAILURE AND ALL THE OTHER NASTIES RELATED TO NON-OR BAD DIABETES MANAGEMENT.

My last A1Cmeasurement (4.11.2015) was 5. This should be even a healthy non-diabetic person's, dream. A1C is the approximate m/mol over a couple of weeks. How did I do it? I tried to understand Diabetes and visualized the alternatives to having it under control. And that's my very best advice to you today and always.

Diabetes management will come as natural as not to forget to put on your pants in the mornings, if and when you see the success you achieved with the measures you apply to your condition. Remember, Diabetes is not (yet) reversible. The only way of living a long life with it, is making friends and treating it like putting your shoes on to not get hurt unneccessarily.

I find this information so important, that once again I want to stress it by posting an article compiled by the real medical experts. Enjoy!

CONSISTENCY IS KEY



If you have been recently diagnosed with type 2 diabetes, you may be feeling overwhelmed. The thought of checking your glucose levels, planning meals, and remembering to take medications at specific times can be daunting. But while it does take some diligence, you can establish a daily routine that will have you managing your condition with minimal impact on your day-to-day activities.

Individuals who maintain healthy blood glucose levels all cite one key factor: consistency. “It doesn’t mean you can’t be flexible, but there is something comforting about sticking to a routine,” says Nancy Sayles Kaneshiro, co-author of Weighty Issues: Getting the Skinny on Weight Loss Surgery, who is living with type 2 diabetes.
“It’s critical to maintain a regular schedule,” says Jim Smith, who was diagnosed with diabetes in 1999. Billy Brennan, who developed type 2 diabetes in 2010, agrees: “A schedule provides a way to balance both my food and exercise to keep my blood sugars in a healthy range.”
Although the word schedule may make you cringe, creating structure to your day doesn’t mean you can’t have fun or enjoy food. It simply means you will become consistent with the times you eat, exercise, and check your glucose levels. “Scheduling took some time to develop, but now it’s become routine,” says Smith. “As long as I don't deviate from my schedule, I can count on my sugars staying steady,” Brennan adds.
A Schedule That Works For You
Just like the treatment plan for type 2 diabetes is customized for each individual, there is no one-size-fits-all schedule for managing the condition. However, there are a few common denominators to a successful routine that you can use when developing your own plan.
First, make sure you are consistent with your meal and snack times each day. This will ensure you do not wait too long between meals, which can cause a drop in glucose levels, or consume meals and snacks too close together, which can spike glucose levels. For the best results, start your day with a walk and then a well-balanced breakfast containing whole grains and lean protein within one hour of exercising. Smart options include an egg with a slice of whole-grain bread or a ½ cup of low-fat cottage cheese with fresh fruit.
Exercise is another key component in a successful diabetes management plan. Regular physical activity helps to lower blood glucose levels and insulin resistance while promoting a healthy body weight. Think of exercise in the same way you would any appointment. Select a time that works for you and write it on your calendar. By making an “appointment” with yourself, you’re more likely to commit to your exercise plan. What’s the best time to schedule exercise? An early morning workout was the most popular choice of those who are successfully managing diabetes. By exercising at the beginning of the day, you'll ensure that you get your workout in regardless of what else pops up in your schedule.  
Tracking Your Glucose —  and More
Tracking is essential for healthy glucose management. Making sure to test your blood glucose levels regularly, on a schedule recommended by your doctor or diabetes educator, can help you to understand trends in glucose levels and determine if your routine is working for you or if it needs to be adjusted. “Monitoring my daily fasting blood sugar is a way that I plan what I need to eat the next day,” says Smith.
And it’s not just tracking blood glucose levels that can be helpful. Recording your daily exercise, food intake, and even your emotions and stress levels can help you to understand how all of these factors impact glucose levels. This will enable you to really understand what aspects of your routine positively or negatively impact your diabetes management efforts.
Be Prepared for Mix-Ups in Your Routine
It’s important to remember that while following a consistent schedule can help you to best manage the condition, it doesn’t mean that you can never vary from your schedule. While Kaneshiro admits that traveling and dining out can be a challenge, she stresses the importance of not using it as an excuse to drastically stray from your management plan. “For me the key is simply mindfulness,” says Brennan. “I look for a gym in the hotel or find a place to walk to continue to exercise. I also try to book a room that has a small kitchen area where I can cook my own food.” With a little planning, you can continue to successfully manage diabetes no matter where life takes you.
A Sample Schedule of Someone Managing Diabetes
6:30 a.m.: Wake up and test fasting glucose levels. Record numbers.
6:45 a.m.: Morning walk (45 minutes of brisk walking). (Even less will do nicely, thank you, Barbara)
7:30 a.m.: Eat breakfast (2 scrambled eggs, 1 slice 100-percent whole-grain toast with 1 teaspoon butter, and 1 small apple) and take medications.
12:00 p.m.: Eat lunch (3 cups spinach salad topped with 3 ounces grilled chicken, 1 tablespoon chopped walnuts, and 2 tablespoons dried cranberries with 2 tablespoons vinaigrette dressing and a side of 1 cup low-fat yogurt).
3:30 p.m.: Have an afternoon snack (2 tablespoons natural peanut butter on celery).(or a  small toast, yummy, Barbara)
6:30 p.m.: Eat dinner (5 ounces salmon with 2/3 cup brown rice and 2 cups steamed broccoli) and take medications.
9:00 p.m.: Test blood glucose and record numbers. Bedtime.
Last Updated: 8/28/2015

Tuesday 27 October 2015

REASONS TO BE POSITIVE WITH DIABETES

I don't say I write all articles myself, but when I see somethih encouraging I post if for you, my dearest diabetic friends. Enjoy reading, and, like Maria,

MAKE THE BEST OUT OF IT







Gaining Control of Type 2 Diabetes: Maria’s Story

For a California woman, working with a diabetes educator led to eating better and exercising more. Now, Maria has lost weight and needs fewer medications.

In the three years since Maria Ibarra was diagnosed with type 2 diabetes, she's lost 35kg. “I’m still looking to lose the last 20,” says the Sacramento, California, resident.
At 1.65 cm inches she weighed 120 kg but is now at 85 kg Thanks to her healthier diet and new exercise routine, Ibarra, 40, says she was able to better control her blood sugar and reduce her need for diabetes medications, even before she had significant weight loss.  
People with diabetes who have even a small weight loss can see many benefits, says Deborah Greenwood, PhD, RN, president of the American Association of Diabetes Educators and a program coordinator and diabetes clinical nurse specialist at the Sutter Health Integrated Diabetes Education Network in Sacramento.
Losing weight can help you better manage your blood sugar, says Greenwood. Weight loss can also help reduce your risk for potential diabetes complications, including stroke and heart disease. And that’s important because the risk of stroke and heart disease is more than two times greater in people with diabetes than it is in those who don't have the disease, according to the National Diabetes Information Clearinghouse.
Adopting Healthier Habits
Ibarra says she was inspired to change her diet after she went to Greenwood for advice about how to lower her A1C, which shows how well you control your diabetes over time. Although people will have different A1C targets depending on their diabetes history and overall health, the National Institutes of Health recommends keeping your level below 7 to help reduce your risk of complications from diabetes. At the time, Ibarra’s A1C was at 7.7.
Greenwood enrolled Ibarra in a study about the use of paired testing (testing before and after meals) and self-monitoring to help people better manage their blood sugar. Greenwood’s study was published in February 2015 in the American Journal of Nursing.
“Checking my blood sugar before and two hours after eating brought it all together for me,” Ibarra says. “Before, I didn’t really know what my blood sugar levels meant, and I didn’t see how what I ate affected me.”
By keeping records, she discovered that she manages blood sugar better when she has her carbs for breakfast rather than at dinner. Also, she found that eating small meals with some protein every two hours helps her ward off hunger and stick to the healthy eating plan that Greenwood helped design.
Ibarra’s advice to others trying to stick to a healthy eating plan: Don’t give up your favorite foods -- just learn how to make them healthier. Greenwood, for instance, showed her how she could still have tortillas and rice by eating smaller portions and adding in more vegetables.
To help speed her weight loss, Ibarra also began walking. “Now I try to aim for 10,000 steps a day,” she says. She also participates in at least one 5K walk a month and other similar challenges.
“I try to add little things here and there,” she says. When Ibarra first started doing these events, she typically came in last. Now she’s at the front of the pack.
Making Changes That Last
Hispanics are at a higher risk of type 2 diabetes than non-Hispanic Caucasians, according to the American Diabetes Association. Being Hispanic, Ibarra was aware of the risk, and she now worries about her teenage daughters someday facing the same struggles. She hopes they learn from her example and see how she's been able to change her life and gain control of the condition.
Ibarra still tests her blood sugar two to three times a week. She not only looks better but also says she feels better. And she has lowered her A1C level to 6.
“I don’t have the highs and lows of blood sugar,” she says. And she doesn’t consider what she’s doing “dieting.” It’s more of a lifestyle, she says — and that’s why she’s hopeful she can live well this way for the rest of her life.
Last Updated: 7/16/2015


Friday 23 October 2015

Good morning world,
today's article is not aimed directly at us diabetics. However, as diet plays such an important role in managing the disease, I post it here for everybody's benefit. A healthy, clean so called mediteranian diet for most of one's life produces a healthy, clean human body.
You only have to take a brief look around, especially in the USA and South Africa, to see that you live in a country full (sic!) of morbidly obese, probably diabetic masses of people, including the children. Please have a look at my blogpost pointing out how terribly fat and sick a person  and pet can get.
Say  what you want, I find it     extremely disgusting 
The post was published in early 2013 and can be found in the archive of 

http://sunbirdafrica.blogspot.com
                                   
Sugar, much too much meat and processed foods are the culprits. Our ancestors ate meat, yes, but compensated for this with raw fruit, roots, nuts, berries and herbs. Nowadays we eat food fished out of boiling oil, out of polluted seas and if canned, with a label of 6-20 toxic chemicals. Yeccccch!

Please, most of you did already of course, but the others: please get this message. Diabetes, obesity, liver, heart, kidney failure and just add all the sicknesses available, will go down and that's guaranteed. Just add a good dash of Coconut and all will be good and well, as in good well-being....

THE MEDITERRANEAN DIET comes highly recommended:

By Maureen Salamon
HealthDay Reporter
WEDNESDAY, Oct. 21, 2015 (HealthDay News) -- In news that sounds a bit like it came straight from a sci-fi thriller, researchers say that eating too much meat might shrink your brain.
On the flip side, however, eating healthy foods from the so-called Mediterranean diet may help your brain stay in good shape as you get older, the new study suggests. The researchers said that people over 65 who ate more fish, vegetables, fruit, grains and olive oil had a larger brain volume than a similar group who didn't follow a Mediterranean diet.
"It was encouraging to see that the more you adhere to this Mediterranean diet, the more protection you get against brain atrophy [shrinkage]," said study author Yian Gu, an assistant professor of neuropsychology at Columbia University in New York City. "For people interested in the diet and lifestyle factors leading to better health, I think this is another study consistent with previous studies that indicate the Mediterranean diet is a healthy diet," she added.
But Gu noted that her study's observational findings cannot prove a definitive cause-and-effect relationship between diet and brain volume. The study was only designed to find an association.
Findings from the research were published online Oct. 21 in the journalNeurology.
Previous research has linked the Mediterranean diet to a lower risk ofAlzheimer's disease, the study said. The diet stresses the consumption of vegetables, legumes (beans, peas and lentils), fruits, cereals, fish and monounsaturated fats such as olive oil, the study authors said. The eating plan also includes a low intake of meat, poultry, saturated fats and dairy products, as well as mild to moderate amounts of alcohol, according to the researchers.
For the study, Gu and her colleagues split 674 adults into two groups based on how closely their diets aligned with the Mediterranean diet. Their average age was 80 years. All participants underwent MRI scans of their brains to measure total brain volume and thickness. They also completed questionnaires about their food choices and eating patterns.
The researchers found that brain volumes of those who didn't follow a Mediterranean diet were smaller than those who did. The difference was minor in overall size -- equated to about five years of aging, the study authors said.
But, more specifically, the investigators found that eating more fish and less meat was associated with even less brain shrinkage.
Gu said scientists don't yet know exactly why the Mediterranean diet seems healthier for the brain. However, other research has established that a higher intake of fish and vegetables and a lower intake of meat are beneficial for brain cell growth, she said.
Dr. Joseph Masdeu, director of the Nantz National Alzheimer Center at Houston Methodist Hospital, praised the research as "an elegant way of looking at this [issue]."
Masdeu, who wasn't involved in the research, said, "I think the take-home message is clear . . . a diet containing less meat and perhaps more fish is good for you. There are negative studies [focusing on] the Mediterranean diet as well, but several confirming a positive effect. So it's tentative, but it's the strongest preventive approach we have [promoting brain health] together with exercise."
Using the study findings, Gu contended that eating at least 3 to 5 ounces of fish weekly, or no more than 3.5 ounces of meat each day, could protect the brain from shrinkage.
She acknowledged that study participants may have inaccurately recalled their food consumption habits in the questionnaires used.
"We asked people to recall their past dietary habits, so that's prone to recall bias," she said.
Dr. Malaz Boustani, a spokesperson for the American Federation for Aging Research, said the new study provided "very good messaging" for the public.
"This is an encouraging study that will really make us work harder to see how we can actually encourage people . . . to change their diet to accommodate the Mediterranean diet," said Boustani, also founding director of the Sandra Eskenazi Center for Brain Care Innovation at Indiana University. "It makes it very easy for people to do the right thing."
MedicalNews
Copyright © 2015 HealthDay. All rights reserved.
SOURCES: Yian Gu, Ph.D., assistant professor, neuropsychology, Columbia University, New York City; Joseph Masdeu, M.D., director, Nantz National Alzheimer Center at Houston Methodist Hospital, Houston; Malaz Boustani, M.D., M.P.H., spokesman, American Federation for Aging Research, New York City, and founding director, Sandra Eskenazi Center for Brain Care Innovation, Indiana University, and professor, aging research, Indiana University School of Medicine, Indianapolis; Oct. 21, 2015, Neurology, online
The next post will come to you (again through the magic cyberspace) with delicious, irresistable mediterranean recipes that will make sense in respect of making your choices!!

Allons enfants de la patrie, le jour de gloire est arrive...... 
Greetings from your dedicated friend,
Barbara

    Tuesday 20 October 2015

    Free recipes from Mr. Foods Diabetic Kitchen

    FROM MR.FOOD DIABETIC RECIPES:

    with compliments,
    Barbara

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         09 11 tt spinach and ricotta lasagna       09 11 tt pizza       09 11 tt crispy sweet potato fries
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    Saturday 17 October 2015

    Super sweet and super healthy

    17.10.2015
    Good day again, my friends near and far,

    I don't say diabetic friends today, as this blog is for all lovers of healthy cuisines and lifestyles. Diabetic management can be: the right food. some exercise, some medication and a lot of positivity. Hakuna Mathata!

    Often diabetics feel very unhappy. They think they cannot eat anything nice in order to survive their disease.
    THIS IS SO NOT TRUE!!
     I eat myself through the pantry and back with Stevia (a herb much sweeter than sugar and available in all supermarkets) sweetened foods and especially puddings in my normal moderate amounts. Also cinnamon does wonders for sweetening and even lowering blood sugar levels. And I never can omit to mention how well my Diabetes2 is under control. So I feel that I have a right to advise lesser fortunate people.
    Thank you for all your friendly comments. I read them all and it seems I should for the time being remain 'lecturing'  the beginner's class. Plus I want to spread the good news only. Once in a while a warning cannot do any damage though. I generally approach my life and my penchant for enlightening and informing like my dogs. I think I am a dog whisperer. Lots of praise, lots of nice rewards.
    A slight slap on the table with a folded newspaper is ample warning enough. They hate it, the surprise, the noise and that they have been caught out being naughty. They are also an extremely positive bunch. Ohhh, breakfast, my favorite meal. Ohhhh, walkies, my favorite passtime. Ohh, a ride in the car, my favorite. Ohhhh a tummy rub and so their day goes on.....
    So you never need to be scared to receive more than a few words on this blog. The aim is to make my diabetic friends understand the disease and make the best out of it.Please also visit my 


    South Africa blog on understanding:

    http://sunbirdafrica.blogspot.co.za/

    Today's subject on this diabetic blog will delight you all. When you are really craving something extra specially delicious or delicious and sweet, dig into the strawberry fields. Even Patrick Holford sees nothing wrong with a diabetic indulging in a whole, large punnet of strawberries in one go. Hmmmmmm! They are in season in South Africa at the moment and that means sweet, big, red and affordable.




    Strawberries are often mistaken for the biggest culprit in the sweet fruit department. However, they are really the fruit with the lowest content of sugar (7g per cup) of them all and are perfect for a naughty sweet diabetic tooth. They help the body to utilize it's insulin better and can such lead to reduced amounts of medication. Keep a tight check on your m/mol anyway, like always (the folded newspaper).




    Joghurt too has gotten a bad reputation as a diabetic food. In its unsweetened and unlavoured form however, it can be used to lower blood sugar. I buy plain yoghurt and sweeten and flavour it with fresh fruit, stevia, and cinnamon. Hoeeeee, my mouth is watering just writing about it.
    It contains high quality cacium and carbo hydrates and, like strawberries, helps to maintain blood sugar levels. Bananas contain a little more of the 'bad' stuff', but nobody with diabetes was ever killed by a small banana.... By the way: I LOVE BANANAS and JOGHURT!




    Bananas and cute babies directly from the tree...



    Cottage cheese is (unbelievably) even higher in protein and good carbo hydrates than joghurt. Check your brands for unhealthy additions and stay true to a purer, tasty product. Together with a fruit and piece of rye bread it makes a complete meal for me. Or spiced with paprika on cous-cous.... In winter with Rooibos tea, in summer with homemade Lemonade.



    Sweet potatoes have a very low glycemic index. If you think you will -as a diabetc- never eat potatoes again, think again. Sweet potatoes are unsimilar to white spuds healthy, nutritious, delicious and just yummmmmmyyyyyy! They assist in blood sugar control as they break down very slowly into sugar in the body (GI) and even more so, if a little cinnamon is added. Some experts recommend eating them raw to be an even more efficient diabetic food, but personally, I don't need to follow any old recommendation.





    And now I cannot hold it any more. I am going to unpack my new blender (with ice and nuts hacker) and make myself the very nicest SMOOTHIE I ever drank! Oh, my favourite food!!

    Greetings for today from 
    Barbara in Africa







    Friday 2 October 2015

    What is your A1C count? Need to know for survival!!

    Hello Friends!
    After a long winter break (in SA +- from June to September) I am seriously back with a rather long and scientific article and info I found for you. That means we are getting to a new start with very serious diabetes business: The A1C! My count was 6.1 last time I checked (in June actually, going again in November).
    I am on Insuline in the meantime, but since then my blood sugar control has improved. The injections are not as uncomfortable as I thought, especially when you call to mind the potentail alternatives! You probably know know how some people cringe at ' Twice a day into the belly.....?'
    So I have reason to be quite proud of myself. I used the -not too bad this year- winter to hybernate and contemplate, mostly. And I came out at the other end of the tunnel (winter) quite renewed and feeling fresh, which of course is nature's intention for itself including us diabetics. I post a picture of the 'new' and inspired and motivated me and greet you with all my heart and love.



    If you read this blog and post, plese post me your diabetic status and any problems in the management of your blood sugar in the comments section, so I can concentrate on helping you along with my research and efforts. Thank you and have a wonderful season, whatever this might be the case in your country!

    I quickly add a photo -along the lines of, when the heart is full of something nice, it runs over-   of the only one in my home who MAY it sweets......
         
            So here goes:

    Blood sugar checks, eAG readings, calorie counting — if you’re living with type 2 diabetes, you know that the successful management of the condition can be a numbers game. One of the most important numbers to keep tabs on is your A1C.
    The A1C test result reflects your average blood sugar (glucose) level over the previous two to three months, enabling you and your doctor to gauge your blood sugar control over a long period, as compared with your daily self-checks, which provide one-time pictures of your fluctuating blood sugar level.  The American Diabetes Association (ADA) compares the A1C test to a baseball player’s batting average — it gives you a more accurate view of your overall success in managing type 2 diabetes.
    Getting an A1C test — which should be performed at your doctor’s office two to four times a year — is important because the results can help you and your doctor determine if your type 2 diabetes treatment strategy is working. If your test results don't measure up, the two of you can make changes to your plan to help you gain better control over your blood sugar levels and prevent the long-term complications of type 2 diabetes.
    The A1C test also reduces the risk of error associated with blood sugar self-monitoring. “People sometimes use glucose monitors inaccurately or incorrectly,” says Derek LeRoith, MD, PhD, a professor of medicine, endocrinology, diabetes, and bone disease at the Icahn School of Medicine at Mount Sinai Hospital in New York City. “We can look at both the A1C results and the chart that a person brings in to see if there’s a discrepancy.”
    What Do Healthy A1C Results Look Like?
    According to the National Institute of Diabetes and Digestive and Kidney Diseases, a person who doesn't have type 2 diabetes probably has an A1C level somewhere between 4.5 and 6 percent. Although your doctor will determine your personal target, people with type 2 diabetes often aim for an A1C level of 7 percent or less. A level of 8 percent or higher indicates uncontrolled type 2 diabetes.
    What does the A1C test actually measure? Dr. LeRoith explains that hemoglobin is a protein that’s found in red blood cells. When glucose is in the bloodstream, it coats the protein with sugar — a process known as glycation. The A1C test measures the percentage of your hemoglobin that is glycated to help determine your blood sugar control. 
    It can also be helpful to know your estimated average glucose level (eAG). This is essentially the same as your A1C test result, except that the value is converted to the unit (mg/dl) that you see when you self-check your blood sugar level at home.  If you’re aiming for an A1C result of less than 7 percent, you’re also shooting for an eAG that’s below 154 mg/dl. The ADA provides an online tool that converts your A1C level to eAG and vice versa.
    8 Ways to Lower Your A1C
    It’s important to remember that lowering your A1C level takes time — the length of time it takes you to do it depends on your current blood sugar levels and lifestyle habits. Because the reading represents an average level over two to three months, you won’t be able to lower your A1C by going on a 20-minute jog just before your appointment.
    However, if your previous reading wasn’t in a healthy range, there are things you can do to lower your A1C before you see your doctor again. Try these tactics: 
    Follow your doctor’s orders. If your last A1C test result was too high, it's a sign that you’ve lost some degree of control. “To reach a target A1C, the person with type 2 diabetes and his or her doctor must address overall blood sugar management,” LeRoith says. “That could mean losing weight, increasing fitness, or making medication changes.”  No matter what the plan requires, the most important part is sticking to it.
    Eat healthier foods every day. “I don’t put people with type 2 diabetes on strict diets,” says Gregory Dodell, MD, an endocrinologist in New York City. “Instead, I come up with an overall healthy eating plan with them. I remind them, 'This is something you’re going to be changing for the rest of your life.'”
    According to the ADA, healthy eating plans that help with blood sugar control make room for a wide variety of foods, including vegetables, lean meat, fish, whole grains, fruits, and nonfat dairy products — and yes, even the occasional dessert.
    When you’re changing the way you eat overall, it’s okay to start small. “Do you love rice? Switch from white rice to brown rice,” Dr. Dodell says. Your doctor or a registered dietitian can work with you to set realistic dietary goals.
    Be label conscious. “Most people just look for calories on food labels,” LeRoith says. “People with type 2 diabetes also need to be looking at the nutrition — most importantly, added sugars.” Since healthy eating plans that lower blood sugar incorporate nutrient-rich foods, the ADA recommends checking labels for total carbohydrates, fiber, total fat, sodium, and sugar alcohols.
    Develop an exercise habit. The ADA recommends that people with type 2 diabetes aim to get 30 minutes of moderate- to high-intensity exercise at least five days a week. Exercise is good for everyone, but it can help people with type 2 diabetes gain control over their blood sugar level and their weight.
    If you don’t currently have an exercise routine, you don't have to go from 0 to 60. “Let’s say you don’t like to run but you enjoy walking,” says Dodell. “Could you start off by walking for 10 minutes three times a day? Can you get off the train a stop early and walk the rest of the way? It’s all about coming up with a realistic plan.”
    LeRoith agrees that walking is a good first step. “Any exercise will work, but walking is great for two reasons. First, many people with diabetes don’t walk as much as they should. Second, walking generally causes less harm to the back, legs, and other body parts compared with more intense exercises.”
    Keep tabs on your blood sugar level at home. Even though your doctor is testing your A1C every few months, it’s still important that you do frequent self-checks — and keep track of your results — at home. Says LeRoith, “Testing blood sugar only once every three months is just too late.”
    LeRoith also stresses the importance of testing after meals (as opposed to testing only your fasting glucose level in the morning).  “This helps you see how well you’re coping with the meal,” he says, “and how important it is to reduce the sugar in your meals.” Keeping tabs on your blood sugar readings at home can help you gauge whether you’ll be in your goal A1C range by your next appointment — and whether you need to make diet and fitness adjustments to get there. 
    Get techy with your tracking. If you have a smartphone, you’re in luck. There are a number of apps designed to help you gain better control over your type 2 diabetes. Glooko and BG Monitor Diabetes, for example, enable you to keep track of your blood sugar readings and to analyze your data, allowing you to better estimate what your A1C will be before you see your doctor.
    Weight-loss apps such as Lose It! can assist with weight management, and Everyday Health’s Diabetes in Check comes with a carb tracker and built-in diabetes coach. Smartphone apps, LeRoith says, are effective tools in helping you be as prepared as possible for your next doctor’s appointment.
    Try to reduce stress. Everyone gets stressed out, but if you can possibly reduce the amount of stress in your life, you may be able to better manage your blood sugar — and ultimately lower your A1C level. The ADA explains that when we suffer mental or physical stress, our bodies release hormones that make us less sensitive to insulin — consequently, blood sugar increases. Adopting long-term stress-reduction techniques (like practicing yoga once a week, exercising more often, or adding deep-breathing exercises to your day) may help you lower tension and your A1C.
    Focus on the big picture. “Even when someone’s type 2 diabetes is uncontrolled, they may feel fine and not have any symptoms,” Dodell says. “They may say, ‘I feel okay, so I’m going to keep on doing what I’m doing.’ I then tell them, ‘Look, this is preventive.’” He advises that you make an active decision to get your A1C to a healthy range to protect your future health. Making healthy lifestyle tweaks today can help you prevent complications of type 2 diabetes — such as stroke, kidney disease, blindness, and amputation — down the road. 
    Not Seeing Improved A1C Results?
    If you feel as though you’ve been doing everything right but you're still not hitting your A1C target, try not to get discouraged, LeRoith says. “At that point, your doctor will reevaluate your treatment plan and what’s not working — whether it might be diet or exercise. Then he or she will talk about medication.” If you’re already on medication, your doctor may increase the dosage or add another medication.
    Together, you and your doctor — along with the aid of some healthy lifestyle modifications — can get your blood sugar level down to a healthy range.