The tricks to successfully managing type 1 diabetes and maintaining the near-normal blood-glucose levels necessary to stay 48, healthy are paying attention to your daily schedule, understand ing the effects of your lifestyle on blood sugars, and adjusting your insulin to maintain blood-sugar levels in the range you and your health-care team agree is right for you.
Maintaining some consistency in mealtimes and meal sizes will help during the early stages of adjustment; however, as time goes on you will learn how to adjust even if you have inconsistencies. For example, if you planned to eat a large Sunday breakfast of cereal, eggs, toast, and orange juice, you would check your blood sugar before starting to eat. If you found that your blood-sugar level was on the high side—let's say 150 mg/dL—you would consider giving ten units of rapid-acting insulin, approximately four units more than the usual dose, because of your relatively high blood-sugar level and the greater carbohydrate content of the meal you are about to have.
As another example, if you planned to play tennis at 10:00 a.m., knowing that exercise lowers blood sugar, you would decrease the usual dose by several units. This kind of attention to lifestyle takes place day in and day out. Before twenty years ago, diabetes took command of lifestyle. Now, millions of people with type 1 diabetes have been able to master the lifestyle requirements and command their diabetes.
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