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Type 1 Diabetes: Living With Complications - Home Treatment

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type 1 diabetes are:

  • Keep your blood sugar as close to normal as
    possible. The American Diabetes Association recommends a
    hemoglobin A1c
    (HbA1c) level of less than 7%. Some people may be
    able to achieve a normal level of less than 6%.2 The
    lower the A1c, the lower the chance of complications.
    The A1c level is a measure of your blood sugar over the
    past 2 or 3 months.
  • Eat a diet that spreads
    carbohydrate throughout the day.
  • Get
    regular exercise.
  • Take your prescribed insulin either by injection
    or through an
    insulin pump.
  • Do not smoke.

For more information, see the Home Treatment section of the topic
Type
1 Diabetes: Living With the Disease.

Other measures to care for and protect yourself depend on which
complication you have.

Heart and large blood vessel disease

Even if you don’t have heart and blood vessel problems, you are
at risk for them.

  • Don’t smoke. Smoking increases your risk of a
    heart attack or
    stroke, and makes many health problems
    worse.
  • Take your blood pressure medicine, if
    prescribed.
  • Take aspirin daily, if advised by your health
    professional.
  • Drink alcohol in moderation. This means no more than
    1 drink a day for women and no more than 2 drinks a day for men. Discuss with
    your health professional whether you should drink alcohol.

Eye disease (diabetic retinopathy)

Call your eye specialist if you notice any changes in your
vision. Vision changes may mean worsening of diabetic retinopathy. Early
detection and treatment can help prevent vision loss.

If you have severe vision loss from diabetic retinopathy,
vision aids can help. Your local or state generic online viagra

for the visually impaired can help you find these aids.

For more information, see the topic
Diabetic Retinopathy.

Kidney disease (diabetic nephropathy)

  • Take your
    blood pressure medications, if prescribed. Your blood
    pressure should be less than 130/80 mm Hg. Ask your health professional if you
    need to monitor your blood pressure at home.
  • Get no more than 10%
    of your daily calories from protein foods if you have small amounts of protein
    in your urine (erectile dysfunction pill
    ).2
  • Limit
    salt in your diet because it makes your body retain fluid and can increase your
    blood pressure.

For more information, see the topic
Diabetic Nephropathy.

Foot problems

Daily care of your feet is very important. Because
diabetic neuropathy and diabetic damage to the blood
vessels in your legs can lead to severe infections and deformities of your
feet, seek treatment for any foot problem, no matter how minor it seems. Even a
small foot injury can lead to serious complications.

For more information, see

Foot care for people with
diabetes

Nerve damage (diabetic neuropathy)

If it affects your ability to feel (peripheral
neuropathy
):

  • Turn your water heater down, and use a bath
    thermometer or have someone test your bath water to make sure it is not too
    hot.
  • Don’t go barefoot. Always wear shoes, even in the
    house.
  • Don’t use an electric blanket.
  • Arrange your
    furniture so that the walkways through your house are free of clutter.

If it affects your body’s internal functioning (autonomic neuropathy):

  • Eat smaller, more frequent meals that contain
    less fat and fiber, if you have
    gastroparesis or other digestive
    problems.
  • Drink more fluids each day, if you have urinary problems
    or profuse sweating. This will prevent urinary tract infections and
    dehydration.
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    problems. Talk to your health professional about medication for erection
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    Erection Problems.
  • Check your blood sugar
    level frequently during the day and during the night treat erectile dysfunction the best, if you have
    hypoglycemia unawareness.

If it affects one nerve (focal
neuropathy
):

  • Wear a joint splint, if your health
    professional advises.
  • Take breaks during activities that require
    repetitive movements.
  • Make sure your work area has appropriate
    support for the affected joint.

For more information, see the topic
Diabetic Neuropathy.

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