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Initiative
                                                                                                           HEALTH
        simple carbs.                        diabetes require daily insulin injections to  “Your doctor is your best resource for
        Step 2 Recheck your blood sugar after  survive. There are various types of insulin  information about living with diabetes.
        15 minutes, if possible.             available in South Africa. Type 2 diabetes  However, while your healthcare team
        Step 3 If you still feel the symptoms of low  is controlled through exercise and meal  will advise and support you, how well
        blood sugar, repeat step 1.          planning and may require diabetes tablets  your diabetes is managed depends on
        Step 4 Once you return to normal, eat  and\or insulin to assist the body in making  you.
        a small snack, if your next planned small  or using insulin more effectively. Talk to
        meal or snack is more than an hour away.  your doctor about the best treatment option   Use the resources available to
        Step 5 If you continue to experience signs  for you, as well as the all-important  empower yourself to improve your
        of low blood sugar – contact your doctor  cost considerations of different treatments.  metabolic control, increase fitness
        or emergency health services immediately.  • Lifestyle management - Learning to  levels and manage weight loss and
                                             reduce stress levels in daily living can help  other cardiovascular disease risk
        15 grams of carbs = Any of the following:  people manage their blood glucose levels.  factors, which in turn will improve your
        •   4 glucose tablets (follow package  Smoking is particularly dangerous for  sense of well-being and quality of life,”
          instructions).                     people with diabetes, or for anyone.  concludes Dr Molefe-Osman.
        •   1 gel tube (follow package instructions).
        •   2 tablespoons of raisins or 1 tablespoon of
          honey or syrup.
        •   ½ a cup of juice or non-diet soda or 1 cup
          of non-fat 1% milk.
        •   3 – 5 hardboiled sweets, jellybeans or
          gumdrops.

        TRACK YOUR SYMPTOMS
        When managing long-term health
        conditions, you may find it helpful to keep
        track of any symptoms you experience such
        as pain, fatigue, insomnia or nausea. What
        makes them worse? What makes them
        better? How do medications, foods, activities,
        people, and stresses affect you?
        You can also keep track of numbers that
        affect your symptoms, like blood pressure
        or blood sugar readings. Bring your logs
        to appointments and share them with your
        healthcare provider and with your family.
        Consider asking your family for their thoughts
        about your log and what they have noticed
        about your symptoms.
        GET MOVING & TAKE CARE
        Above all be healthy, active and look
        after your heart. It doesn’t have to be a
        complicated routine. Even a small increase
        in daily physical activity can make a big   MYTHS AND FACTS
        difference. While some risk factors for   •  Being on insulin will not disrupt your daily routine.
        diabetes such as age, ethnicity and family   •  Insulin does not cause complications such as blindness. Along with
        history can’t be changed, many other risk   other medications, it helps to reduce complications by controlling your
        factors such as managing your weight, eating   blood sugar level.
        healthy foods in the right quantities and   •  Insulin is not an addictive drug!
        exercising regularly can be managed.     •  Starting insulin does not mean you are failing to take care of your
                                                   diabetes. For many people with Type 2 diabetes, the body gradually
        According to Diabetes South Africa there   produces less and less of its own insulin. Eventually, oral medications
        are various aspects to good diabetes       may not be enough to keep blood sugar levels normal. Using insulin to
        management including:                      keep a healthy level is the responsible thing to do for your own health.
        • Education - Knowing about diabetes
        is an essential first step. All people   THE LAST WORD by Dr Molefe-Osman
        with diabetes need to understand their   The best approach is to be methodical in your planning, and to work out
        condition in order to make healthy lifestyle   a daily programme that keeps you on track and becomes part of your
        choices and manage their diabetes well.  routine. Your healthcare provider or diabetes educator is also a very
        • Healthy eating - There is no such thing   important source of information due to their experience, so don’t be afraid
        as a ‘diabetic diet’, only a healthy way of   to engage with them about your concerns, no matter how minor you may
        eating, which is recommended for everyone.   think they are,” says. “The fact is that, with proper management, you can
        However, what, when and how much you eat   overcome the challenges and turn your diabetic journey into a success
        plays an important role in regulating how well   story. Know the value of building a support system around you because
        your body manages blood glucose levels.   diabetes requireshealthcare providers, daily attention and commitment –
        It’s a good idea to visit a registered dietician   and often involves your whole family.”
        who can help you work out a meal plan that is
        suitable for your lifestyle.
        • Exercise - Regular exercise helps   REFERENCES
        your body lower blood glucose levels,  1. https://www.idf.org/our-network/regions-members/africa/members/25-south-africa
        promotes weight loss, reduces stress and  2. https://www.idf.org/about-diabetes/what-is-diabetes.html
        enhances overall fitness.             3. https://www.lillydiabetes.co.za/en/site/why-insulin/what-is-insulin.html
        • Weight management - Maintaining a   4. https://www.lillydiabetes.co.za/en/site/why-insulin/myths-facts.html
        healthy weight is especially important in  5. https://www.lillydiabetes.co.za/en/site/hypoglycemia/how-to-identify-hypoglycemia.html
        the control of Type 2 diabetes.       6. https://www.lillydiabetes.co.za/en/site/hypoglycemia/how-to-treat-hypoglycemia.html
        • Medication - People with Type 1     7. http://www.diabetessa.org.za/are-you-at-risk/

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