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Diabetes

Diseases & Conditions

Frequently Asked Questions

1.  Am I at risk for developing diabetes?
2.  How can I achieve and maintain good blood glucose control?
3.  How can I reduce the risk of complications?
4.  What are the health risks of poorly controlled diabetes?

1.  Am I at risk for developing diabetes?

The more risk factors you have, the higher your risk for developing diabetes.  Risk factors include:

  • Overweight 
  • Over 40 years old 
  • Relatives with diabetes 
  • Get little exercise 
  • High blood pressure or high cholesterol 
  • Had gestational diabetes
  • Delivered a baby weighing more than 9 pounds 
  • African American, Latino, Asian, or Native American heritage

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2.  How can I achieve and maintain good blood glucose control?

  • Take all of your medications as instructed. 
  • Monitor your blood glucose daily with your blood sugar meter and try to identify patterns.
  • Eat 3 meals per day, control carbohydrate portions, and decrease your saturated fat intake. 
  • Move your body – the gym isn’t the only option. Walk, dance, garden, clean!
  • Stay motivated. Learn as much as you can about diabetes, talk with friends and family about diabetes, keep yourself informed, and stay on track. 
  • Maintain a healthy weight.
  • Remember: small changes can have a big impact.

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3.  How can I reduce the risk of complications?

  • Target an A1C (90 day glucose average) of 7% or less 
  • Keep blood pressure below 140/90
  • Aim for  LDL cholesterol level below 100
  • Quit smoking 
  • Maintain a healthy weight 
  • Keep regular appointments with your health care team: stay up-to-date with eye, foot, kidney, and dental care

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4.  What are the health risks of poorly controlled diabetes?

Diabetes can have many adverse effects:

  • Diabetes is the leading cause of new cases of blindness among adults. 
  • Adults with diabetes have 2-4 times higher rate of heart disease and stroke. 
  • Diabetes is the leading cause of end-stage renal disease which leads to dialysis or kidney transplant. 
  • More than 60% of non-traumatic lower-limb amputations occur among diabetics. 
  • About 60-70% of diabetics have mild to severe forms of nervous system damage.
  • Gum disease is more common among people with diabetes. 
  • People with diabetes are more susceptible to other illness.

Fortunately, studies have shown that the risk of diabetes complications is reduced greatly with even small lifestyle improvements. You can control your diabetes, don't let diabetes control you! 

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Appointments

Call: 617.638.7470
Fax: 617.638.7449

Center for Endocrinology, Diabetes, Nutrition and Weight Management
Preston Family Building
732 Harrison Avenue, 2nd floor,
Boston, MA 02118

Refer a Patient

Call: 617.638.7470
Fax: 617.638.7449

Comprehensive Diabetes Management Individualized evaluations and interventions by a team that includes an endocrinologist/diabetes nurse practitioner, Certified Diabetes Educators including a nurse and dietitian, in conjunction with the primary care provider.

Our Comprehensive Diabetes Management Program is recommended for all patients with type 1 diabetes, and patients with type 2 diabetes with:

  • Suboptimal control on oral agents/insulin, A1c >7%
  • Insulin initiation
  • Insulin pumps
  • Diabetes with complex co-morbid conditions
  • Recent hospitalization with a lack of health care coordination
  • Labile blood sugar patterns
  • Hypoglycemic unawareness, frequent or severe hypoglycemiaore intensified diabetes treatment and/ or management needs

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