Effective Strategies for Managing Diabetes: Encouraging Medication and Blood Sugar Monitoring

Q: Effective Strategies for Managing Diabetes: Encouraging Medication and Blood Sugar Monitoring

Hello： Based on what you described, your mother's blood sugar levels, which were previously stable, have suddenly become uncontrolled. <br>This situation should not be considered solely within the framework of diabetes; there may be other underlying conditions, such as a urinary

Diabetic patients are reluctant to take their medication on time and monitor their blood glucose levels?

My mother has been diagnosed with hyperglycemia for many years, with fasting blood sugar levels around 140.
Recently, her levels have spiked to over 200.
As a result, she has become passive, not taking her medication on time and unwilling to monitor her blood sugar.
What are some practical ways to help control her blood sugar levels? For example, dietary adjustments, medication management, or seeking assistance from specialized units? I am very concerned as her condition continues to worsen.
Thank you very much.

Derek, 30~39 year old female. Ask Date: 2017/05/19

Dr. Li Zhiyao reply Internal Medicine

Hello: Based on what you described, your mother's blood sugar levels, which were previously stable, have suddenly become uncontrolled.
This situation should not be considered solely within the framework of diabetes; there may be other underlying conditions, such as a urinary tract infection or other issues, that could be causing the blood sugar instability.
I recommend accompanying your mother to a medical examination to check for any other diseases that might be contributing to this situation.
If no other factors are affecting her blood sugar, try to help her return to her usual dietary habits and medication regimen.
Additionally, please have her primary care physician reassess her condition to determine if any adjustments to her medication are necessary and to provide education on managing her health.
Wishing you and your family good health!

Reply Date: 2017/05/19

More Info

Managing diabetes effectively requires a multifaceted approach that includes medication adherence, regular blood sugar monitoring, dietary modifications, and lifestyle changes. Given your mother's situation, where her blood sugar levels have escalated significantly, it is crucial to address both her medical needs and her psychological barriers to treatment.

1. Understanding the Importance of Medication
First and foremost, it is essential to communicate to your mother the importance of adhering to her prescribed medication regimen. Medications for diabetes, such as Metformin or other oral hypoglycemics, help to lower blood sugar levels and prevent complications associated with uncontrolled diabetes. You might consider discussing with her the potential consequences of not taking her medication, such as the risk of developing serious complications like neuropathy, retinopathy, or cardiovascular issues.

2. Creating a Supportive Environment
Encouragement and support from family members can significantly impact her willingness to manage her diabetes. You can help by:
- Setting Reminders: Use alarms or apps to remind her to take her medication and check her blood sugar levels.

- Involvement in Meal Planning: Involve her in planning meals that are healthy and appealing. This can help her feel more in control of her diet.

- Regular Check-ins: Regularly check in with her about how she feels regarding her medication and blood sugar monitoring. This can help you identify any fears or misconceptions she may have.

3. Dietary Modifications
Diet plays a crucial role in managing blood sugar levels. Here are some dietary strategies that can help:
- Balanced Meals: Encourage her to eat balanced meals that include whole grains, lean proteins, healthy fats, and plenty of vegetables. This can help stabilize blood sugar levels.

- Portion Control: Teach her about portion sizes to avoid overeating, which can lead to spikes in blood sugar.

- Limit Sugary Foods: Help her reduce the intake of high-sugar foods and beverages, which can cause rapid increases in blood sugar levels.

- Regular Meal Times: Encourage her to eat at regular intervals to maintain stable blood sugar levels throughout the day.

4. Encouraging Blood Sugar Monitoring
Regular blood sugar monitoring is vital for understanding how her body responds to food, medication, and activity. If she is resistant to checking her blood sugar, consider:
- Educating Her on the Benefits: Explain how monitoring can empower her to make informed decisions about her diet and medication.

- Making It Convenient: Ensure that her blood glucose meter is easily accessible and that she knows how to use it. You might also consider using continuous glucose monitoring (CGM) systems if appropriate and available.

5. Physical Activity
Encourage her to engage in regular physical activity, which can help lower blood sugar levels and improve overall health. Activities can include:
- Walking: A simple daily walk can be very beneficial.

- Group Classes: If she enjoys socializing, consider enrolling her in group exercise classes tailored for seniors.

- Incorporating Movement into Daily Life: Encourage her to take the stairs instead of the elevator or engage in gardening or other light activities.

6. Seeking Professional Help
If her condition continues to worsen, it may be beneficial to seek help from healthcare professionals. This could include:
- Diabetes Educators: They can provide personalized education and support.

- Nutritionists: A registered dietitian can help create a meal plan that fits her preferences and health needs.

- Support Groups: Connecting with others who have diabetes can provide emotional support and practical tips.

7. Monitoring for Complications
Lastly, regular check-ups with her healthcare provider are essential to monitor her diabetes management and screen for potential complications. This includes eye exams, foot exams, and kidney function tests.

In summary, managing diabetes effectively requires a combination of medication adherence, regular monitoring, dietary changes, and lifestyle modifications. By providing support and education, you can help your mother take control of her health and prevent further complications. If necessary, don’t hesitate to seek professional assistance to ensure she receives the best care possible.

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