Diabetes Control: Why It's Importantenteenshttps://kidshealth.org/EN/images/headers/T-diabetesControl-enHD-AR1.jpgPeople who have diabetes may hear or read a lot about controlling, or managing, the condition. But what is diabetes control and why is it so important?controlling diabetes, why diabetes control is so important, medicines, meal plans, type 1 diabetes, type 2 diabetes, blood sugar levels, hypoglycemia, hyperglycemia, long-term complications, hbA1c, glycosylated hemoglobin, checking blood sugar levels, how do I control my diabetes?04/01/200503/15/201803/15/2018Steven Dowshen, MD03/05/2018f02a787a-3326-4ffb-bee2-d2c965896f13https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-control.html/<p>People who have diabetes may hear or read a lot about controlling, or managing, the condition. But what is diabetes control and why is it so important?</p> <h3>What Is Diabetes Control?</h3> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/in-diabetes-vd.html/" target="windyWindow" onclick="MM_openBrWindow(this.href,'windyWindow','width=605,height=595,status=no,scrollbars=no,toolbar=no,resizable=yes,location=no'); return false;"><img class="right" title="What Happens in Diabetes?" src="https://kidshealth.org/EN/images/buttons/diabetes-enBT.gif" alt="What Happens in Diabetes?" name="3326-DIABETES_ENPR.GIF" /></a></p> <p>When you hear your doctors or health care providers talk about &quot;diabetes control,&quot; they're usually referring to how close your blood sugar, or glucose , is kept to the desired range. Having too much or too little sugar in your blood can make you feel sick now and cause health problems later.</p> <p>Managing diabetes is like a three-way balancing act: The medicines you take (insulin or pills), the food you eat, and the amount of exercise you get&nbsp;all need to be in sync.</p> <p>Diabetes can get out of control if you:</p> <ul> <li>don't take <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/medicines-diabetes.html/">diabetes medicines</a> as directed</li> <li>don't follow the <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/meal-plans-diabetes.html/">meal plan</a> (like eating too much or not enough food without adjusting diabetes medicines)</li> <li>don't get regular exercise or exercise more or less than usual without making changes to the diabetes plan</li> <li>have an illness or too much stress</li> <li>don't check blood sugar levels enough</li> </ul> <h3>What Can Happen if Diabetes Is Not Under Control?</h3> <p>Out-of-control blood sugar levels can lead to short-term problems like <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/hypoglycemia.html/">hypoglycemia</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/hyperglycemia.html/">hyperglycemia</a>, or <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/ketoacidosis.html/">diabetic ketoacidosis</a>. In the long run, not controlling diabetes can damage important organs, like the heart, kidneys, eyes, and nerves. This means that heart disease and stroke, kidney disease, vision problems, and nerve problems can happen to people with diabetes.</p> <p>These problems don't usually show up in kids or teens who have had the disease for only a few years, but they can happen to adults with diabetes. Kids and teens with diabetes who don't control their blood sugar levels can be late going into puberty and might not end up as tall as they would have otherwise.</p> <p>The good news is that keeping blood sugar levels under control can help keep you healthy and prevent health problems from happening later.</p> <h3>How Do I Know When My Diabetes Is Under Control?</h3> <p>If you have diabetes, your doctor or <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-team.html/">diabetes health care team</a> will tell you what your blood sugar levels should be (usually called&nbsp;a <strong>target range</strong>). If you have diabetes, you're trying to keep your blood sugar level as close to the target range as possible. As you get older, your target range may change.</p> <p>The only way to know if your blood sugar level is close to your target range is to measure your blood sugar level several times a day with a blood glucose meter . Your diabetes health care team will help you determine when and how often to check your blood sugar level. Checking and keeping a record of the test results is very important — this helps you and your diabetes health care team make changes to your diabetes management plan as needed.</p> <p>Some people with diabetes also use <strong>continuous glucose monitors (CGMs)</strong>. These are wearable devices that measure blood sugar every few minutes throughout the day and night by using a sensor that is inserted under the skin. By providing a more detailed profile of blood sugar levels, these devices can help some people do an even better job of &quot;fine-tuning&quot; their blood sugar control.</p> <p>The glucose meter and CGMs tell you what your blood sugar level is at the moment you test. But another type of blood sugar test, the <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/hba1c.html/">glycosylated hemoglobin</a></strong> (pronounced: gly-KOH-sih-lay-tid HEE-muh-glo-bin and also known as the hemoglobin A1c or HbA1c) <strong>test</strong>, will help you and your doctor know how your blood sugar control was over the past 2 to 3 months. In general, the lower your HbA1C level, the better you're doing at controlling your diabetes.</p> <h3>Getting Control</h3> <p>Keeping blood sugar levels close to normal will be challenging at times. But you can help keep your blood sugar levels in a healthy range with these steps:</p> <ul class="kh_longline_list"> <li>Take your insulin or pills when you're supposed to.</li> <li>Follow your meal plan.</li> <li>Get regular exercise.</li> <li>Check your blood sugar levels often and make changes with the help of your diabetes health care team.</li> <li>Visit your doctor and diabetes health care team regularly.</li> <li>Learn as much as possible about diabetes.</li> </ul>El control de la diabetes: Por qué es importantePosiblemente, la gente que padece diabetes haya escuchado o leído muchas cosas sobre cómo controlar la enfermedad. Pero, ¿qué significa controlar la diabetes y por qué es tan importante?https://kidshealth.org/ws/RadyChildrens/es/teens/diabetes-control-esp.html/9003ed6f-ebc1-4a2e-8f84-8d7de000ccf2
Diabetes CenterOur Diabetes Center provides information and advice for teens about treating and living with diabetes.https://kidshealth.org/ws/RadyChildrens/en/teens/center/diabetes-center.html/2de408fd-c6ef-4ca3-a5cf-9a1456fe0f29
Keeping Track of Your Blood SugarTo keep your diabetes under control, stay healthy, and prevent future problems, you need to keep blood sugar levels in a healthy range. To do that, check and track those levels regularly.https://kidshealth.org/ws/RadyChildrens/en/teens/track-blood-sugar.html/723dff80-03a4-4bdf-a5e9-d21412553ea8
Meal Plans and DiabetesPeople with diabetes don't need to be on strict diets, but do need to pay attention to what they eat and when. Crack open the cookbooks and surf to your favorite recipe website because it's time to plan meals that you love!https://kidshealth.org/ws/RadyChildrens/en/teens/meal-plans-diabetes.html/7fdf67ec-ec8c-491d-8003-1b349fafb4f7
Medicines for DiabetesTaking medicines is a major part of staying healthy if you have diabetes because they help you keep your blood sugar levels under control.https://kidshealth.org/ws/RadyChildrens/en/teens/medicines-diabetes.html/bbb46625-eff9-4291-97bd-a4a9b50a4866
Sports, Exercise, and DiabetesTeens with diabetes can exercise and play sports at the same level as everyone else, so whether you want to go for the gold or just go hiking in your hometown, diabetes shouldn't hold you back.https://kidshealth.org/ws/RadyChildrens/en/teens/sports-diabetes.html/6eddf150-6fbf-4580-8fce-507c2fc7d699
Your Diabetes Health Care TeamIt takes all of your team members — you, your parents, doctors, certified diabetes educators, dietitians, and mental health pros — to help you take care of your diabetes.https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-team.html/8bce6552-f82e-4e39-9abf-ba3817c872f6
kh:age-teenThirteenToNineteenkh:age-youngAdultEighteenPluskh:clinicalDesignation-endocrinologykh:genre-articlekh:primaryClinicalDesignation-endocrinologyDiabetes Basics for Teenshttps://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-center/basics/751ea699-c536-45a1-b669-e333a9685bb6Diabetes Treatment & Prevention for Teenshttps://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-center/treatment/732b47e5-de83-4951-97ce-01bb85d7d7fchttps://kidshealth.org/EN/images/buttons/diabetes-enBT.gif