How to assess control of Diabetes ?
A person with well controlled diabetes does not have complains like thirst, excess of urine or weakness. A person with diabetes, should weigh himself/herself at regular intervals, in the same type of clothes or a reliable scale. He/she should test the urine regularly for glucose/sugar; an occasional urine test is of no value. An estimate of blood glucose level at least once in two or three months is essential. The HbA1 test gives a retrospective idea of control of diabetes. Blood glucose monitoring at home has helped many people considerably in controlling diabetes. A well controlled diabetic does not experience severe hypoglycemia very frequently, has a sense of well-being and is able to lead a full and an active life, consistent with his/her age and physical state.
The targets of management vary from person to person and even in the same person from time to time, according to his/ her age, associated conditions, life expectancy and social circumstance. While a pregnant diabetic should aim at a strict control of diabetes, one should be satisfied if symptoms of diabetes are relieved, hypoglycaemia is avoided and blood glucose levels are within reasonable limits in an elderly person.
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