 this is Dr. Ahmed Ergin. Welcome to Sugar MDs. Today we are going to talk about some diabetes control tips. Now I have outlined here and I'm going to give you some details about how to control your diabetes and that's going to be a very good structure for you all to follow. If you like this video please give it a thumbs up and subscribe to our channel so we can provide you more videos and you can be more better educated. Now let's start with the seven fundamental concepts that we especially for type 2 diabetics but also type 1 diabetics as well. How to really manage your diabetes on a day-to-day basis. A lot of times people skip the order or they will just not even think about it but diabetes is a very complex disease. It's not just you eat too much disorder okay it's not just because you're eating too much sugar disorder. It is a metabolic disorder. It comes with insulin resistance along with relative insulin deficiency. Now of course once you become a diabetic it is easy to give in become you know upset and annoyed or whatever and sometimes some some people do the opposite and they become extremely obsessed about it and so forth. So let's go over actually how we advise people to manage their diabetes. Now healthy eating of course you can be like the you know of course healthy eating. Now healthy eating does not necessarily mean that you have to quit everything you love. You just have to understand number one what a glycemic index is, what are complex carbs are, what are the portion sizes and of course how do they affect your blood sugar because not every diabetic is the same so you have to really understand how carbs are affecting your blood sugars and how you can actually make changes in your life without having to reborn to another life and changing your entire diet. Now some people can do that but a lot of people is just not able to do that for many a variety of reasons. Healthy eating we have a video about this diabetic diet very popular after this video it's gonna be part of the playlist. Make sure you watch that video so you can actually understand the entire concept. I just don't want to make videos lasting forever because you're not gonna be able to keep your focus. Now being active, again being active is very structured. We have an exercise for diabetics or workouts for diabetics video that I explained that you have to do 150 minutes for a moderate exercise at the 60 to 90 minutes if it is vigorous or intense exercise but having a structured regular Arabic as well as resistance training is fundamental in in managing your diabetes. Now of course there are other things like monitoring, taking medication, problem-solving, reducing risks and healthy coping. Now what what do these things mean? Now everybody understands the healthy eating and being active part but when it comes to monitoring people don't know you know how to monitor. Now of course you know healthy eating and being active also needs to be understood well because a lot of misinformation out there but monitoring we have a video about this as well how to have any time to check blood sugar is very important you need to understand that depending on your individual situation but once you watch the video I think you will have a good understanding. So but I'll go over quickly here monitoring can be done in a variety of ways to nowadays is a lot easier right so we have continuous glucose monitoring systems such as Dexcom or Libre. We have a lot of good meters people who are who do not want to carry an extra piece of equipment on their body. They still say I'll just do a finger stick but there are a lot of options out there nowadays that you can easily check your blood sugars without a big problem without you know stop doing everything you're doing. Now taking medication is a problem because what ends up happening is that diabetic patients end up going on a lot of medications especially in time and they get tired of them or they end up you know they start forgetting them you know telling somebody to take medication forever is this difficult so what we need to do what we do for our patients and what you need to ask your doctor that they need to really solidify they need to minimize the number of medications the way to do that is to use a most effective medication that can get the job done not only today but also five ten years from now you can still stay on the medication and stay under control and there are medications out there and I just need to tell you that you really have to tell your doctor okay just don't give me another pill give me something that will work for a long time and that's not necessarily insulin okay so there are a lot of medications that will not need insulin and that will still keep you in track on track and will maintain your blood sugars at a healthy level without needing to take a bunch of pills now problem solving now of course taking medication you know if you don't monitor you're not going to know where you are at so if you're not taking your medication even if you monitor your blood sugar is not going to be under control so so these things are not going to fix your diabetes by itself you have to do all of them at least partially so for example you're eating healthy right so you think that eating healthy should do it but it may not so and if your doctor says you need to take your medication because you're healthy eating didn't work enough and if you refuse that even if you continue to monitor your blood sugars are not gonna come down just because you're monitoring monitoring shows you where you're at monitoring shows you if you need a medication monitoring shows you if you're healthy eating and being active is actually reflecting on your blood sugar control of course taking medication is going to be important if healthy eating and being active is not helping enough problem solving now that's where a lot of people fall off the wagon here's why because the if they are barely getting things done for the diabetes the first problem they experience they just dropped the ball and that's why we see patients every three months at least sometimes you know especially when they're new I see them way more often because I want to make sure that they understand I want to make sure that they're taking the medication I want to make sure that they're monitoring I want to make sure that they're in a good routine unfortunately diabetes is a boring disease you have to be on a routine now problems are when people's routines are disturbed it could be a travel it could be some sickness it could be a relative being sick it could be that you know you have to change your jobs it could be that you have to move then the problems are I lost my monitor I I forgot my medication somewhere else I cannot exercise because my neighborhood is not good anymore and excuses are going to always come now these are problems now you have to identify the problem you have to think about a solution and you have to implement the solution actually if you do these things in your life you're going to be successful not only with diabetes but in a lot of other things reducing risks now reducing risk is is very important because just because controlling blood sugar doesn't necessarily mean that your heart disease risk or some like stroke risk is going down sometimes to reduce your risk you also have to control your blood pressure and your cholesterol and more strict control of blood pressure and cholesterol is generally required for diabetics and for that they still sometimes have to take medications again back to taking medications same thing with problems you know the same problems with taking medications or monitoring monitoring your blood pressure doing your blood for cholesterol these are all connected if you do not do these all together then don't be surprised if the outcome is still not good so doctors when they tell you something they think a lot about it they know a lot about it although you may not appreciate it but they are thinking about you're using your risk okay they may not have time to tell you how they're doing it and how it works how things work but that's why I'm here right but reducing risk happens if you control other factors because heart attack for example is rarely just one single factor one single risk factor so typically it's multiple risk factors and you have to risk all we have to reduce all those risks so that you can stay healthy and have a long life and get healthy coping now that's a problem because people will say why did I get these diabetes why did it find me that's the number one question people get angry about it people get angry about a lot of other things and I don't blame them because you know having to take medications or medications being expensive or you know having to monitor all the time having to prick your fingers or you know having to pay copays and all that stuff and but but bottom line is it's your life and if it happened to you at this point you have to be able to cope with it because if you give up then you give up then you're not gonna be able to achieve anything that you want to achieve in life when you're not healthy so if you're not coping with your diabetes problems and if you're just ignoring your diabetes it may sound or feel fine just right now but down the road when you are trying to collect your investments that you have done today you're not gonna be able to enjoy because you're not going to have enough health to be able to enjoy what you have done today your hard work your investments your life your kids your grandkids you're not gonna be able to see that and that that's why you have to be able to cope with these problems today you have to find a way to eat healthy even if you're traveling you have to find a way of being active even if the gyms are closed even if it's hot outside so a lot of times I tell my patients why can't you get up early in the morning in Florida it is still not bed is 75 degrees at 6 o'clock in the morning but people don't want to do that but you can and you should and it's a problem so it's excuse they have a problem but they don't want to solve the problem they just want more medication but the more medication brings more problems such as side effects or such as expenses right and reducing risks again if your blood sugars are running high you're not going to be able to reduce any risk you're going to go into kidney failure and the kidney failure will complicate everything else so as a result guys please make sure that you follow this healthy eating being active monitoring correctly taking your medication problem solving when there's a problem interfering with your routine reducing risks making sure that you're also controlling other risks such as blood pressure and cholesterol and healthy coping with all of these things that you have to follow I hope this video was helpful guys so make sure you continue to watch the playlist because I'm going to throw in there a lot of other videos that are pertinent to this like being active healthy eating monitoring etc so see you in the next video