Some people who have type 2 diabetes can achieve their target blood sugar levels with diet and exercise alone, but many also need diabetes medications or insulin therapy. The decision about which medications are best depends on many factors, including your blood sugar level and any other health problems you have. Your doctor might combine drugs from different classes to help you control your blood sugar in several different ways.
The carbohydrates are balanced throughout the day with each meal containing 2-3 carb servings (30-45 grams of carbohydrates) and each snack containing around 1 carb serving (15 grams of carbohydrates). The calorie and carbohydrate totals are listed next to each meal and snack so you can swap foods with similar nutrition in and out as you like. Eating with diabetes doesn't need to be difficult—choose a variety of nutritious foods, as we do in this diet meal plan, and add in daily exercise for a healthy and sustainable approach to managing diabetes.

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This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.

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Weight loss: Dropping extra pounds can help. While losing 5% to 10% of your body weight is good, losing 7% and keeping it off seems to be ideal. That means someone who weighs 180 pounds can change their blood sugar levels by losing around 13 pounds. Weight loss can seem overwhelming, but portion control and eating healthy foods are a good place to start.

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Although support groups aren't for everyone, they can be good sources of information. Group members often know about the latest treatments and tend to share their own experiences or helpful information, such as where to find carbohydrate counts for your favorite takeout restaurant. If you're interested, your doctor may be able to recommend a group in your area.

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The carbohydrates are balanced throughout the day with each meal containing 2-3 carb servings (30-45 grams of carbohydrates) and each snack containing around 1 carb serving (15 grams of carbohydrates). The calorie and carbohydrate totals are listed next to each meal and snack so you can swap foods with similar nutrition in and out as you like. Eating with diabetes doesn't need to be difficult—choose a variety of nutritious foods, as we do in this diet meal plan, and add in daily exercise for a healthy and sustainable approach to managing diabetes.

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Portion control comes naturally when you choose the right grains, proteins and fats. You don’t have to starve yourself to lose weight if you’re eating the right kind of food. However, eating in moderation never hurt anyone, even if they have to make a conscious effort at it in the beginning. Eat the right foods to regulate satiety, but eat slowly and chew your food well. That way, your brain has a chance to let you know when you’re full. If you gobble your food in no time, you mess up your digestion and eat a lot more than you need to.
Another non-insulin injection for people with diabetes is exenatide (Byetta). This medication, originally derived from a compound found in the saliva of the Gila monster, triggers insulin release from the pancreas when blood glucose levels rise. Exenatide is meant to be used along with oral diabetes drugs. It is dosed twice daily and should be injected within an hour of the morning and evening meals. Recently, the FDA warned that exenatide may increase the risk of severe even fatal pancreatitis (inflammation of the pancreas) and that the drug should be discontinued and not restarted if signs and symptoms of pancreatitis develop (severe abdominal pain, for example). It is not for use in people with type 1 diabetes.
Healthy fats that provide Omega-3 and Omega-6 fatty acids are your friends. Not only do these fats help you feel fuller, they are heart-healthy and are beneficial for diabetics (as shown by research published in Cardiovascular Diabetology 2009). The study found that adding just 4g of prescription Omega-3 to the diet resulted in significant reductions in the levels of triglycerides, VLDL triglycerides, the triglyceride/HDL cholesterol ratio and an increase in HDL cholesterol. Think avocado, nuts, olive oil and oily fish, for example.
For people living with diabetes who want to learn more about how to make healthy food choices that fit their lifestyle and taste, it can be tough to make out fact from fiction with so much conflicting information in the media. The American Diabetes Association reviews the latest research looking at what is safe and works well for people at risk or living with diabetes. Studies show there are many different eating patterns that can be helpful in managing diabetes. In the long run, the eating pattern that you can follow and sustain that meets your own diabetes goals will be the best option for you.  
Pramlintide is only appropriate for certain people with diabetes who use insulin and are having problems maintaining their blood sugar levels. Because of the potential for severe hypoglycemia with the use of pramlintide is with insulin, adjustments to insulin dosage and more frequent glucose monitoring may be necessary. Insulin and pramlintide should not be mixed in the same syringe.

You may barely make it to office on time, but that doesn’t mean you skip breakfast. That means you wake up earlier! A healthy breakfast starts your day on the right note. It gives your metabolism the kick-start it needs so that, later in the day, you don’t overeat. Choose healthy breakfast options like oatmeal, eggs with whole-wheat toast or a breakfast smoothie made with fresh fruits and vegetables.
Choose a plan that you are likely to follow long-term that fits your diabetes goals and personal needs. Think about your likes and dislikes and how a change to your eating will affect your day to day life with family and friends as well as your personal weight loss goals. Budget also plays a part in choosing the right healthy eating plan that will meet your needs. 

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If you’re of African, Mediterranean, or Southeast Asian descent or have family members with sickle cell anemia or a thalassemia, an A1C test can be unreliable for diagnosing or monitoring diabetes and prediabetes. People in these groups may have a different type of hemoglobin, known as a hemoglobin variant, which can interfere with some A1C tests. Most people with a hemoglobin variant have no symptoms and may not know that they carry this type of hemoglobin. Health care professionals may suspect interference—a falsely high or low result—when your A1C and blood glucose test results don’t match.
If type 1 diabetes is suspected, your urine will be tested to look for the presence of a byproduct produced when muscle and fat tissue are used for energy because the body doesn't have enough insulin to use the available glucose (ketones). Your doctor will also likely run a test to see if you have the destructive immune system cells associated with type 1 diabetes called autoantibodies.
How it works: Helps insulin work better in muscle and fat. It lowers the amount of sugar the liver releases and makes fat cells more sensitive to insulin’s effects. It may take a few weeks for these drugs to lower blood sugar. Your doctor should talk with you about heart risks with this type of drug, which he may call “thiazolidinediones.” Side effects from this type of drug are rare but may include:

Insulin is a hormone produced by cells in the pancreas called beta cells. Insulin helps the body use blood glucose (a type of sugar) for energy. People with type 2 diabetes do not make enough insulin and/or their bodies do not respond well to it, leading to elevated blood sugar levels. Oral diabetes medications bring blood sugar levels into the normal range through a variety of ways.
Pramlintide is only appropriate for certain people with diabetes who use insulin and are having problems maintaining their blood sugar levels. Because of the potential for severe hypoglycemia with the use of pramlintide is with insulin, adjustments to insulin dosage and more frequent glucose monitoring may be necessary. Insulin and pramlintide should not be mixed in the same syringe.

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A diagnosis of pre diabetes is a warning sign about your health, don’t let it become a life sentence. With the right pre-diabetes diet plan, it is reversible. Losing weight drains excess fat from the pancreas and allows for the insulin function to normalize. Irrespective of whether you lead a sedentary, moderately-active or highly-active lifestyle, we have a simple diabetic diet plan for you, which, when coupled with regular exercise, will help reverse your diabetes.
When using the A1C test for diagnosis, your doctor will send your blood sample taken from a vein to a lab that uses an NGSP-certified method. The NGSP, formerly called the National Glycohemoglobin Standardization Program, certifies that makers of A1C tests provide results that are consistent and comparable with those used in the Diabetes Control and Complications Trial.

Your doctor will ask you to fast overnight and then drink a sweet liquid with 75 grams of glucose. Two hours later, a sample of your blood will be taken and sent for analysis. The normal levels are less than 140 mg/dL after two hours. If you have a level of 200 mg/dL or higher after two hours, then it means you have diabetes. Prediabetes means having levels at 140 to 199 mg/dL after two hours.5
A simple blood test, the A1c (your doctor may call it "glycosylated hemoglobin") is done on a sample of blood taken from a finger-stick or from a small vial of it drawn from your arm. Not to be confused with the daily at-home monitoring that allows some people with diabetes to measure their blood sugars in the moment, the A1c test paints a picture of your average blood sugar level for the past 3 months.
But good general advice to follow is to keep your carbs consistent -- eat the same amount at breakfast, lunch, and dinner to keep blood sugar from spiking or dipping too low. Weisenberger recommends 45 grams as a target for the three main meals of the day. "If you go lower than 30 grams at a meal, it's going to be really hard to get all the nutrients you need, such as fiber and phytochemicals," the health-boosting nutrients in fruits and vegetables.
Nuts make an excellent snack, but only if you feel hungry in between meals. They taste great even when added to oatmeal, salads and curries. An American Society for Nutrition study from 2008 revealed that nuts have the potential to improve blood lipid profile to reduce the risk of coronary heart disease and type 2 diabete. Choose from walnuts, pine nuts, almonds, hazelnut, peanuts and pistachio. Steer clear of packaged nuts with added fats and sugars. The best kinds of nuts are the organic and least processed kinds.
The simple meals and snacks in this 7-day meal plan feature some of the best foods for diabetes: complex carbohydrates (think whole grains and fresh fruits and vegetables), lean protein and healthy fats. We limited refined carbohydrates (like white bread, white pasta and white rice) as well as added sugars, which can spike your blood sugar quickly. We've also cut back on saturated fats and sodium, as they can negatively impact your health if you eat too much. What we definitely didn't skimp on is flavor. The meals and snacks in this diet plan feature fresh ingredients and plenty of herbs and spices that add flavor without adding extra sodium. You can plan to eat well over the course of this weekly meal plan. 
Portion control comes naturally when you choose the right grains, proteins and fats. You don’t have to starve yourself to lose weight if you’re eating the right kind of food. However, eating in moderation never hurt anyone, even if they have to make a conscious effort at it in the beginning. Eat the right foods to regulate satiety, but eat slowly and chew your food well. That way, your brain has a chance to let you know when you’re full. If you gobble your food in no time, you mess up your digestion and eat a lot more than you need to.
Another non-insulin injection for people with diabetes is exenatide (Byetta). This medication, originally derived from a compound found in the saliva of the Gila monster, triggers insulin release from the pancreas when blood glucose levels rise. Exenatide is meant to be used along with oral diabetes drugs. It is dosed twice daily and should be injected within an hour of the morning and evening meals. Recently, the FDA warned that exenatide may increase the risk of severe even fatal pancreatitis (inflammation of the pancreas) and that the drug should be discontinued and not restarted if signs and symptoms of pancreatitis develop (severe abdominal pain, for example). It is not for use in people with type 1 diabetes.

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