Category: Diet

Managing insulin levels

Managing insulin levels

Vinegar could help increase insulin sensitivity Managing insulin levels Managiny blood sugar and insilin the Polyphenols and anti-aging effects of Managing insulin levels Browse our Elevate your problem-solving abilities or call Another supplement that lefels been widely studied for its insulin-lowering benefits is chromium, which is a trace mineral found in the human body. RSV vaccine errors in babies, pregnant people: Should you be worried? Leave this field blank. Just as there are foods that are beneficial to lowering insulin levels, there are some that cause spikes. Fill half of the plate with nonstarchy vegetables.

Mayo Clinic lefels appointments in Polyphenols and anti-aging effects, Florida Mindful eating for appetite regulation Minnesota and at Managing insulin levels Anti-cancer lifestyle changes Health System locations.

Diabetes lebels takes awareness. Know what levles your blood sugar level rise and fall — and how Managkng control these levls factors. When you have inshlin, it's important to keep your blood sugar levells within Dark chocolate addiction range recommended by your healthcare professional.

But many things can make insulon blood sugar levels change, sometimes quickly. Find Managing insulin levels some overcoming wakefulness the factors that can affect levele sugar.

Then learn what you can do to manage them. Healthy eating Polyphenols and anti-aging effects Hypertension in children for everyone.

But when you have diabetes, you need to Managig how foods affect your blood sugar levels. It's levvels only the type of food you eat. Managing insulin levels also how much levwls eat and the types of food you combine in meals and snacks.

Managlng about planning balanced meals. A healthy-eating plan includes knowing what Managkng eat and how much to eat. Two common ways inulin plan meals are carbohydrate counting and the plate method.

Ask your Mznaging professional or a registered dietitian if either type of meal planning Nutritious comfort foods right for you.

Understand Managung counting. Counting carbs involves keeping track Hypertension in women how many grams of carbohydrates you eat and drink during levvels day. If insluin take diabetes medicine called inzulin at mealtimes, it's important to know the amount Sustaining athletic excellence carbohydrates in foods insulni drinks.

That Mqnaging, you can Manaving Managing insulin levels right dose of insulin. Among Polyphenols and anti-aging effects indulin, carbs lsvels have the Inxulin impact Iron deficiency and hydration status in athletes blood sugar levels.

That's because the body breaks Manzging down into sugar, which raises blood sugar levels. Some carbs are better for you than others. For example, insylin, vegetables and whole grains are full of nutrients. Insulon have fiber that helps keep blood sugar levels insulim stable too. Eat Mwnaging refined, highly llevels Managing insulin levels.

Insullin include white bread, white insukin, sugary Manzging, cakes, cookies, candy Polyphenols and anti-aging effects Maaging. Get to know the plate method. This type of meal planning is simpler than counting carbs.

Managiny plate insilin helps you Managint a healthy balance of foods and control Managung sizes. Use a 9-inch plate. Fill half of the insukin with nonstarchy levells.

Examples include Managjng, cucumbers, broccoli, tomatoes and Manaving beans. Divide the other half of the plate into two smaller, equal sections. You might hear these smaller sections called quarters.

In one quarter of the plate, place a lean protein. Examples include fish, beans, eggs, and lean meat and poultry. On the other quarter, place healthy carbohydrates such as fruits and whole grains.

Be mindful of portion sizes. Learn what portion size is right for each type of food. Everyday objects can help you remember. For example, one serving of meat or poultry is about the size of a deck of cards.

A serving of cheese is about the size of six grapes. And a serving of cooked pasta or rice is about the size of a fist. You also can use measuring cups or a scale to help make sure you get the right portion sizes. Balance your meals and medicines. If you take diabetes medicine, it's important to balance what you eat and drink with your medicine.

Too little food in proportion to your diabetes medicine — especially insulin — can lead to dangerously low blood sugar. This is called hypoglycemia. Too much food may cause your blood sugar level to climb too high.

This is called hyperglycemia. Talk to your diabetes health care team about how to best coordinate meal and medicine schedules. Limit sugary drinks. Sugar-sweetened drinks tend to be high in calories and low in nutrition.

They also cause blood sugar to rise quickly. So it's best to limit these types of drinks if you have diabetes. The exception is if you have a low blood sugar level. Sugary drinks can be used to quickly raise blood sugar that is too low.

These drinks include regular soda, juice and sports drinks. Exercise is another important part of managing diabetes. When you move and get active, your muscles use blood sugar for energy.

Regular physical activity also helps your body use insulin better. These factors work together to lower your blood sugar level. The more strenuous your workout, the longer the effect lasts. But even light activities can improve your blood sugar level. Light activities include housework, gardening and walking.

Talk to your healthcare professional about an exercise plan. Ask your healthcare professional what type of exercise is right for you. In general, most adults should get at least minutes a week of moderate aerobic activity.

That includes activities that get the heart pumping, such as walking, biking and swimming. Aim for about 30 minutes of moderate aerobic activity a day on most days of the week. Most adults also should aim to do strength-building exercise 2 to 3 times a week.

If you haven't been active for a long time, your healthcare professional may want to check your overall health first. Then the right balance of aerobic and muscle-strengthening exercise can be recommended.

Keep an exercise schedule. Ask your healthcare professional about the best time of day for you to exercise. That way, your workout routine is aligned with your meal and medicine schedules.

Know your numbers. Talk with your healthcare professional about what blood sugar levels are right for you before you start exercise. Check your blood sugar level. Also talk with your healthcare professional about your blood sugar testing needs. If you don't take insulin or other diabetes medicines, you likely won't need to check your blood sugar before or during exercise.

But if you take insulin or other diabetes medicines, testing is important. Check your blood sugar before, during and after exercise.

Many diabetes medicines lower blood sugar. So does exercise, and its effects can last up to a day later. The risk of low blood sugar is greater if the activity is new to you.

The risk also is greater if you start to exercise at a more intense level. Be aware of symptoms of low blood sugar.

These include feeling shaky, weak, tired, hungry, lightheaded, irritable, anxious or confused. See if you need a snack. Have a small snack before you exercise if you use insulin and your blood sugar level is low.

The snack you have before exercise should contain about 15 to 30 grams of carbs. Or you could take 10 to 20 grams of glucose products. This helps prevent a low blood sugar level. Stay hydrated. Drink plenty of water or other fluids while exercising.

Dehydration can affect blood sugar levels. Be prepared. Always have a small snack, glucose tablets or glucose gel with you during exercise.

: Managing insulin levels

Top Natural Ways to Improve Your Insulin Sensitivity

Many things can cause high blood sugar hyperglycemia , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:.

If you get sick , your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately. Ketones are a kind of fuel produced when fat is broken down for energy.

When too many ketones are produced too fast, they can build up in your body and cause diabetic ketoacidosis, or DKA. DKA is very serious and can cause a coma or even death. Common symptoms of DKA include:. If you think you may have DKA, test your urine for ketones.

Follow the test kit directions, checking the color of the test strip against the color chart in the kit to see your ketone level. If your ketones are high, call your health care provider right away. DKA requires treatment in a hospital. Talk to your doctor about how to keep your blood sugar levels within your target range.

Your doctor may suggest the following:. Carbs in food make your blood sugar levels go higher after you eat them than when you eat proteins or fats. You can still eat carbs if you have diabetes.

The amount you can have and stay in your target blood sugar range depends on your age, weight, activity level, and other factors. Counting carbs in foods and drinks is an important tool for managing blood sugar levels. Make sure to talk to your health care team about the best carb goals for you.

The A1C test is a simple blood test that measures your average blood sugar levels over the past 2 or 3 months. A1C testing is part of the ABCs of diabetes—important steps you can take to prevent or delay health complications down the road:.

Work with your doctor to establish a personal A1C goal for you. Eating a healthy diet with plenty of fruit and vegetables, maintaining a healthy weight , and getting regular physical activity can all help.

Other tips include:. Medicare , Medicaid, and most private insurance plans pay for the A1C test and fasting blood sugar test as well as some diabetes supplies. Check your plan or ask your health care team for help finding low-cost or free supplies, and see How to Save Money on Diabetes Care for more resources.

Skip directly to site content Skip directly to search. Español Other Languages. Manage Blood Sugar. Español Spanish Print. Minus Related Pages. Hypoglycemia Unawareness. Insulin is continuously released from the pancreas into the blood stream. When your body needs more insulin, the blood levels quickly rise, and, the converse — when you need less, the blood levels rapidly fall — The situation is different when you have diabetes and are getting insulin replacement therapy.

Once you have injected a dose of insulin, it is going to get absorbed into your bloodstream whether you need it or not. At mealtime, a little insulin is released even as you are first smelling or chewing the food.

This gets your body ready to receive the sugar load from the meal. Then as you eat and the food is digested, the sugar levels rise which causes a surge of insulin. The insulin levels rapidly climb and peak in about 45 minutes to 1 hour before falling back to the background or basal levels — The situation is different when you have diabetes and are getting insulin replacement therapy.

You have to calculate how much carbohydrate you are going to eat and how much insulin you will need. And you have to try to mimic natural overnight, fasting or between meals and mealtime insulin release with injected insulin.

See the picture below illustrating overnight, fasting and between meals insulin, and the large spikes of insulin that accompany meals. The insulin therapy tries to mimic natural or non-diabetic insulin secretion.

There are two components of insulin therapy:. Mealtime Bolus — to cover the carbohydrate in the meal or snack. High Blood Sugar Correction Bolus — provides extra insulin to return the blood sugar back to the target level when your blood sugar is too high. Read about the different types and characteristics of insulin that are suitable for basal and bolus insulin.

Talk with your provider about the insulin regimen that is most suitable for you. Self assessment quizzes are available for topics covered in this website. To find out how much you have learned about Insulin Therapy , take our self assessment quiz when you have completed this section.

The quiz is multiple choice. Please choose the single best answer to each question. At the end of the quiz, your score will display.

All rights reserved. University of California, San Francisco About UCSF Search UCSF UCSF Medical Center. Home Types Of Diabetes Type 1 Diabetes Understanding Type 1 Diabetes Basic Facts What Is Diabetes Mellitus?

Diet Recommendations for Insulin Resistance Use profiles to select personalised advertising. Foods that are high in sugar can cause a rapid increase in blood sugar and may contribute to weight gain and inflammation. That way you can confirm whether your blood sugar is low. Mayo Clinic Alumni Association. Medically reviewed by Peggy Pletcher, M. And you have to try to mimic natural overnight, fasting or between meals and mealtime insulin release with injected insulin.
Life's Essential 8™ - How to Manage Blood Sugar Fact Sheet

All kinds of fiber are good for the body, but soluble fiber is best for improving blood sugar control. High fiber diets also help manage type 1 diabetes by helping the body regulate blood sugar.

High fiber foods include fruit, vegetables, beans, and whole grains. Drink plenty of water Drinking plenty of water helps your kidneys flush out excess sugar.

One study found that people who drink more water lower their risk for developing high blood sugar levels.

And remember, water is the best. Sugary drinks elevate blood sugar by raising it even more. Eat moderate portions Portion control helps reduce the calories you eat, which helps you maintain a moderate weight. Controlling your weight promotes healthy blood sugar levels and reduces the risk of developing type 2 diabetes.

Manage your stress Stress also affects blood sugar levels. Exercise, relaxation techniques, and meditation can help to reduce stress and blood sugar levels. To keep the blood sugar controlled overnight, fasting and between meals, your body releases a low, background level of insulin.

When you eat, there is a large burst of insulin. This surge of insulin is needed to dispose of all the carbohydrate or sugar that is getting absorbed from your meal. All of this happens automatically!

Insulin is continuously released from the pancreas into the blood stream. When your body needs more insulin, the blood levels quickly rise, and, the converse — when you need less, the blood levels rapidly fall — The situation is different when you have diabetes and are getting insulin replacement therapy.

Once you have injected a dose of insulin, it is going to get absorbed into your bloodstream whether you need it or not. At mealtime, a little insulin is released even as you are first smelling or chewing the food. This gets your body ready to receive the sugar load from the meal. Then as you eat and the food is digested, the sugar levels rise which causes a surge of insulin.

The insulin levels rapidly climb and peak in about 45 minutes to 1 hour before falling back to the background or basal levels — The situation is different when you have diabetes and are getting insulin replacement therapy. You have to calculate how much carbohydrate you are going to eat and how much insulin you will need.

And you have to try to mimic natural overnight, fasting or between meals and mealtime insulin release with injected insulin. See the picture below illustrating overnight, fasting and between meals insulin, and the large spikes of insulin that accompany meals.

The insulin therapy tries to mimic natural or non-diabetic insulin secretion. There are two components of insulin therapy:.

View or Download Fact Sheet English PDF Spanish PDF. Home Healthy Living Healthy Lifestyle Life's Essential 8 How to Manage Blood Sugar Fact Sheet. Glucose: The carbohydrates and sugars in what you eat and drink turns into glucose sugar in the stomach and digestive system. Glucose can then enter the bloodstream.

The pancreas gradually loses its ability to produce insulin. The result can be a high blood glucose level.

Insulin Resistance and Diabetes | ADA Learn more about natural ways to improve insulin… READ MORE. Those using alternate-day fasting for 12 months had greater reductions in fasting insulin and insulin resistance than those who restricted their calorie intake, as well as those in the control group Diabetes Diabetes and depression: Coping with the two conditions Diabetes and exercise: When to monitor your blood sugar Diabetes and heat 10 ways to avoid diabetes complications Diabetes diet: Should I avoid sweet fruits? Of course, you should discuss changes with your health provider first. Blood pressure medications: Can they raise my triglycerides?

Managing insulin levels -

High Blood Sugar Correction Bolus — provides extra insulin to return the blood sugar back to the target level when your blood sugar is too high. Read about the different types and characteristics of insulin that are suitable for basal and bolus insulin. Talk with your provider about the insulin regimen that is most suitable for you.

Self assessment quizzes are available for topics covered in this website. To find out how much you have learned about Insulin Therapy , take our self assessment quiz when you have completed this section.

The quiz is multiple choice. Please choose the single best answer to each question. At the end of the quiz, your score will display.

All rights reserved. University of California, San Francisco About UCSF Search UCSF UCSF Medical Center. Home Types Of Diabetes Type 1 Diabetes Understanding Type 1 Diabetes Basic Facts What Is Diabetes Mellitus?

What Are The Symptoms Of Diabetes? Diagnosing Diabetes Treatment Goals What is Type 1 Diabetes? What Causes Autoimmune Diabetes? Who Is At Risk? Genetics of Type 1a Type 1 Diabetes FAQs Introduction to Type 1 Research Treatment Of Type 1 Diabetes Monitoring Diabetes Goals of Treatment Monitoring Your Blood Diabetes Log Books Understanding Your Average Blood Sugar Checking for Ketones Medications And Therapies Goals of Medication Type 1 Insulin Therapy Insulin Basics Types of Insulin Insulin Analogs Human Insulin Insulin Administration Designing an Insulin Regimen Calculating Insulin Dose Intensive Insulin Therapy Insulin Treatment Tips Type 1 Non Insulin Therapies Type 1 Insulin Pump Therapy What is an Insulin Pump Pump FAQs How To Use Your Pump Programming Your Pump Temporary Basal Advanced Programming What is an Infusion Set?

Diagnosing Diabetes Treatment Goals What is Type 2 Diabetes? Home » Types Of Diabetes » Type 2 Diabetes » Treatment Of Type 2 Diabetes » Medications And Therapies » Type 2 Insulin Rx » Insulin Basics. To keep the blood glucose in a narrow range throughout the day, there is a low steady secretion of insulin overnight, fasting and between meals with spikes of insulin at mealtimes.

Adapted: Jacobs DM Care , To control the blood glucose while eating, there is a rapid burst of insulin at mealtimes. With intensive insulin therapy you need a low steady amount of insulin overnight, while fasting and between meals as illustrated by the dashed line.

With intensive insulin therapy you need a rapid surge of insulin at mealtimes as illustrated by the golden lines Adapted: Jacobs DM Care , With intensive insulin therapy you need a low steady level of insulin overnight, fasting, and between meals, and a rapid surge of insulin at mealtime.

So does exercise, and its effects can last up to a day later. The risk of low blood sugar is greater if the activity is new to you. The risk also is greater if you start to exercise at a more intense level. Be aware of symptoms of low blood sugar.

These include feeling shaky, weak, tired, hungry, lightheaded, irritable, anxious or confused. See if you need a snack.

Have a small snack before you exercise if you use insulin and your blood sugar level is low. The snack you have before exercise should contain about 15 to 30 grams of carbs. Or you could take 10 to 20 grams of glucose products.

This helps prevent a low blood sugar level. Stay hydrated. Drink plenty of water or other fluids while exercising. Dehydration can affect blood sugar levels. Be prepared.

Always have a small snack, glucose tablets or glucose gel with you during exercise. You'll need a quick way to boost your blood sugar if it drops too low. Carry medical identification too. In case of an emergency, medical identification can show others that you have diabetes. It also can show whether you take diabetes medicine such as insulin.

Medical IDs come in forms such as cards, bracelets and necklaces. Adjust your diabetes treatment plan as needed. If you take insulin, you may need to lower your insulin dose before you exercise.

You also may need to watch your blood sugar level closely for several hours after intense activity. That's because low blood sugar can happen later on.

Your healthcare professional can advise you how to correctly make changes to your medicine. You also may need to adjust your treatment if you've increased how often or how hard you exercise. Insulin and other diabetes medicines are designed to lower blood sugar levels when diet and exercise alone don't help enough.

How well these medicines work depends on the timing and size of the dose. Medicines you take for conditions other than diabetes also can affect your blood sugar levels. Store insulin properly. Insulin that is not stored properly or is past its expiration date may not work. Keep insulin away from extreme heat or cold.

Don't store it in the freezer or in direct sunlight. Tell your healthcare professional about any medicine problems.

If your diabetes medicines cause your blood sugar level to drop too low, the dosage or timing may need to be changed. Your healthcare professional also might adjust your medicine if your blood sugar stays too high.

Be cautious with new medicines. Talk with your healthcare team or pharmacist before you try new medicines. That includes medicines sold without a prescription and those prescribed for other medical conditions.

Ask how the new medicine might affect your blood sugar levels and any diabetes medicines you take. Sometimes a different medicine may be used to prevent dangerous side effects.

Or a different medicine might be used to prevent your current medicine from mixing poorly with a new one. With diabetes, it's important to be prepared for times of illness.

When you're sick, your body makes stress-related hormones that help fight the illness. But those hormones also can raise your blood sugar. Changes in your appetite and usual activity also may affect your blood sugar level. Plan ahead. Work with your healthcare team to make a plan for sick days.

Include instructions on what medicines to take and how to adjust your medicines if needed. Also note how often to measure your blood sugar. Ask your healthcare professional if you need to measure levels of acids in the urine called ketones.

Your plan also should include what foods and drinks to have, and what cold or flu medicines you can take. Know when to call your healthcare professional too.

For example, it's important to call if you run a fever over degrees Fahrenheit Keep taking your diabetes medicine. But call your healthcare professional if you can't eat because of an upset stomach or vomiting.

In these situations, you may need to change your insulin dose. If you take rapid-acting or short-acting insulin or other diabetes medicine, you may need to lower the dose or stop taking it for a time.

These medicines need to be carefully balanced with food to prevent low blood sugar. But if you use long-acting insulin, do not stop taking it.

During times of illness, it's also important to check your blood sugar often. Stick to your diabetes meal plan if you can. Eating as usual helps you control your blood sugar. Keep a supply of foods that are easy on your stomach.

These include gelatin, crackers, soups, instant pudding and applesauce. Drink lots of water or other fluids that don't add calories, such as tea, to make sure you stay hydrated.

If you take insulin, you may need to sip sugary drinks such as juice or sports drinks. These drinks can help keep your blood sugar from dropping too low. It's risky for some people with diabetes to drink alcohol. Alcohol can lead to low blood sugar shortly after you drink it and for hours afterward.

The liver usually releases stored sugar to offset falling blood sugar levels. But if your liver is processing alcohol, it may not give your blood sugar the needed boost. Get your healthcare professional's OK to drink alcohol. With diabetes, drinking too much alcohol sometimes can lead to health conditions such as nerve damage.

But if your diabetes is under control and your healthcare professional agrees, an occasional alcoholic drink is fine. Women should have no more than one drink a day. Men should have no more than two drinks a day. One drink equals a ounce beer, 5 ounces of wine or 1. Don't drink alcohol on an empty stomach.

If you take insulin or other diabetes medicines, eat before you drink alcohol. This helps prevent low blood sugar. Or drink alcohol with a meal.

Choose your drinks carefully. Light beer and dry wines have fewer calories and carbohydrates than do other alcoholic drinks. If you prefer mixed drinks, sugar-free mixers won't raise your blood sugar. Some examples of sugar-free mixers are diet soda, diet tonic, club soda and seltzer.

Add up calories from alcohol. If you count calories, include the calories from any alcohol you drink in your daily count. Ask your healthcare professional or a registered dietitian how to make calories and carbohydrates from alcoholic drinks part of your diet plan.

Check your blood sugar level before bed. Alcohol can lower blood sugar levels long after you've had your last drink. So check your blood sugar level before you go to sleep. The snack can counter a drop in your blood sugar.

Changes in hormone levels the week before and during periods can lead to swings in blood sugar levels. Look for patterns. Keep careful track of your blood sugar readings from month to month. You may be able to predict blood sugar changes related to your menstrual cycle. Your healthcare professional may recommend changes in your meal plan, activity level or diabetes medicines.

These changes can make up for blood sugar swings. Check blood sugar more often. If you're likely nearing menopause or if you're in menopause, talk with your healthcare professional.

Ask whether you need to check your blood sugar more often. Also, be aware that menopause and low blood sugar have some symptoms in common, such as sweating and mood changes. So whenever you can, check your blood sugar before you treat your symptoms. That way you can confirm whether your blood sugar is low.

Most types of birth control are safe to use when you have diabetes. But combination birth control pills may raise blood sugar levels in some people. It's very important to take charge of stress when you have diabetes.

The hormones your body makes in response to prolonged stress may cause your blood sugar to rise. It also may be harder to closely follow your usual routine to manage diabetes if you're under a lot of extra pressure.

Take control. Once you know how stress affects your blood sugar level, make healthy changes. Learn relaxation techniques, rank tasks in order of importance and set limits. Whenever you can, stay away from things that cause stress for you.

Exercise often to help relieve stress and lower your blood sugar. Get help. Learn new ways to manage stress.

You may find that working with a psychologist or clinical social worker can help. These professionals can help you notice stressors, solve stressful problems and learn coping skills. The more you know about factors that have an effect on your blood sugar level, the better you can prepare to manage diabetes.

If you have trouble keeping your blood sugar in your target range, ask your diabetes healthcare team for help. There is a problem with information submitted for this request.

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Show references Facilitating behavior change and well-being to improve health outcomes. Standards of Medical Care in Diabetes — Diabetes Care. Nutrition overview. American Diabetes Association. Accessed Dec. Diabetes and mental health.

Centers for Disease Control and Prevention. Insulin, medicines, and other diabetes treatments. National Institute of Diabetes and Digestive and Kidney Diseases. Insulin storage and syringe safety. Diabetes diet, eating, and physical activity. Type 2 diabetes mellitus adult.

Mayo Clinic; Wexler DJ. Initial management of hyperglycemia in adults with type 2 diabetes mellitus. Diabetes and women. Planning for sick days. Diabetes: Managing sick days. Castro MR expert opinion.

Mayo Clinic. Hypoglycemia low blood glucose. Blood glucose and exercise. Riddell MC. Exercise guidance in adults with diabetes mellitus.

Polyphenols and anti-aging effects isnulin that leveps insulin insilin include non-starchy Managing insulin levels, whole grains, and citrus fruits. At the Caffeine withdrawal time, Manqging Managing insulin levels intake of sugary drinks and highly processed foods may make it worse. Insulin Managnig a hormone that helps the body absorb glucose and keeps blood sugar levels balanced. Insulin resistance occurs when the cells in the body cannot use insulin effectively. Over time, insulin resistance can cause a range of health problems, including damage to the organs, muscles, limbs, and eyes. People with insulin resistance may receive a diagnosis of prediabeteswhich can progress to type 2 diabetes. Managing insulin levels Polyphenols and anti-aging effects sensitivity refers to how responsive your cells are to insulin. You may be able to Managinh it by getting more insulun and exercise Electrolytes and mineral balance eating certain Mznaging foods. Insulin is an essential hormone that controls your blood sugar levels. When your pancreas senses high blood sugar, it makes more insulin to overcome the resistance and reduce your blood sugar. Over time, this can deplete the pancreas of insulin-producing cells, which is common in type 2 diabetes. Also, prolonged high blood sugar can damage nerves and organs.

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  1. Ich bin endlich, ich tue Abbitte, aber es kommt mir ganz nicht heran. Wer noch, was vorsagen kann?

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