Managing Diabetes with the ABCDES Framework

With summer approaching, now is a good time to pause and reflect on your diabetes care. Warmer weather, longer days, and changes in routine can all affect blood sugar levels. The good news is that with a little planning, you can enjoy everything summer has to offer while keeping your diabetes under control. As you think about keeping your health stable in the months ahead, it can help to revisit a few key areas of diabetes management and stay mindful of seasonal factors that may come into play.

Managing Diabetes with the ABCDES Framework

A – A1C

• Aim for your personal target; less than 7% is a common treatment target, but this varies for each person.

• Completing your A1C test and checking in with your diabetes care provider every 3-6 months is an important part of keeping your health on track.

• Remember that daily habits like balanced meals, spacing out your intake of carbohydrates, and regular movement greatly affect A1C levels.

B – Blood Pressure

• The general target is below 130/80 mmHg, however this may be personalized based on your age and cardiovascular risk.

• Gradually reducing your intake of sodium toward 2,000 mg per day per day (less than 1 teaspoon of salt) can help manage blood pressure. Reduce sodium by choosing fresh foods, cooking at home and reading labels (a Daily Value (DV) of 5% or less is considered low in sodium).

C – Cholesterol

• The target for most adults with diabetes is an LDL cholesterol below 2.0 mmol/L.

• To keep your LDL cholesterol low, choose unsaturated fats (olive oil, nuts, seeds, avocado, and fatty fish) more often to replace of saturated fats (fatty meats, butter, full-fat dairy, and coconut oil).

• Including fibre-rich foods daily (oats, beans, chia, fruits, and vegetables) can help too.

D – Drugs (Medications)

• Take medications as prescribed and do not skip doses.

• Ask your pharmacist or dietitian if you're unsure how food timing impacts your medications.

• Keep an up-to-date list of all medications and supplements.

E – Exercise

• Regular exercise improves insulin sensitivity, helping your body use insulin more effectively.

• Physical activity will improve A1C levels through improved blood sugar regulation.

• Even 10–15 minutes of movement after meals can help lower blood sugar

• Try to get at least 150 minutes of physical activity in a week, which should consist of walking, weight training, and enjoyable activities.

• Remember, start slow and work your way up.

S – Self-Management

• Set realistic goals and identify what obstacles might arise.

• Celebrate small victories and adjust your goals as needed.

S – Screening

• Stay on top of routine checks for your heart, feet, liver, kidneys, and eyes.

• Early detection can help prevent complications.

S – Stop Smoking

• Quitting smoking is one of the most effective steps you can take for your heart and overall health. Support is available with our pharmacist!

Summer Considerations for Managing Diabetes

Hydration

When you sweat, your body loses fluid. Dehydration can cause your blood sugar to rise. Drink regularly, even if you don't feel thirsty. Bring a water bottle everywhere you go. Try to avoid sugary drinks like soda, fruit juice, and sweet iced teas, as they can quickly spike your blood sugar. Alcohol and caffeine can also dehydrate you, so enjoy them in moderation.

Check your blood sugar more often

The heat, sunburn, and increased physical activity can cause blood sugar to fluctuate. In hot temperatures, your body absorbs insulin more quickly, increasing your risk of hypoglycemia.

Keep Your Supplies Cool

Insulin is very sensitive to heat. If it gets too hot, it can stop working properly. Never leave your diabetes supplies in a hot car or in direct sunlight. When you go outside, use an insulated bag.

Pack extra snacks

Summer activities and unexpected delays can lead to low blood sugar. Having extra snacks like fruit, crackers, or nuts on hand helps to fuel your body and keep your blood sugar stable.

Medications that may need adjustments when you are sick

Some medications can stress the kidneys when you’re dehydrated from vomiting, diarrhea, fever, or not drinking enough fluids, especially on a hot day. If you get really sick, certain medications should be paused until you’re eating and drinking normally again. These include:

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Check in with our Pharmacist & Dietitian for support

Remember, you don't have to manage diabetes alone. Our Pharmacist and Dietitian are here to help you with your diabetes goals. They can assist you in understanding your medications, adjusting meal ideas, and solving any challenges you face. (Link to booking page?)