Living with

Lifestyle changes

Healthy eating

Eating a healthy, balanced diet is very important if you have diabetes. However, you don't need to avoid certain food groupsaltogether.

You can have a varied diet and enjoy a wide rangeof foods as long as you eat regularly and make healthy choices.

You can make adaptations when cooking meals, such as reducing the amount of fat , salt and sugar you eat, and increasing the amount offibre.

You don't need to completelyexclude sugary and high-fatfoods from your diet, buttheyshould be limited.

The important thing in managing diabetes through your diet is to eat regularly and include starchy carbohydrates , such as pasta, as well as plenty of fruit and vegetables .

If your diet is well balanced, you should be able to achieve a good level of health and maintain a healthy weight .

Further dietary advice and cooking tips are also available on the Diabetes UK website.

Regular exercise

As physical activity lowers your blood glucose level, it's very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking , every week.

However, before starting a new activity, speak to your GP or diabetes care team first.

As exercise will affect your blood glucose level, your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Don't smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke , is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer .

If you want to give up smoking , your GP can provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes and decide to drink alcohol , avoid drinkingmore than the recommended daily amounts,and never drink alcohol on an empty stomach.

Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much.

Men and women are advised not to regularly drink more than 14 units a week.

Keeping well

People with long-term conditions, such as type2 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza) .

A pneumoccocal vaccination , which protects against a serious chest infection called pneumococcal pneumonia , is also recommended.

Foot care

If you have diabetes,you're at greater risk of developing problems with your feet, including foot ulcers and infections from minor cuts and grazes .

This is becausediabetes is associated with poor blood circulation in the feet, and blood glucose can damage the nerves.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water.

Wear shoes that fit properly, and see foot care specialists(a podiatrist or chiropodist) regularly so any problems can be detected early.

Regularly check your feet for cuts, blisters or grazesas you may not be able to feel them if the nerves in your feet are damaged.

See your GP if you have a minor foot injury that doesn't start to heal within a few days.

It can occur if your blood glucose level is too high for a long period of time (hyperglycaemia). Left untreated, retinopathy can eventually lead to sight loss.

Diabetic eye screening is specifically for diabetic retinopathy and can't be relied upon for other conditions.

Pregnancy

If you have diabetes and you're thinking about having a baby, it's a good idea to discuss this with your diabetes care team.

Planning your pregnancy means you can ensure your blood glucoselevels are as well controlled as they can be before you get pregnant.

You'll need to tightly control your blood glucose levelparticularly before becoming pregnant and during the first eight weeksof yourbaby's developmentto reduce the risk of birth defects.

You should also:

• check your medications some tablets used to treat type 2 diabetes may harm your baby, so you may have to switch to insulin injections
• take a higher dose of folic acid tablets folicacid helps prevent your baby developing spinal cord problems, and it's recommended all women planning to have a baby take folic acid ; women with diabetes are advised to take 5mg each day (only available on prescription)
• have your eyes checked retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes; as pregnancy can place extra pressure on the small vessels in your eyes, it's important to treat retinopathy before you become pregnant

Your GP or diabetes care team can give you further advice.

Patient organisations have local groups where you can meet othersdiagnosed with the condition. To find your local diabetes support group , visit Diabetes UK .

If you want to get in touch with a trained counsellor directly, you can call the Diabetes UK Helpline on 0345 123 2399 (Monday to Friday, 9am to 7pm)or email helpline@diabetes.org.uk .

Financial support and benefits

People with diabetes controlled by medication are entitled to free prescriptions and eye examinations.

Some people with diabetes may also be eligible for disability and incapacity benefits, depending on the impact the condition hason their lives.

The main groups likely to qualify for welfare benefits are children, the elderly, and those with learning disabilities, mental health difficulties ordiabetes complications.

People over the age of 65 who are severely disabled may qualify for a type of disability benefit called Attendance Allowance .

Carers may also be entitled to some benefits, depending on their involvement in caring for the person with diabetes.

Your local Citizens Advice can check whether you're getting all the benefits you're entitled to. Your diabetes specialist nurse and Citizens Advice can also provide adviceabout filling in the forms.

Contact your diabetes care team or GP for adviceif you haven't received these.

The advice you're given will be specific to you, but some general measures that your sick day rules may include could be to:

• keep taking your insulin it's very important not to stop treatment when you're ill; your treatment plan maystate whether you need to temporarily increase your dose
• test your blood sugar level more often than usual most people are advised to check the level at least four times a day
• keep yourself well hydrated make sure you drink plenty of sugar-free drinks
• keep eating eat solid food if you feel well enough to, or liquid carbohydrates such as milk, soup and yoghurt if this is easier
• check your ketone levels if your blood sugar level is high

Seek advice from your diabetes care team or GP if your blood sugar or ketone level remains high after taking insulin, if:

• you're not surewhether to make any changes to your treatment
• you develop symptoms of diabetic ketoacidosis
• you have any other concerns