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How to Cool It!
By Kalia Doner
Diabetes Focus Spring 2009

Hot and humid weather can make it harder to stay in control. Not only may your insulin requirements change or your test strips get soggy, but you may be at extra risk for dehydration and overheating. “People with chronic diseases like diabetes, as well as people taking certain medications—including diuretics and heart disease medications, which often are used to treat complications of diabetes—are at increased risk of experiencing difficulties in the heat, even though they may not be aware of it,” says Catherine Carver, M.S., A.N.P., C.D.E., vice president for clinical services at Boston’s Joslin Diabetes Center.

To help you stay healthy this season, the Joslin Clinic suggests you keep hydrated. If you have diabetes, high blood sugar levels can lead to dehydration; add summer sweatiness to that and you are at increased risk for heatstroke.

Watch for signs of heat exhaustion. Symptoms include feeling dizzy or fainting, sweating excessively, muscle cramps, skin that is cold or clammy, headaches, and rapid heartbeat and/or nausea. If you experience any of these symptoms, move to a cooler location, drink fluids such as water, juice or sports drinks (based on your health-care provider’s instructions) and seek medical attention. Check blood glucose levels at least four times per day, or more often if you are not feeling well. Remember that heat can cause blood glucose levels to fluctuate.

  © 2009 MediZine LLC



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