Page 29 - Diabetes
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It is important to shoot for eight hours of sleep  12
        2  STAY PHYSICALLY ACTIVE.         7  GET MORE SLEEP!                     BE SAFE.
           The more you move, the better your
                                                                                  It’s not always the complications of chronic
        circulation will be, and the better your cells   a night. To ensure a restful night’s sleep, try not to   illness that knock you down. It is the one-time
        will soak up glucose. You will have more energy   watch TV or do things that wind you up right before   injuries we call “accidents.” They’re not really
        and more self-confidence. Walk or exercise after   bedtime. Avoid stimulants—coffee, tea and other   accidents; they’re dangerous situations we haven’t
        meals, drive less and use the stairs.  caffeinated beverages—in the evening, and take   dealt with. To avoid health risks associated with
           The ADA recommends the following ways   time to wind down before stretching out.   diabetes, including falls, auto accidents and severe
        to stay physically active.           If you find yourself waking in the night or early   hypoglycemia (low blood sugars), it’s important
        •  Strengthening exercise builds stronger muscles,   morning, discuss this with your doctor. If you have   to prevent them. Here are some tips.
          which use more glucose.          trouble staying asleep or wake up exhausted, be   • Get all the clutter off your floors.
        •  Balance exercises such as standing on one   evaluated for sleep apnea—a  common condition   •  Install good lighting and grab bars if you
          foot (with or without arm support) help   in diabetics. (See Resource Box.)  need them.
          prevent falls.                                                     •  Wear good-fitting shoes.
        •  Aerobic exercises such as walking, running or   8  WATCH OUT FOR DEPRESSION.   •  Don’t drive when your sugar is borderline or
         swimming help increase cardiovascular fitness.   According to the ADA, people with diabetes   when you don’t feel well or at night if you have
         Check with your doctor before starting.  are at a higher risk for depression. If you are   visual problems. Get a ride, take the bus or walk.
        •  Stretching, yoga or tai chi help increase   feeling sad, no longer want to do things you   •  Avoid hypos by checking sugars frequently,
          flexibility.                                                        keeping glucose tabs handy and possibly
                                           used to like, wake early for no reason, experience   reducing insulin or other meds that cause lows
        3  PREPARE FOR AGING.              changes in appetite, or feel tired, anxious or   (sulfonylureas and meglatinides). †
                                           hopeless, get help. Poorly controlled diabetes
           If you can, get into a living situation that is
        accessible and affordable. Modify your home or   can cause those symptoms, but they could   David Spero has been a nurse for 40 years and
                                           also be signs of depression. Self-management,
        look into senior housing or assisted living before   counseling and/or medications along with  has lived with multiple sclerosis (MS) for 35 years.
        you need it. Consider moving in with family or   sunshine, exercise and social contact are ways
        having them move in with you. Arranging for   to combat depression.    HELPFUL RESOURCES
        suitable housing as you age will ensure your
        comfort and safety for years to come.    9  PRACTICE SPIRITUALITY.     KEEPING ACTIVE
        4  DO THE THINGS THAT MAKE YOU HAPPY.  and quality of life. People who belong to a   >  Exercise Recommendations
                                              Prayer and meditation improve health
                                                                                for Older Adults
           If you enjoy music, gardening, reading or
        knitting, make time in your schedule to do what   congregation tend to live longer and be happier   Diabetes in Control
                                                                                bit.ly/2AxIA3Y
                                           than people who are not religious, in part because
        brings you joy. Another rewarding option is giving   of the social support religions offer.  >  What We Recommend
        your time, whether to your family, friends or                           American Diabetes Association
        the charitable organization of your choice. The                         bit.ly/1wuKc6N
        benefits of volunteerism are long lasting.  10  STAY MENTALLY ACTIVE.  MAINTAINING MENTAL HEALTH
                                                Puzzles or online brain training programs
        5  STAY CONNECTED.                 like Lumosity are great tools to keep the mind   >  Free depression self-test
                                           moving. Other fun activities include:
                                                                                bit.ly/2nUjiwb
           Keep family and friends in your life close.
        Schedule time with those you care about most.   • dancing;
        Conversation, friendship and companionship are   •  learning a new language or finding a new hobby;  KEEPING YOUR BRAIN STRONG
        key to staying emotionally fit.    •  joining a discussion group or a book club;  >  Lumosity
           This also applies to pets. Some people gain a   •  preparing new recipes; and  www.lumosity.com
        wonderful sense of connection from pets. Dogs   •  taking a class at a local school or senior center   GETTING YOUR ZZZs
        especially can solve a lot of diabetes issues—they   or online.
        promote exercise, love and joy and require a                           >  Healthy Sleep Tips
        regular schedule. Dogs also help you meet new   11  REACH OUT FOR ASSISTANCE.  National Sleep Foundation
                                                                                bit.ly/1QWxwjQ
        people when you take them for a walk.   Aging and illness both increase the need   >  Sleep Apnea Self-Test
        6  KEEP UP WITH YOUR HEALTH CARE.  for help. Help could include diabetes equipment,   American Sleep Apnea Foundation
                                           like a glucose monitor or insulin pump, or mobility
                                                                                bit.ly/2Axu4th
                                           equipment like a cane, walker or grab bars. It could
           As we age, it may become harder to get to
        medical appointments or to pay for them.  Managing   include financial assistance like disability or social   MAKING SOCIAL CONNECTIONS
        preventable and treatable conditions is important.   security payments. Apply for the benefits you may   >  36 Ways to Make New
        Here is a list of important appointments to schedule:   be entitled to such as Medicare, Social Security   Friends After 60
        •  ophthalmologist (eye doctor) once a year   or disability as soon as you can. They often take   Savoring Your Sixties
          to check for diabetic eye disease (retinopathy)   time to come through.   bit.ly/2m1e4dR
          and make sure you have the proper eyeglass   The most important help often comes from
          prescription;                    other people. Your family, friends, neighbors or   FINDING THE RIGHT PLACE TO LIVE
        •  endocrinologist (diabetes doctor or general   volunteers may be happy to help with shopping,   >  Housing options for seniors
          practitioner/nurse practitioner) twice a year or   housework, traveling to appointments and more.   www.seniorliving.org
          more; and                          In many cases, a spouse is the person we lean on   www.seniorhousingnet.com
        •  podiatrist (foot doctor) once a year, or more   the most. Be aware: over-reliance can cause burnout.   >  Low-income rental housing
          if prescribed.                   The goal is to keep all in your household healthy.  bit.ly/2clQBCS
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