When we look at treatment options for both Type 1 and Type 2, it is important to look at the role that nutrition, activity and oral medications, as well as  insulin plays in controlling diabetes.

     It is important to balance carbohydrate foods with non-carbohydrate foods.  Complex carbohydrates provide more nutrition than simple carbohydrate foods. We encourage a lower fat diet, moderate carbohydrate and  moderate protein.  It is best to eat smaller meals throughout the day, instead of 1 or 2 large meals.  When you balance your meals, you keep your blood sugars from rising and dropping sharply. 

2.  Any activity which moves insulin through the muscle is beneficial.  Activity of at least 30 minutes a day for 5 days a week is recommended.

       oral medications, injectables or insulin can be used to control diabetes.  As you assess your patient, you will determine which medication is the best in terms of efficacy.