Getting Started With Nutrition Treatment
Tips from the American Dietetic Association:
● Eat more starches such as bread, cereal and starchy vegetables. Aim    for six servings a day or more.
● Eat five fruits & vegetables every day. Have a piece of fruit or two as a    snack or add vegetables to chili, stir-fried dishes or stews.
● Eat sugars and sweets in moderation. Sweets in the diet once or    twice a week at most.
● Soluble fibers are found mainly in fruits, vegetables and some seeds    and are especially good for people with Diabetes.

DIABETIC EXERCISE
● Exercise burns calories, which will help to lose weight or maintain a    healthy weight.
● Regular exercise can help the body respond to insulin and is known    to be effective in managing blood glucose.
● Exercise can lower blood glucose and possibly reduce the amount of    medication that is needed to treat Diabetes or even eliminate the    need for medication.
● Exercise can improve the circulation, especially in the arms and legs,    where people with Diabetes can have problems.
● Exercise can help reduce cholesterol & high blood pressure. High    cholesterol & blood pressure can lead to a heart attack or stroke.
● Exercise help to reduce stress.
● It can lower the risk for heart disease.
● In some people, exercise combined with a meal plan, can control   Type II Diabetes without the need for medications.

FOOT CARE
People with Diabetes are prone to foot problems because of complications related to the illness. Diabetes causes damage to the blood vessels & nerves, which can result in a decreased ability to sense trauma or pressure on the foot. A foot injury could go unnoticed until severe infection develops.
Additionally, Diabetes alters the bodies immune system, decreasing the body's ability to fight infection. Small infections can rapidly progress to death of the skin & other tissues, necessitating amputation of the affected limb. To prevent injury to the feet, diabetics should adopt a daily foot care routine.

FOR GREAT DIABETES CARE, REMEMBER ABCS!
Taking good care of Diabetes can be complex and confusing. This handy list will make remembering all the steps that iseeded to take as easy as A B C D E F G H I!

	A is for A1c: The A1c ("A-one-C") testsÑshort for hemoglobin A1c measures the average blood glucose (sugar) over the past 3 months. At least twice a year is suggested.
	A is also for Albuminuria: Albuminuria means protein in the urine. A test that measures the urine microalbumin to creatinine ratio can detect kidney disease very early, when it can usually be stopped.
	A is for aspirin: Taking low-dose aspirin every day can help prevent heart attacks and strokes. Children and young adults with no history of heart disease should not take aspirin without a doctorÕs order, nor should some older adults. Check with doctor before starting daily aspirin.

	B is for blood pressure: High blood pressure makes the heart work too hard & can cause damage the kidneys and eyes.
	C is for cholesterol: Bad cholesterol, or LDL, builds up and clogs the arteries, leading to heart attacks and strokes.
	D is for Diabetes Education: The more the patient knows about how food, exercise, and medicines affect Diabetes control, the better the patient and doctor can work together to make any needed changes.
	E is for Eye Exam: Regular eye exams can catch diabetic eye disease early enough to prevent eventual blindness. At least once a year.
	F is for foot care: Keep an eye on the feet. If anyone have nerve disease and canÕt feel the feet, the feet canÕt tell when something is wrong. How often: Check the feet daily. Remind the doctor to check them at every visit. Get an extensive foot exam once a year.
	G is for glucose (sugar) monitoring: If anyone knew when the blood sugar level is too high or too low, it will help to treat it.
	H is for Healthy staying : For people with Diabetes, getting the flu or pneumonia can lead to serious complications. Avoid them by getting vaccinated. Flu vaccine, every year; pneumonia, at least once.
	I for Identifying special medical needs: Complications are complicated. As they occur, doctor may need to send the patient to various specialists. Voicing the health concerns at every visit, can help doctor spot trouble and get any extra help that is needed quickly.

CONCLUSION
A substantial amount of behavioral science research has demonstriated that paychosocial factors play an integral in the management of Diabetes in both children and adults. Research has demonstrated the efficacy of a number of paychosocial therapies that can improve regimen adherence, glyaemci control, paychosocial functioning & quality of life. More research in this area is needed to develop paychosocial intervention programs for specific patient populations and to demonstrated the cost effectiveness of these approaches.