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Life Changing Diabetes Care

Why Diabetes Care Matters

Diabetes touches every part of your day. It can shape your energy, mood, food choices, medication routine, and safety at home and on the go. If you want a single place to start, we built a simple overview that explains how diabetes can affect daily life and how an advocate can guide you through it. Read more at https://understoodcare.com/care-types/diabetes

Our goal is to translate medical guidance into everyday steps you can actually use. Everything below is grounded in trusted clinical sources and reflects current guidance on diagnosis, targets, monitoring, nutrition, activity, devices, and Medicare coverage.

Let's turn pain into Progress.
Let's turn pain into Progress.

Your Diagnosis and Targets

Pre-diabetes

Pre-diabetes means your blood sugar is higher than normal yet not in the diabetes range. The A1C test reflects average blood sugar over about three months. Most health organizations define prediabetes as an A1C of 5.7 to 6.4 percent. If you have prediabetes, you will usually repeat testing at least once a year. Your clinician may check sooner if you are changing weight, diet, activity, or medicines.

What to aim for:

  • Work toward bringing A1C back into the normal range below 5.7 percent
  • Focus on consistent meal patterns and daily movement
  • Ask about a referral to a diabetes prevention or nutrition program
    Recheck A1C yearly and sooner if your plan changes

How an advocate helps:

  • Connects you with dietitians and prevention programs
  • Schedules labs and follow up visits so you stay on track
  • Explains your test results in plain language and sets small weekly goals

Type 2 Diabetes

Type 2 diabetes is common and very manageable with the right plan. Most adults get an A1C test at least twice a year if stable and every three months when treatment changes or if targets are not met. Targets are personalized. Many adults aim for an A1C below 7 percent, while some may use slightly higher or lower targets based on age, other conditions, and risk of low blood sugar.

What to aim for:

  • Know your A1C target and when to recheck
  • Check blood glucose as recommended by your clinician
  • Use nutrition, activity, sleep, and stress tools to support medicines
  • Ask about medicines that also protect the heart and kidneys

How an advocate helps:

  • Coordinates referrals to primary care, endocrinology, cardiology, nephrology, eye care, and foot care
  • Tracks lab schedules and reminders so nothing falls through the cracks
  • Reviews medication literacy with you so you understand what each drug does, how to take it, and what side effects to watch for
  • Checks your insurance formulary and looks for lower cost options or prior authorization support

Type 1 Diabetes

Type 1 diabetes requires insulin and frequent monitoring. Many people use continuous glucose monitors, insulin pumps, or hybrid closed loop systems. Your team will individualize A1C targets and time in range goals while prioritizing safety.

What to aim for:

  • Learn a simple pattern for checking glucose and adjusting insulin with meals and activity
  • Consider CGM for real time trends and alarms
  • Discuss pump and automated insulin delivery options
  • Build a sick day and travel plan

How an advocate helps:

  • Navigates device choices and trains you on basics
  • Coordinates prescriptions, supplies, and shipment timing
  • Helps with school or workplace forms and travel letters
You are more than your pain. Support is here to bring relief.
You are more than your pain. Support is here to bring relief.

Monitoring That Fits Your Life

A1C

A1C shows your average levels for the past two to three months. Most people with diabetes check at least twice a year. Many check every three months when changing treatment or if goals are not met. People with prediabetes usually test yearly.

Self Monitoring

Finger stick meters and CGMs are both useful. Finger sticks show a point in time. CGMs give a flow of data, trend arrows, and alerts. For people who use insulin, CGM can help you prevent lows and adjust more confidently. Your care team can help you choose the right tool for your routine and budget.

How an advocate helps:

  • Teaches how and when to check and how to act on the number
  • Helps set up CGM apps and shares tips to reduce alarm fatigue
  • Troubleshoots sensors and meters with your supplier
A healthcare expert on your side.
A healthcare expert on your side.

Food, Activity, Sleep, and Stress

Food

You do not need a special menu. You do need a repeatable plan. Many people do best with a simple plate method. Fill half the plate with non starchy vegetables. Add a lean protein. Add a modest portion of healthy carbohydrates such as beans, whole grains, or fruit. Pair carbohydrates with protein and fiber to smooth out glucose spikes. Aim for steady meal timing to match your medicines or insulin.

Activity

Regular movement improves insulin sensitivity and lowers blood sugar. Most adults aim for about 150 minutes of moderate activity each week plus strength work two to three days a week. Short walks after meals can help. Start where you are. Even five to ten minutes counts.

Sleep and Stress

Poor sleep and high stress can raise glucose. Keep a regular bedtime. Limit late caffeine. Try brief breathing or stretching sessions during the day. Small consistent changes often work better than big swings.

How an advocate helps:

  • Finds local or virtual programs such as SilverSneakers or YMCA options
  • Identifies safe movement plans if you have pain, neuropathy, or balance issues
  • Aligns meal timing and activity with your medicines and glucose targets
Your story is bigger than pain. We can help find relief.
Your story is bigger than pain. We can help find relief.

Medicines, Safety, and Cost

Medicine Basics

Your clinician may prescribe metformin, GLP 1 receptor agonists, SGLT2 inhibitors, basal insulin, or other medicines. These medicines work in different ways and many have heart and kidney benefits. Side effects are manageable for most people with the right plan.

Insulin and Devices

Some people with type 2 and nearly all with type 1 will use insulin. Pumps and automated insulin delivery systems can reduce highs and lows when used correctly. Training and follow up are essential.

Preventing Lows

Know the signs of low blood sugar. Shaking, sweating, confusion, or feeling lightheaded. Keep quick sugar on hand. If you use insulin or certain pills, ask about a glucagon rescue kit. CGM alerts can add a safety net.

How an advocate helps:

  • Reviews each medicine and gives a step by step schedule you can follow
  • Screens for drug interactions and duplicate therapies
  • Sets up refill reminders and mail order delivery
  • Helps you apply manufacturer savings when eligible and searches for less expensive equivalents on your plan
  • Coordinates meter or CGM training so you can safely adjust to activity and meals
You are more than your pain. Support is here to bring relief.
You are more than your pain. Support is here to bring relief.

Medicare Coverage Many People Miss

Supplies and Devices

Part B covers blood glucose meters and testing supplies for people with diabetes. Typical amounts are every three months. Up to 300 test strips and 300 lancets if you use insulin and up to 100 if you do not. Your clinician can document medical need for more frequent testing if required. Part B may also cover continuous glucose monitors when you take insulin or you have a documented history of problematic low blood sugar. Coverage policies can change. Always confirm current criteria when ordering.

Insulin Costs

Under current law, a one month supply of each covered insulin under Part B or Part D is capped at 35 dollars. You do not pay a deductible for insulin. In 2025, Part D out of pocket drug costs are capped at 2000 dollars across the year. These rules can significantly lower costs for many people.

Diabetes Education

Medicare Part B covers diabetes self management training. You may receive up to ten hours the first year and up to two hours in each year after that. Many programs are available by telehealth.

How an advocate helps

  • Checks your benefits, confirms suppliers in network, and tracks approvals
  • Coordinates physician orders and the documentation suppliers require
  • Enrolls you in covered education programs and reminds you when follow up hours are available
  • Troubleshoots denials and disputes billing errors
Take back your days. Support can ease pain.
Take back your days. Support can ease pain.

Using The Video Steps In Your Care

The video highlights the exact services advocates provide and how they fit with clinical guidance.

  • For prediabetes. We help you keep A1C in a safer range with scheduled labs, glucose checks as needed, nutrition referrals, and consistent follow up.
  • For type 2 diabetes. We coordinate A1C and glucose checks, set up pharmacist or clinician consults, and support you if insulin is added.
  • For insulin users and for many with type 1. We help you evaluate pumps and CGMs, coordinate orders, and train on safer daily routines.
  • For costs and coverage. We check formularies, explain your medicines, and find the lowest cost path on your plan.
  • For supplies. Glucometers and many CGMs are covered under Medicare when criteria are met. We guide your doctor on the exact order wording and supporting notes that suppliers need.

If you want help weaving all of this into one plan, visithttps://understoodcare.com/care-types/diabetes and connect with an advocate who can explain your diagnosis, organize your care, cut costs, and plan next steps with you.

Advocates are FREE because insurance covers them
Advocates are FREE because insurance covers them

A Simple First Week Plan

  • Monday
    Write down your current medicines and doses
    Set a reminder for your next A1C date
  • Tuesday
    Plan three simple plate method meals you enjoy
    Add one ten minute walk after a meal
  • Wednesday
    Check your meter or CGM supply levels
    Call your pharmacy to align refills on the same date
  • Thursday
    Schedule eye care and foot checks if due
    Ask for a referral to diabetes education
  • Friday
    Review low blood sugar signs and your rescue plan
    Place glucose tablets in your bag and bedside
  • Weekend
    Meal prep a few fiber rich sides such as beans or roasted vegetables
    Take a longer walk or gentle activity you enjoy
Mobility equipment without the hassle
Mobility equipment without the hassle

When To Call Your Care Team Today

  • You are having frequent lows or frequent readings above your target
  • You started a new medicine and feel unwell
  • You cannot afford your medicines or supplies
  • You have foot wounds, vision changes, chest pain, or shortness of breath

An advocate can help you get the right visit fast and bring your most recent numbers and priorities to that visit so you get answers in fewer steps.

Talk to an Advocate (646) 904-4027
Talk to an Advocate (646) 904-4027

References

This content is educational and is not a substitute for medical advice. Always consult your healthcare provider for personalized care.

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