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Hi, noranorma! Welcome to our site.

Thanks for trying to take care of your sister; it can be pretty challenging, as you're learning.

Our bodies produce glucose ("sugar") because our bodies need it for fuel. Most of what we eat can be turned into glucose by our bodies. But some people eat way more than they should and have too much glucose in their bodies. People who are diabetic have trouble maintaining a healthy amount of glucose: too much can damage organs and cause typical diabetic symptoms like nerve damage and heart and vision problems. So your sister really should be careful about how much food she eats that will produce too much glucose in her body. Her blood sugar tests are at levels which science shows causes damage to our bodies. Over time, that will not be a good outcome.

Most of the glucose our bodies produce comes from eating carbohydrates, which are found in many foods. It's more than just plain sugar. Anything made with flour (like ravioli) and foods like fruit, soda pop, and starchy vegetables like peas and potatoes all supply a lot of carbohydrates. Diabetics are smart to not eat so much of those foods.

It's hard to know what to do when someone can't motivate themselves enough to take care of themselves. It sounds like you've taken some steps which have worked for your sister. Canned ravioli is not a great food for diabetics to eat. However, certainly for now, it could be a treat for your sister if she can otherwise eat a more healthful diet.

What kind of medical help does your sister have that can help you keep her diabetes under better control? Lantus does not have to be injected in the abdomen; it can be injected into the upper thigh or upper arm as well. If that's easier for your sister to do, maybe you and your sister's medical providers should consider making that change.

I hope this information is helpful to you. Please let us know how else we can help you help your sister. We're not doctors, but we have lots of experience managing our diabetes and are willing to share what we know.
 

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A1c tests cover a three month period so there is little value in doing them more often
 
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