Nine simple strategies for managing diabetes
Here are some ways to lower your A1C levels without medication.
If you’re living with diabetes, you need to be your own best advocate. Request a diabetes care review annually from your health care provider and try these easy suggestions for keeping blood sugar in check.
1. Blood glucose review and check of A1C levels
The A1C test measures the glucose (blood sugar) in your blood by assessing the amount of what’s called glycated hemoglobin.
An A1C level below 5.7 percent is considered normal. An A1C between 5.7 and 6.4 percent signals prediabetes.
An A1C over 6.5 percent signals diabetes. At your annual check-ins, jot down where your levels are, along with your blood pressure, triglycerides, and cholesterol* numbers, and where you and your provider would like them to be.
Tip: These tests may need to be done more regularly. Discuss with your provider.
2. Weight & body mass index
If your weight or BMI has increased year over year, talk to your provider about lifestyle strategies to manage them.
3. Eyes
Get a dilated retinal exam by an ophthalmologist or optometrist. Diabetes improperly treated can lead to diabetic retinopathy, which can cause blindness if not treated.
4. Feet
Have your provider examine your feet at least once a year, including checks for blood circulation, nerve detection, and sensitivity. If you have foot problems (such as redness, swelling, calluses, cracks in the skin, warmth, pain, or discomfort), check in with your provider more regularly.
5. Kidneys
Have your urine and blood checked at least once a year for albumin and creatinine, the levels of which determine how your kidneys are functioning.
6. Mouth
See a dentist to have your teeth, gums, and tongue checked twice annually, or as recommended by your provider.
7. Vaccines
Get the flu vaccine every year, and the pneumonia vaccine, if appropriate for your age and recommended by your doctor.
8. Mental health
Check in with your provider about your general mental state, including feelings of depression, stress, or sexual dysfunction, which can be more common in people with diabetes.
9. General health
Review your diabetes management with your primary care provider — including medications, energy levels, diet, exercise, and any recent health issues — and ask about additional support if needed. Remember, your provider is a key partner in managing your condition.
Website last updated: 05/18/2026
