My FBS is 131 & PPBS is 219 last week. HB1AC is 7.7%, Mean Blood Glucose - 196. 8 mg/dL, BUN - 6.9 mg/dL, Creatinine - 0.9 mg/dL, Uric acid - 5.3 mg/dL, Hb - 12.1%.,I used to do daily 30 minutes exercise. Now I have increased simple exercises like 5 minutes jogging or bicycling, sitting and standing exercise along with 30 minutes walking in morning. Now I am having rice in afternoon, wheat or ragi in morning and evening. I have avoided potatoes, beetroot, carrots rarely I take little bit sweet and tender coconut. From past 2 weeks I am taking Gluconorm G2 (1 in morning & 1 in evening,) cobadex Czs (1 in morning), Vitofocol (1 in Afternoon), Evion LC (1 in evening), D-Bright (once in a week) Rarely I Eat Chicken. Yesterday when I ate Chicken (5-6 small pieces along with sambar) I got little shaking of hands and burning sensation in afternoon. In night around 1.15A.M I was sweating and could not sleep well. Why did this happen? Please give me suggestion? Thank you

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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lybrate-user, Thanks for the query. I have gone through the details given. Based on the details given these are few of my observations: 1) Your diabetes is not in good control. Ideally FBG should be < 100 mg, PP 150 to 160 mg & HbA1c% < 6.8. 2) You are having grade 1 obesity with a BMI of 32.12 kgs/M2, your ideal weight should be about 50 kgs. 3) The extent of exercise is too little, including all those things mentioned. 4) We will have to give a very close look at the total dietary intake, as diet has to be based on Ideal body weight, extent of daily exercise and blood glucose levels. 5) There may be a need for additional medication to control blood glucose. 6) Rest of the medications are fine. Lastly the problem described after eating chicken could be due to severe hyperacidity. If there is a problem of acidity, it is better to avoid spicy foods. Plus there may be a need for drugs to control excess acidity. If you have any doubts and want to get some additional advise on treatment please come in a private conversation (paid consultation), then I will be able o give specific guidelines and even prescriptions needed. As in this communication we are supposed to give only general guidelines, no prescriptions are allowed. Thanks.  

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