I am male, 52 years old, my hba1c level is 8.2. And fasting sugar is 142. What medicine I should take? And what should be my diet? please.

Question

tab metformin is the best to start with..but before that serum creatinine values are required and what is your after meals sugar?? DIABETIC DIET ADVICE: ?Eat regular meals throughout the day at same time everyday..Avoid skipping meals ?Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ?Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ?Try to avoid ?grapes,mango,bananas,jackfruit(cheeku) ?Vegetables to be included in plenty-at least 2 servings per meal ?Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil ?Include healthy foods like daliya,oats ?Reduce salt intake in the diet to 1 tsp or less per day ?stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ?Limit intake of sugar and sugary foods like sweets ?If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can?t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour

Amit Verma · Accepted Answer

tab metformin is the best to start with..but before that serum creatinine values are required and what is your after meals sugar?? DIABETIC DIET ADVICE: ?Eat regular meals throughout the day at same time everyday..Avoid skipping meals ?Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ?Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ?Try to avoid ?grapes,mango,bananas,jackfruit(cheeku) ?Vegetables to be included in plenty-at least 2 servings per meal ?Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil ?Include healthy foods like daliya,oats ?Reduce salt intake in the diet to 1 tsp or less per day ?stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ?Limit intake of sugar and sugary foods like sweets ?If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can?t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour