Hello sir ,dr vidyashankar here, I am 49 year old, with strong family history of diabetes, past one month I had polyuria ,polydipsia, atigue,weight 72 kg ,so got tested for diabetes, fbs- 197, ppbs-312, hba1c -9.5, started on glycomet 500 since 15 days but today morning fbs-222, and ppbs 362indly advise.
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Mr. lybrate-user, thanks for the query. I have seen the details given .fbg 222 mg, shows clearly that only taking metformin 500 mg (how many times a day has not been mentioned) is not enough. Plus there is a need to loo at the following :1) weight, height and extent of daily exercise, 2) dietary pattern, 3) lipid profile, serum creatinine and urea. 4) bp reading & hba1c%. There is a need to adapt a modified lifestyle which includes managing weight to bring it closer to normal, taking restricted diet that provides calories based on ideal body weight and includes good amount of proteins, avoids excess carbs and deep fried foods. Plus there is a need for upgrading the current treatment with addition of proper drugs. Therefore, you will have to come in a private conversation with all the above details, then I will be able to give specific guidance and even prescribe necessary medications. In this communication we are supposed to give only general guidelines. No drugs can be prescribed. Or else please consult your local physician and initiate the necessary change. In a well controlled diabetic patient fbg should be < 100 mg, pp 150 to 170 mg and hba1c% <6.5%. So the choice is yours. Please take necessary action early, because keeping high blood glucose is not good as it tends to hasten the long term complications associated with diabetes. Thanks.
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It’s still high. U need to change medicines. Also Follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. U can take (moderate amount) Grapes. Apples. Berries. Citrus fruits. Papaya. U should avoid Sugar-Sweetened Beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans Fats Sugar, cake, pastries Mithai/sweets Chocolate Fruits like mango, litchi etc. White Bread, Pasta Fruit-Flavored Yogurt. Sweetened Breakfast Cereals. Flavored Coffee Drinks. Honey 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit.. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods, spicy n fried foods 7.Take a lot of green vegetables n fruit. 8. Drink lot of water. 9.Curd is good for u. Exercise in the form of yoga, cycling, Swimming, gymming, walking etc. Now about point no. 5. You should join a gym for weight training. Do it 2-3 times a week with at least 48 hours in between 2 sessions. For more details u can consult me.
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I am sorry to hear about your concern but will be happy to assist you. In people with diabetes, polydipsia is caused by increased blood glucose levels. When blood glucose levels get high, your kidneys produce more urine in an effort to remove the extra glucose from your body. Meanwhile, because your body is losing fluids, your brain tells you to drink more in order to replace them. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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