Hello doctor my mother is a diabetic patient since 2010. She is 59 years old. Now my mother is taking janumet 50/500 mg bt from days she is not taking those tab. Now her sugar is 198 before breakfast and after breakfast 280.

Dr. M S SeshadriEndocrinologist49yrs exp

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Dear Ms. lybrate-user, your mothe needs to reduce weight to about 50-52 kg in order to get her sugars under control. She needs to go on a high protein normal fat low carbohydrate diet (avoid anything containing sugar, potatoes, and restrict rice wheat maida). She should also walk about 5-6 km per day for exercise and reduce weight by 1 kg per month to about 50-52 kg. In addition she needs to take her janumet 50/500 twice daily. Monitor sugars at home with a glucometer on 2 days a week. Fasting and 2 hours after breakfast on wednesdays and 2 hours after lunch and 2 hours after dinner on sundays. If her sugars are not under control with all this, take an online appointment and we will be able to help you. 

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