My wife is taking istamet 50/1000 once daily at breakfast and having fasting blood sugar (10 hrs) 163. What should we do as her sugar is still not controlled. She also takes thyrox 75 once daily and losacar 25 once daily.
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Mr. lybrate-user, thanks for the query. I have seen the details mentioned. From that it is clear that her pretreatment is not adequate. There is a need to upgrade it. To suggest an upgrade I need to know following details: fbg of the day, pp glucose, hba1c%, weight, height, dietary pattern, extent of daily exercise. Lipid profile, age of the patient and since when is she diabetic as well as bp readings. So please come back with these preferably in a private conversation where I will be able to give specific suggestions plus will be able to prescribe necessary medication. In this communication we are supposed to give only general guidelines, no drugs can be prescribed. If you are not interested in on line consultation, then please do contact your local physician or diabetes specialist and get the necessary upgrade. Please understand it is very essential to have a strict glucose control for prevention or postponement of diabetes related long term complications. Ideally fbg should be < 100 mg or closer to it, pp 150 to 160 mg & hba1c% <6.5%. So please decide early. Thanks.
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1.no alcohol 2. Reduce body weight if overb wt 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private consults.
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Fasting blood sugar should be less than 126 and post prandial (after food should be less than 160) ideally. She might need a change in her dose or might need new medications. She needs to be reviewed by the physician. That being said, if there is a change in her routine i.e. She is getting less excercise or eating in an appropriate way that needs to be addressed.
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