Today my fasting glucose is 210 and post meal glucose is 260 and hb a1c test is 9.6. Taking glynase mf from one week no previous meditation or diet plan. How can I reduce hb a1c level please advise on medication and diet plan age is 48 and have diabetic history both mom dad are diabetic.

Dr. Nitin SahuEndocrinologist35yrs exp

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I am sorry to learn that your blood sugar levels are not well controlled With your blood sugar levels, it is usually advisable to start insulin for a few months to give you better control and then plan and shift to oral medications. I am sure your physician will guide you regarding these aspects in the meantime please follow these instructions High blood sugar occurs when your body can't effectively transport sugar from the blood into cells. Here are few easy ways to lower blood sugar levels naturally: 1. Exercise Regularly Regular exercise can help you lose weight and increase insulin sensitivity. Increased insulin sensitivity means your cells are better able to use the available sugar in your bloodstream. Exercise also helps your muscles use blood sugar for energy and muscle contraction. Good forms of exercise include weight lifting, brisk walking, running, biking, dancing, hiking, swimming and more. 2. Control Your Carb Intake Your body breaks carbs down into sugars (mostly glucose), and then insulin moves the sugars into cells. When you eat too many carbs or have problems with insulin function, this process fails and blood glucose levels rise. 3. Increase Your Fiber Intake Fiber slows carb digestion and sugar absorption. For these reasons, it promotes a more gradual rise in blood sugar levels. 4. Drink Water and Stay Hydrated Drinking enough water may help you keep your blood sugar levels within healthy limits. 5. Implement Portion Control Portion control helps regulate calorie intake and can lead to weight loss (22, 23, 24). 6. Choose Foods With a Low Glycemic Index The glycemic index was developed to assess the body's blood sugar response to foods that contain carbs Eating low-glycemic-index foods has been shown to reduce long-term blood sugar levels in type 1 and type 2 diabetics Foods with a low glycemic index include seafood, meat, eggs, oats, barley, beans, lentils, legumes, sweet potatoes, corn, yams, most fruits and non-starchy vegetables. 7. Control Stress Levels Stress can affect your blood sugar levels Hormones such as glucagon and cortisol are secreted during stress. These hormones cause blood sugar levels to go up One study showed that exercise, relaxation and meditation significantly reduced stress and lowered blood sugar levels for students Exercises and relaxation methods like yoga and mindfulness-based stress reduction can also correct insulin secretion problems in chronic diabetes 8. Monitor Your Blood Sugar Levels "What gets measured gets managed. Measuring and monitoring blood glucose levels can also help you control them. Try measuring your levels every day, and keeping track of the numbers in a log. 9. Get Enough Quality Sleep Getting enough sleep feels great and is necessary for good health Poor sleeping habits and a lack of rest also affect blood sugar levels and insulin sensitivity. They can increase appetite and promote weight gain Sleep deprivation decreases the release of growth hormones and increases cortisol levels. Both of these play an important role in blood sugar control. Furthermore, good sleep is about both quantity and quality. It is best to get a sufficient amount of high-quality sleep every night 10. Eat Foods Rich in Chromium and Magnesium High blood sugar levels and diabetes have also been linked to Micronutrient Deficiencies. Examples include deficiencies in the minerals chromium and magnesium.  

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