I am taking tab amaryl 1 mg before breakfast and before dinner. My hb1 ac is 7.4 and blood sugar fasting is around 170 and pp 260 approximately since last 6 months .I m walking thrice a week for half an hour and avoiding sugar and sweets. What should I do now?

Dr. Col V C GoyalGeneral Physician42yrs exp

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Do 1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 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. No 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 for medicine contact on private chat. Good luck methi seeds ? 15-90 gm /day reduces glucose and cholesterol level. Oats Soya beans 25 gm /day, isabgol daily. 

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Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Mr. lybrate-user ji, Thanks for the query. Ideally when blood glucose is well controlled fasting glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. At 43 years, you need to achieve a stricter glucose control. Present glucose levels are fairly high, need to be better controlled. This will need upgrading the present treatment, plus giving a closer look at your diet and extent of daily exercise. Achieving better control either postpones or prevents long term complications of diabetes. Thanks.  

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