I am 42 years male and had absesse on knee. I was out of station and couldn't showed to doctor. I had antibiotics and combiflam. After returning home I had surgery and during that they found my sugar high in 200 levels. Hba1c came to 7.2. Doctor prescribed zoryl 0.5 in morning and metformin 500 mg in night. I am having a lot of trouble with this in stomach and suffering daily for a month. After asking to doctor he told take rantac. Even rantac is not helping. What should I do. Is this sugar and hba1c could be high because of bacterial infection? I have lost 6 kg in month and having diet with reduced carbs and 5 km walk. Can I can control through diet and exercise. Should I stop medication and test once?

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, thanks for the query. Once a person's after food blood glucose goes 200 mg/100 ml and above, diabetes is confirmed. In that situation drug therapy is almost always necessary. Only diet and weigh reduction is unlikely to help in achieving necessary glucose control. Since your hba1c% is 7.2, it is clear that there is diabetes.(6.5% and above is diabetes). However, you may give a try. Control your food intake, avoid sweets, deep fried foods, bakery items, pastries, foods made of maida, junk foods and colas. Increase the intake of green leafy vegetables, salads and fruits. Use whole grain flour for roti and chapati. Exercise for over one hour every day. Then check your blood glucose, if it has returned to normal, then that lifestyle may be continued. If glucose remains high, you will have to take medicinesif you have any questions please do come back. Thanks.  

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