I am 39 years old, weight 63.4 kg, height 5 ft 2 inch, and I am suffering from diabetics type -ii, for last 11 years, I had done my medical test on 18/05/2019 - reports are :- fasting blood sugar- 134 mg/dl, post prandial blood sugar -179 mg/dl, hba1c-9.1, spot microalbumin- 79.1%. I am taking medicine - glycomet gp4 forte-1 tab (before breakfast), jalra 50 mg-1 tab (before breakfast) + 1 tab (before dinner). Gp2-1 tab (after dinner), mopaday forte-1 tab (after dinner) telma 20 (after breakfast). 1) how can I lower my micro albumin rate below 20? Which fruits and vegetables can I able to take? Is high protien food (like masoor dal, soybean etc) is good for me or not? 2) suggest me how to lower hba1c?

Dr. B JagadishDiabetologist10yrs exp

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Thank you for your Query. As per the information provided by you - Your Diabetes is not under control despite taking highest possible doses of OADs and also there is microalbuminuria which indicates early Kideny problems. Secondly I would like to know your current blood pressure. To reverse microalbuminuria you need a good control of blood sugar and blood pressure. You need to change the treatment regimen for lowering blood sugar, preferably you will need Insulin at least for 3-6 months. Alternatively you can try adding one Glifozin to lower your blood sugar which also has positive effect on Kideny function. For any further information or advice you can book an online consultation with me on Lybrate. Thank you. Take care till then.  

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