My father age is 57 unka 3 year phele cabg hua tha. Uske bad se unka blood sugar control nahi ho raha hai. Abhi wo clopivas ap 75, atorva 20, metrolar xr 25, and sugar ki zoryl m 2 mg (2 times. Fasting ki sugar 250 hai or after food around 400 hai. Please suggest some good medicine to control. Thoda bahut yoga karte hai. Bhook jyada nahi lagti hai. Weight bhi 52 kg hai. Or swedesi ka karela jamun churn bhi khate hai morning me. Please suggest some diet and medicine.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details mentioned. The glucose levels given are too high, showing totally uncontrolled diabetes. For a person with history of cabg, this is not a good situation. Ideally fasting glucose should be closer to 100 mg & pp should be <180 mg. Plus hba1c% 7%.(not mentioned). There is a need to upgrade his treatment of diabetes. Plus a closer look has to be given to his present diet and exercises being done daily. In this communication we are supposed to give general guidelines, no drugs can be prescribed. So if you are looking at online help, please come back with following details in a private conversation: fasting, pp current levels, hba1c%, present dietary pattern, lipid profile details, serum creatinine and urea, then I will be able to give some specific guidelines and even prescribe necessary drugs. Or else please consult your local diabetes specialist and get the upgrade done. Thanks. 

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