Even though I take janumet 50/500 regularly and have just one meal in a day still my fasting sugar is 201.

Question

Mr Nilesh, Thanks for the query.
I have seen the details given and understand your concern. From the mentioned fasting glucose level it is clear that present treatment is not adequate. Before I give any suggestions please clarify following : 1) Why do you take only one meal? Do you do not eat anything else at all throughout the day?  2) What is your weight, height, extent of daily exercise? 3) Since when do you have diabetes? 4) What is the PP glucose level & HbA1c%? 5) Also mention your lipid profile and BP readings. 
There is a need to upgrade the present treatment and also a need to look at your diet and exercise. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Mr Nilesh, Thanks for the query.
I have seen the details given and understand your concern. From the mentioned fasting glucose level it is clear that present treatment is not adequate. Before I give any suggestions please clarify following : 1) Why do you take only one meal? Do you do not eat anything else at all throughout the day?  2) What is your weight, height, extent of daily exercise? 3) Since when do you have diabetes? 4) What is the PP glucose level & HbA1c%? 5) Also mention your lipid profile and BP readings. 
There is a need to upgrade the present treatment and also a need to look at your diet and exercise. Thanks.

Pramod Kumar Sharma · Answer

You need to increase the dose of medicine in consultation with your doctor

S.K. Tandon · Answer

Dear lybrate-user you are fully wrong. For diabetic patient first principle of treatment is small frequent meal. For fully control discuss with me on line.

Pradeep Tvs · Answer

Hi lybrate-user, you may have reduced insulin production from pancreas. You need to change medications. Get fbs/ppbs/ hba1c and serum creatinine. You can consult me online with reports for further assistance. Thank you.

Karuna Chawla · Answer

Taking one meal is wrong. Follow diabetes diet  which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.
U can take (moderate amount)
Grapes.
Apples.
Berries.
Citrus fruits.
Papaya.
U should avoid
Sugar-Sweetened Beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans Fats
Sugar, cake, pastries
Mithai/sweets
Chocolate
Fruits like mango, litchi etc.
White Bread, Pasta Fruit-Flavored Yogurt. Sweetened Breakfast Cereals. Flavored Coffee Drinks. Honey
1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit.. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it.
3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc
4. Finish your dinner at least 2 hours before going to sleep.
5. Maintain active life style
6. Avoid fast foods, spicy n fried foods
7.Take a lot of green vegetables n fruit.
8. Drink lot of water.
9.Curd is good for u.
Exercise in the form of yoga, cycling, Swimming, gymming, walking etc.
Now about point no. 5. You should join a gym for weight training. Do it 2-3 times a week with at least 48 hours in between 2 sessions.
For more details u can consult me.