My age 56 yrs, male pp sugar is always high irrespective of type food. Pp from 210 to 250 reading taken 2 hours after food, same after breakfast, lunch, dinner. It is observed sugar levels comes down to 90 to 120 with in +6 hours after food. This is causing drowsiness during drive in the evening. Even after taking medicine it shows high and gradually comes down. Fasting is in control 90 to 110. Medicine glycomet 0.5gp 1-0-0, janumet 50/500 0-0-1. Due to pp only hb1ac is around 7. Following proper diet and moderate excise. Kindly advise suitable remedies, even after eating millet in dinner shows +210.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

Ask Free Question

Hello, thanks for the query. I have seen the details given. In a very well controlled diabetic patient fbg should be < 100 mg, or closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.5%. In your case fbg seems to be good but pp is not coming in control. 210 to 220 mg is high, but not too high. This can be controlled by simple adjustment in dietary intake. Even a reduction of 15 to 20 % of food intake, particularly carbohydrates like roti, chapati, rice, dosa, idli, potatoes, and bakery items (if taken), can bring down the pp glucose levels. One can increase the intake of green leafy vegetables, salads and fruits like orange, apple, papaya, pomegranate, guava. Better to eliminate fruits like banana, mango, chikkoo, water melon, and other melons. Another aspect is your weight with a bmi of 26.51 kgs /sq meter (normal < 23 kgs/sq meter) you have an excess of almost 9 plus kgs. Your ideal body weight has to 60 to 61 kgs. Bringing that weight down will also help in reducing pp glucose levels. Glucose levels around 90 to 120 mg do not lead to any drowsiness or any other uneasy feelings. Only when glucose goes below 70 mg there is a possibility of hypoglycemic symptoms. You have not mentioned any thing about exercises at all. As regards millets those also give carbs in good quantity. Even millets need to less polished and in limited quantities. If you have any questions please do come back. Thanks.  

1 person found this helpful

Dr. S.K. TandonSexologist41yrs exp

Ask Free Question

Take Tab. Voglibose 0.3 mg with first bite of each meal. Your pp nlood sugar will be well controlled. 

1 person found this helpful

Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

Ask Free Question

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 you can consult me.  

1 person found this helpful