I am 39 years old male and having diabetes from past 10 years. My current sugar levels are bit high. Random 250 and fasting 150. Currently I am taking janumet 50/500 (1 tab) in morning and glimy mv 2 (1 tab) in afternoon. Do I need to change the current medicines, please suggest?
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Mr. lybrate-user, thanks for the query. As you have been having diabetes for last 10 years, so it is quite possible that you are aware about how the blood glucose needs to be maintained. The values that you have mentioned are quite high. In a well controlled diabetic fbg should be < 100 mg and pp 150 to 170 mg & hba1c% < 6.5%. You have not mentioned the after food glucose level as well as hba1c%. These are important to understand how the over all treatment is going on. In any case with fasting and random values it is clear that your current treatment needs to be upgraded. In addition there is a need to look at the following: weight, height, extent of daily exercise, dietary pattern, lipid profile, bp readings and over all lifestyle. Because drugs are just one part of the treatment. A lot depends on diet restriction, regular exercise and weight control and avoidance of alcohol as well as. Smoking. Hence if you are looking for on line help, please come back with all the above details in a private conversation so that I can suggest specific guidelines and also prescribe necessary drugs for better control. In this communication we are supposed to give only general guidelines. No drugs can be prescribed. Or else please consult your local physician and get the treatment upgraded. Considering your young age it is absolutely essential to achieve a strict blood glucose control. Thanks. Â
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I recommend fasting, 2-hr pp, hba1c with urine routine and sr. Creatinine. After that please consult a diabetologist.Â
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Along with medicines 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. Â
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