There is a little change in diet. I am taking 3 chappatis instead of two from the past two weeks. My bp reading is 110 / 70. First my first treatment of diabetes undergoes with a drug called metformin and glimepiride. It controlled my glucose levels well for two years. But from. The.past two years and i'm experiencing high glucose level. please help me to. Get out of this situation sir. Thanks.
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1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice/ less salt 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private consults. Good luck.
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Hello, thanks for the query. I have seen the details given and understand your concern. However, there is absolutely no information on present fbg, pp glucose levels, hba1c%, extent of daily exercise, complete dietary pattern (from morning till dinner), serum creatinien, urea and lipid profile. Unless all the necessary details are given there is no way to comment. In a well controlled diabetic patient fbg should be < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% <6.5%. My suggestion is please come back with all the above informaion in a private conversation then I will be able to give specific guidance and even prescribe necessary drugs. In this communication we are supposed to give only general guidelines, no drugs can be prescribed. I await your response. Thanks.
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Dear lybrate-user, your weight seems quite alright for your height, in fact it is a bit on the low side. If you have been losing weight on metformin and glimiperide and still your sugars are out of control on your usual diet, it is likely that you may need to consider adding insulin after a proper consultation. In the meantime try the following change in diet and then get back to us with your home glucometer monitoring results say after 4 weeks if your fasting values are > 120 and pp values go above 180, reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein (dhal, egg white, fish or chicken. Monitor blood sugars with glucometer as follows. Fasting and pp on wednesday and 2 hour after lunch and after dinner on sunday and maintain a record. If in spite of dietary adjustment your sugar levels continue to be high fasting > 120 and pp more than 180 check your hba1c also and seek a consultation to adjust your anti-diabetic drugs or to add insulin
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