I am diabetic since 3 years and on medicine glucored 500 mg twice a day now hba1c is 8.4. My iron is 47 ug/dl and bilirubin total is 1.42 mg/dl please suggest what to do.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. Madam please tell me whether the weight and height given are correct? Because with 150 kgs weight you are in a very serious obesity situation. If that is true then you need to consult a obesity specialist immediately. Because with a bmi of 61 kgs /sq meter you have 93 kgs excess weight and this can cause very serious problems with your heart, diabetes, kidneys and liver. I am sure you must already be having a problem with liver as is evident from high bilirubin. So this is not a condition where on line consultation is going to be of any benefit. You need to consult an obesity specialist and / or a bariatric surgeon. Thanks.  

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Dr. M S SeshadriEndocrinologist49yrs exp

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Dear lybrate-user, I note that your sugar control needs to be better you need to get hba1c down to about 7 % and maintian it there. Two important things 1. Go on a low carbohydrate, high protein diet with lot of green vegetables 2. Walk for about 1 hour (5 km) per day for exercise 3.use a glucometer at home and monitor sugars as follows wednesday fasting and post preakfast sunday 2 hours post lunch and 2 hours post dinner the fasting value should be< 120 and the value after each meal <160 if still control is poor get back to us professor m s seshadri.  

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