My weight is 106 kg. I am 5'8" 52 year old diabetic. I take sitagliptin and metformin tablets to control sugar. I follow intermittent fasting with 1900 calorie consumption. I don't take sugar or sweets. Only home cooked food, fruits and nuts. I work out 5 days in a week with cardio and weightlifting for 50 minutes. But I am not losing weight at all. My lipid profile is within limits so are my kft & lft. My h1bac is around 9.8 for which my doctor changed from janumet 50/500 to januvia 100 mg before breakfast and 50 mg after dinner. Plus 1000 mg sitagliptin after breakfast and 500 mg after dinner. Now my fasting sugar is 140 and pp at 180. Should I reduce the food intake to < 1500 calories in addition to increasing weight training? I have been doing intermittent fasting and 1900 cal intake for the last 5 months but weight is not reducing. Pl. Help.
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Mr. lybrate-user, thanks for the query. I remember to have given you detailed answer. Telling you to reduce caloric intake from 1900 cal/day to 1260 cals a day. Then work on weight loss. Because of almost grade 2 obesity you will not be able to control blood glucose at all. Then other option is start insulin injections. Even then weight reduction has to be done. If you are not willing to consider that option, then nothing can be done. Then other option is to go for bariatric surgery and reduce the weight. Decision is yours. Thanks.
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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. Do suryanamaskar for good health regularly for more details you can consult me.
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