I am diabetic since 5 years. My hba1c is 9.2 fbs is between 140-180 and pons is between 210 to 240. Also experiencing ed. Do medium exercise. Indoor cycling and walking. I am 62 years old. My basic daily diet consists- jawar roti/chapati during breakfast and dinner and rice fall and curd during lunch. I am currently under the below medication: glycomet gp1 - twice a day cetafin xr 100 - once a day lantus 10 units after dinner still my hba1c is not coming down towards the target of 7 please suggest.

Dr. Pranaw Kumar SharmaDiabetologist5yrs exp

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Continue medicine.  

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Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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your hba1c, fasting, pp all are high. 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 homeopathy offers good results. For more details you can consult me.  

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Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details given. It is clear that your blood glucose levels are not well controlled. Ideally in a well controlled diabetes patient fbg should be < 100 mg or closer to 100 mg, pp should be 150 to 170 mg & hba1c% <6.5% up to the age of 60 years and above 60 years <7%. Therefore there is a need for immediate upgrade. So please come back with following details: serum creatinine, urea, lipid profile, bp readings and detailed dietary pattern. Our current bmi is 26.7 kgs/sq meter (normal < 23 kgs), considering your height and age ideal should be about 60 kgs. The extra weight also contributes to improper control of blood glucose as well as related problems. Therefore, please come back with all the necessary details in a private conversation (paid consultation) then I will be able to give specific guidelines and even prescribe necessary drugs if required. In this communication we are supposed to give only general guidelines. If you are not willing, then please do consult your local physician and see that proper control is achieved. Thanks. 

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