I am 56 years male. My blood sugar level is fasting-186 & ppbs: 380. I'm using walaphage g2 (morning), dynaglipt-20 (night). But sugar level is not under control. So please advise me how can reduce my blood sugar level.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Mr. lybrate-user, thanks for the query. I have seen the query. However, the information given is not enough to give any suggestions. Following details are required: weight, height, dietary pattern, extent of daily exercises, hba1c%, lipid profile, serum creatinine & urea. So please come back with these in a private conversation so that I will be able to give specific guidelines as well as prescribe necessary medications if required. I am sure you are aware that in a well controlled diabetes patient fbg should be < 100 mg, pp 150 to 160 mg & hba1c% < 6.5%. So I await your response. If you are interested in online consultation, please get in touch with your local physician and get the treatment upgraded. Please understand it is absolutely essential to achieve a strict glucose control, to prevent or postpone long term complications associated diabetes. Take care, thanks. 

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Dr. Karuna ChawlaHomeopathy Doctor25yrs exp

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your both sugar levels are very high. U need to consult your treating physician for a change in medicine or dosage. Also 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 url/watch? V=wmhmazurgvsandfeature=youtu. Be for more details you can consult me.  

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