My mother is having fasting blood sugar 275 and post prandial 380. She was having fine control before two money. Show is also having pins and needles ove her legs. Please advise.

Question

Hello, I have seen the details mentioned. The glucose levels are very high. It is clear that the present treatment is not enogh. There is a need to look at her overall treatment, which includes glucose levels (fasting, pp)& hba1c%, lipid profile, dietary pattern, extent of daily exercise, serum creatinine & urea. So please come back with all the necessary details, preferably in a private conversation where I can give specific advise and also prescribe additional drugs if needed. In this communication we are supposed to general guidelines, no drugs can be prescribed. Please undersatnd in a well controlled diabetes patient fgg should be < 199 mg or closer to it, pp should be 150 to 170 mg & hba1c5 should be <7% in patients above the age of 60 years. If you are not keen on online consultation, then please consult your local physician as achieving strict glucose control is very essential. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Hello, I have seen the details mentioned. The glucose levels are very high. It is clear that the present treatment is not enogh. There is a need to look at her overall treatment, which includes glucose levels (fasting, pp)& hba1c%, lipid profile, dietary pattern, extent of daily exercise, serum creatinine & urea. So please come back with all the necessary details, preferably in a private conversation where I can give specific advise and also prescribe additional drugs if needed. In this communication we are supposed to general guidelines, no drugs can be prescribed. Please undersatnd in a well controlled diabetes patient fgg should be < 199 mg or closer to it, pp should be 150 to 170 mg & hba1c5 should be <7% in patients above the age of 60 years. If you are not keen on online consultation, then please consult your local physician as achieving strict glucose control is very essential. Thanks.

S.K. Tandon · Answer

She has uncontrolled diabetes with peripheral neuropathy. Please contact me on line by paid audio consultation I will guide you in both aspects.

Col V C Goyal · Answer

2. Reduce body weight if over 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. Less sugar, potato, rice 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.

Peerzada Ovais Ahmad · Answer

Well it seems you mothers diabetes is not under control. She is having poor glycemic control. The symptoms that she is experiencing is due to diabetic peripheral neuropathy. Which is a known complication of diabetes. Would be better you you consult need more details. Like duration of diabetes, current medications, latest hba1c and complication status.