I am diabetic from last 5 years and taking gluconorm sr 1gm. My sugar level are not up to mark from last 6 months. After meal, sugar level is 250 and before meal, level is around 160. My hba1c is 7.8. Please suggest.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Mr. lybrate-user, thanks for the query. Please let me know whether I am addressing a male or female? Because in the query it says female, but name is of a male. Looking at your weight and height with a bmi (body mass index) of 27.97 kgs/sq meter (normal < 23 kgs/sq meter) you are quite over weight having an excess of 14 plus kgs. This does affect glucose control. Plus there is a need to know present dietary pattern, extent of daily exercise, age, hba1c%, lipid profile & bp readings before any advise can be given. However, from the glucose levels mentioned it is clear that there is a need for upgrading the present treatment in terms of drugs, plus we will have to look at other aspects too. So my suggestion is please come back with all the above mentioned information preferably in a private conversation, where I will be able to give specific advise and also prescribe the necessary medication. In this communication we are supposed to give only general guide lines, no drugs can recommended or prescribed. If you are not interested in online consultation, then please do consult your local physician because strict glucose levels maintaining (fbg, 100 mg, pp 150 to 170 mg & hba1c$ < 6.5%) is essential to prevent long term complications associated with diabetes. Thanks.  

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Dr. Karuna ChawlaHomeopathy Doctor25yrs exp

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your fasting and pp both are high. 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 for more details you can consult me.  

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Hello. You have been using gluconorm since 5 years. It needs upgradation as blood sugar levels are high. Diabetes management comes with stepwise drug add ons. Simple changes can get your sugar levels back on track you need not panick. Kindly get back to me with tests rft, lft, lipid profile. And blood pressure values.  

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