Hi, I am having diabetes since last many years. It remains uncontrolled and fasting blood sugar comes to 250 and after food goes past 350 to 400. What should I do to bring sugar levels in control. I take glykind m 3 times a day as a regular medication along with neem tablets.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Mr. lybrate-user, thanks for the query. I have seen the details mentioned. It is clear that there is a need to look at the overall treatment in order to achieve a stricter glucose control. Hence, there is a need to look at upgrading the treatment, look at the dietary intake, extent of daily exercise and weight control. With a bmi (body mass index) of 30.29 kgs/sq meter (normal < 23 kgs/sq meter) you have an excess of over 22 kgs, this is a major problem in blood glucose control. Plus we will have too look at the current diet, extent of daily exercise and changing or adding some additional medications to the therapy. So please come back with fbg, pp glucose level, hba1c%, lipid profile, dietary details, extent of daily exercise in a private conversation. Then I will be able to give specific guidelines and even suggest medications. Thanks.  

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