Dear doctor, I am a 51 years old diabetic since 2008. Last checked (15 days ago) my hba1c 5.9, fpbs 102, ppbs 91 bp 110/70. I am taking gliclazide 40 mg/500 mg mf before breakfast and telenigliptin 20 mg/500 mg mf sr after dinner. Everyday I am walking 5 km within 1 hour and take 1 plate salad, 1 roti, 1 bowled egg and 1 bowl speak in breakfast and dinner without egg. In lunch 1 bowl rice, and spicy/fish/chicken. Middle of this I used to eat fruits or curd. But my weigh not much loose. My height is 5.2 and weight 65 kg. Please advice me how to maintain my weight to reduce my medicine dose.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details mentioned. With your current weight your bmi is 26.15 kg/sq meter (normal < 23 kg/sq meter), which means there is an excess of almost 7 kgs. However, your blood glucose is very well controlled, which really good. Weight reduction is a tough task. However, you may consider increasing the time spent on exercises. You can do strength building exercise for 2 to 3 days (preferably in a gym) and other days 5 plus k walk. Running ad brisk walking can help along with gym work out. You may also look at reducing some 10 to 15% of carb intake. Thanks.  

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