I am suffering from diabetes since 4 years. Hba1c is 7.9 when tested yesterday it was 7.0 in march 2021. Going for a brisk walk of 6 - 7 km daily since 45 days. I am taking trajenta duo 1000 mg + 2 mg twice a day since last two years. I am also taking s numlo 2.5 mg once a day for hypertension since last more than 10 years. I am suffering from body itching quite badly. Please suggest medicine and life style changes required to control diabetes.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Mr. lybrate-user, thanks for the query. I have seen the details mentioned. With hba1c% at 7.9 % it appears that diabetes is not in good control. At your age ideally fbg should be 100 mg, pp 150 to 170 mg & hba1c% <7%. There may be a need to upgrade the total treatment. So we will have to look at the following: your weight, height, bmi, dietary pattern, extent of daily exercise, lipid profile, bp readings, serum creatinine, urea and microalbuminuria. Therefore, please come back with all the above information preferably in a private conversation then I will be able to give specific advise and also prescribe medicine/s if required. In this communication we are supposed to give general guide lines, no drugs can be recommended. If you find it inconvenient then please do consult your local diabetes specialist. Thanks. 

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Dr. Col V C GoyalGeneral Physician46yrs exp

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1.no alcohol 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. No sugar, potato, rice. Less salt. 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.  

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