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Hello, looking at your wife's height and weight, it clear that she has a bmi of 30.35 kgs/m2, showing grade 1 obesity. For good blood glucose control weight reduction is essential. Her ideal body weight should be 67 kgs, she is over weight by 18 kgs. This definitely hampers blood glucose control. Secondly, we may have do a proper titration of insulin dosage in relation to blood glucose levels. Plus there may be a need for introducing an additional drug or a long acting insulin. Plus she has to seriously look at her diet and exercise so that weight reduction is done. All these things together will definitely help in better control of blood glucose levels. Initially we should target her fasting glucose level, bring it down to 100 - 110 mg/ 100 ml. Then target pp level. Thanks.
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