? am suffering from diabetes type 2 since last four years. My fasting sugar level was 169 in last week, it goes further high some time. What preca?tionary measures in diet and medication should ? take to maintain my blood sugar level. ? take a tablet of metformin and glyclazide one time only. Sho?ld I increase dose of medicine. Please guide me.

Dr. Amit VermaGeneral Physician18yrs exp

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No ,first try these tips before escalating dose of medicines 1-Losing Extra Weight: helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :improves metabolic activity and helps reducing weight. 3- Split meals and eat in moderate amount 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat food slowly & chew well. 6- Proper Exercise and work outs: regular brisk walking for 30 min. five times a week is best .Cycling, swimming, dancing can also be done. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets.� 9- Take high-fibre and complex carbohydrates:-like oats and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks . 10-Drink enough fluids:-Keep your body well hydrated.� 11.Fresh vegetables and fruits: .Include sprouts in the diet as they are easily digestible 

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