76 years young active fasting post lunch post dinner sugar readings 110-120 but post bf always 250 independent of quantity of bf I am on low carb high fibre high protein bf like white egg omelette/ puha (2 bowls)/upma/ mungdal dosa (3 no?s) dinner at 830 bf at 1030 one fruit at 830 bf is the only meal I have with full hunger walk 11000 steps a day sleep very well no stress currently on jardine 25 mg metformin and one more all per bf email

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. Your breakfast quantity seems quite high, that is the reason for high blood glucose after the breakfast. Two bowls of poha, which is mainly only carbohydrate. There is no mention of food taken at lunch time, evening tea or any other snacks and dinner. So difficult to know your total intake. Another important aspect is at 76 years with a BMI of 27.36 kgs/Sq meter you are very close to being in obese category. Your ideal weight at this age should be about 67 to 68 kgs. That shows an excess of 14 kgs. This also adds to glucose increase. Thanks. 

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Dr. M S SeshadriEndocrinologist49yrs exp

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Dear Mr. lybrate-user, I understand that you are on a strict diet, walk enough and are on jardiance 25 mg and metformin? 1000 mg (you have not specified the dose) before breakfast. I note that your post breakfast readings alone are in the 250 mg range while others are all normal. I note that you are about 10 kg overweight. If you make your breakfast also very low carbohydrate and more protein and vegetables it will help. You need to reduce weight gradually by about 1 kg per month to about 75 kg if you achieve this you may not need any increase in medications but may actually need less medication. What is your hba1 c value and what is your serum creatinine level?  

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