MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query.
Random blood glucose 310 mg is a seriously uncontrolled diabetes. It shows probably you have had this condition for quite a few months. It has gone unnoticed. It has to be treated with appropriate medication. There is no way to reduce the glucose levels without medication. Exercise and diet control are also necessary for better glucose control. Therefore, either please consult a local doctor and start the treatment or if you are looking for help online, please give following details: Fasting, PP glucose levels, HbA1c%, lipid profile, serum creatinine, urea, BP reading, present dietary pattern and extent of daily exercise. It is better if you come in a private conversation (paid consultation), then I will be able to give specific guidance and prescriptions for better control. Please understand consistent high glucose levels is an invitation for serious long term complications early. Thanks.
Get your fasting, pp blood sugar, HbA1c test done. You will be considered as diabetic if any of following present.
Fasting blood sugar 126 mg/dl. Or more. Or
Pp blood sugar 200 mg/dl. Or more. Or
HbA1c 6.5 or more.
Random blood sugar 200 or more with symptoms of hyperglycemia.
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query.
The glucose level 165.3 mg, is which one? Fasting, after food or random? It is important to know that, before I can clear your dout. Thanks.
Follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.
You can take (moderate amount)
grapes.
Apples.
Berries.
Citrus fruits.
Pineapple.
Papaya.
You should avoid
sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats
sugar, cake, pastries
mithai/sweets
chocolate
fruits like mango, litchi etc.
White bread, pasta fruit-flavored yogurt. Sweetened breakfast cereals. Flavored coffee drinks. Honey
1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it.
3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc
4. Finish your dinner at least 2 hours before going to sleep.
5. Maintain active life style
6. Avoid fast foods, spicy n fried foods
7.take a lot of green vegetables n fruit.
8. Drink lot of water.
9.curd is good for u.
Exercise in the form of yoga, cycling, swimming, gymming, walking etc.
For more details you can consult me.
Probably you might need insulin. Need to know your hba1c. Even if started on tablets you might need insulin in the long run. Please consult and endocrinologist before experimenting with home remedies.
MBBS, CCEBDM, Diploma In Diabetology, Diploma In Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query.
It appears you are already on more than recommended dose of Glimepiride (3 + 2 mg). Ideally 4 mg is considered as the upper limit even though the manufacturers mention it can be given up to 8 mg per day. Beyond 4 mg there is very little benefit. Plus you are also taking Tenelegliptinin 20 mg. Ideally fasting glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% should be < 6.8. Since there is no mention of that, it is difficult to know.
It looks like there has to be closer scrutiny of your diet and exercise, because one major reason for uncontrolled or high blood glucose is more than necessary food intake and less or nil exercise.
In addition there are other options also if one wants to consider. I would suggest please come in a private conversation with following information: dietary patter, extent of daily exercise, HbA1c%, lipid profile, creatinine and urea levels. Then I will be able to guide specifically. Or else please get intouch with local diabetologist and upgrade the treatment. Thanks.
Do not get confused about the sugar intake. If you know which food is healhty and which is unhealthy and try to maintain a healthy lifestyle then there is no need to worry. Avoid or limit processed and packaged food as they have more sugar and have other added preservatives which will add to your calories. Have fruits and eat them as it is ( avoid readymade juices or where there is added sugar ). A balanced diet and daily exercise can be a great combination for a fit and healthy body and mind.