Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Dear , your bmi is 25.7 which makes you slightly overweight. This increases a insulin resistance and thus will play a role in keeping your blood sugar high. A proper measure for knowing and managing your diabetes will be to ensure a hba1c below 6.5%. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for yourself. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you can do a monthly self glucose monitoring 3 times a day and keep a track of your food with it. Check fasting sugar, sugar one hour prior your lunch and 2 hrs post lunch, and note down the details of your breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Best of luck.
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Community Medicine, Fellowship in Diabetology(The University of Liverpool, UK)
Diabetes is a chronic progressive metabolic disorders and its control deteriorates with time so you need to revise your medicines and other related things frequently. So you need to visit your doctor regulary they teach you self managenet and fix your frequrecy of visits so that your diabetes can be put under control. So please meet your doctor.
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Mr Amit, Thanks for the query.
When blood glucose is not well controlled, (> 180 mg/100 ml), some amount of glucose is lost in the urine. If patient has very high glucose level then more of it is lost, leading to weakness and lethargy, tiredness etc. It is important to achieve a good glucose control with fasting glucose closer to 100 mg, PP 170 to 180 mg & HbA1c% < 7. If these parameters are achieved, invariably there will be hardly any weakness. I am sure she must be already on some vitamin supplements. You may look at giving some protein supplements with treating doctor's consent. Thanks.