CCEBDM , CCGDM, CCDR, CCMTD, Master of medicine ( FM )
Diabetologist, Delhi
Dear Lybrate user, I appreciate your concern with diabetes. Remember type diabetes mellitus is a chronic disease that is not curable. So the patient is supposed to be treated with medical nutritional therapy, physicial activity and medication to keep blood sugar within the controlled range. Your medication need further modification if glycemic target not achieved, for which you need to visit your diabetologist .as quite young you need a good glycemic control without any second thought. Wish you good health. God bless you.
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query.
Tablet Istamet contains SItagliptin and metformin, both are very safe drugs used for treating Type 2 diabetes, People use these drugs for years together, without any problems. Both have a proven track record of safety. Thanks.
As metformin reduces weight so if you want to increase weight change your drug to sufonyluria group viz glimiperide or insulin.
For more contact me on line.
Do not take these medicines as they can cause so many side effects on your body later on. You do massage with clove oil twice a day. Start eating a healthy diet like green vegetables like spinach, cabbage, kale etc contribute to male enhancement. Also citrus fruits like avocado, orange, and lemon that are rich in Vitamin B9. Also, you can concern us, if you want the fast result. We provide therapies as well as ayurvedic medicines. You can contact us at We will concern and later on, we can deliver medicines.
MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Dehradun
Hello-
Men with diabetes often have reduced testosterone levels, which can affect their ejaculation control. Diabetes also damages the blood vessels, which can affect blood flow to the penis, reduced blood flow means weaker and shorter erection.
To combat diabetes and sexual weakness, you need to first control your blood sugar through proper dieting. Avoid tobacco and excessive alcohol consumption, as these conditions can cause other forms of impotence. In addition, supplement your diet with herbs that treat the underlying condition. Taking natural formulas with these herbs to boost up testosterone can be of tremendous benefit for men with type II diabetes.
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query.
HbA1c% 5.9 is good. But equally important is to know fasting & Pp glucose levels, plus diet pattern and extent of daily exercise. Since you have very good control, there is no reason to reduce the dosage. Thanks.
First thing control his blood sugar, immediately contact with diabetologist, diet small amount every two hours then after albumin in urine means kidney disease develops for medicine contact on private chat Wish you good health.
He needs insulin. CONTROLLING BLOOD SUGAR
Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are :-Both types of diabetes have some of the same tell-tale warning signs.
Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in.
If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more.
Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy.
Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus.
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record.
Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style.
For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes
FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal)
EARLY MORNING
Fenugreek seeds with 1 cup of water---
Tea (without sugar)1 cup435
Marie Biscuits2156
Breakfast
Stuffed methi/palak /lauki paratha2 small7200
Curd50 gm (1 cup)330
OR
Egg white / Paneer Bhurji1 medium bowl6130
Plain roti (no oil) 2 small3150
OR
Vegetable poha/upama/oats/daliya1 soup bowl4.5230
MID MORNING
Apple /guava/orange1-40
LUNCH
Salad (10 mins before lunch)1 Medium bowl130
Capsicum + gobhi veg1 medium bowl185
Dal1 soup bowl6130
Phulka (no ghee)26175
EVENING
Milk / green tea / herbal tea / lemon water1 cup235
Roasted chana + Muri1 cup585
DINNER
Salad (10 mins before dinner)Phulka (no ghee24.5150
Lauki veg1 cup285
Curd1 cup330
LATE NIGHT
Skim Milk (no sugar)1 glass4120
Total-49.51286.