Thank you for the query.
It would have been helpful if you would have mentioned your Fasting blood sugar, 2 hrs post prandial sugar and HbA1c level. 1. If your HbA1c level is less than 7.5%, it would imply a fair control on blood sugar. Dietary regimen (avoidance of refined carbohydrate-pasta, white bread, noodles, burgers etc and carbonated beverages) and exercise (30 min per day for 5 days a week) may be helpful. Sometimes, a low dose of the medicine metformin may be added, which may be beneficial.
2. If the HbA1c level is more than 7.5% one or more oral medications are used in addition to diet and exercise. The medications are given as per the patient's tolerance. 3. If HbA1c is more than 9% it is advisable to go for Insulin. However, if someone is completely non-compliant or averse to Insulin a combination of 2 or more drugs may be used with caution.
4. Since you are diabetic for 4 years it is advisable to get the following tests done if not done already
Urine for spot ACR- to check the renal status
Eye check up - to rule out diabetic retinopathy.
5. Foot care is very important and even a minor injury must be taken care of.
6. Always remember whatever dietary intake you are having, your calorie intake must be less or equal to our calorie expenditure. It is advisable to get a diet chart done, as per your body weight and activity level.
7. You can take a course of vitamin B complex for nerve protection.
Please consult a physician for further advise.
Regards.