Recently I have got the report that fasting glucose ls 226 and post lunch is 429 and all other parameters lipd. Liver,kidney, thyroid etc are normal ,Please advise the medication and do" s and don'ts.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Mr. lybrate-user, Thanks for the query. Both fasting and PP glucose levels are excessively high, suggesting totally uncontrolled diabetes. This is dangerous. Because diabetes affects small (micro) and large (macro) blood vessels. This leads to problems with retina, kidneys, nerve fibers, peripheral blood supply and heart. So it is essential to start immediate treatment with appropriate drugs, plus diet control and regular exercise. As well as weight control. Please come in a private conversation (paid consultation) with following details: current fasting, PP levels, HbA1c%, dietary pattern extent of daily exercise, medications being taken, details of lipid profile, then I will be able to give specific guidance. Or get in touch with local doctor and initiate treatment urgently. Thanks.  

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