I am 46 years old and diabetic II since 2002. At present I am taking Amaryl 2mg (daily one tab) -- glucophase 500 mg (daily 3 tab) ---Cardace 2.5 mg (daily 1 tab) Januvia 100 mg (daily 1 tab. At presently by HbA1C is 7.4. Please advice.

Dr. Amit VermaGeneral Physician18yrs exp

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your medicines are good ..but what is your fasting sugar ..pp sugar levels..hba1c is near to target of 7... just follow these tips to control diabetes 1-Losing Extra Weight:-helps lowering blood pressure and cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-improves metabolic activity and helps in reducing weight. 3- Split your meals and eating in moderate amount:-, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Eat your food slowly, chew well. 6- Proper Exercise and work outs:- Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 

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