Hi Dr. vanakkam. I am a retired teacher. I started having diabetics since 2013. Now on insulin jab at 11 in the morning and 11 in the evening. My reading is 7 before during fasting and shoots up to 12 after food. I do strenuous walking for at least one hour alternate days. Dr. What is view on my routine? Thanking you in anticipation, sir.

Dr. Sajeev KumarGeneral Physician34yrs exp

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Your routine is good and you need to reduce your food intake and increase the dose or change the medicines. You have clearly diabetes and try the diabetic diet and precautions as I outline here. 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. You need a total check up before doing anything. 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 metabolized to sugar in the body to provide energy for our daily activities. For 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 & lifestyle. For diabetes, hypertension (high bp) and much 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 a scientifically & medically correct manner. Forgiving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you 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 here are the easy ways to lower blood sugar levels naturally: exercise regularly. Control your carb intake. Increase your fiber intake. Drink water and stay hydrated. Implement portion control. Choose foods with a low glycemic index. Control stress levels. Monitor your blood sugar levels.  

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