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I am type 2 diabetic .in recent sugar test my blood sugar was 265 and urine sugar 3+ .i take tenipride 20 -1 tablet before breakfast ,triglimisave 2 - 1 tablet before lunch and half before dinner. Please guide me to bring sugar levels in normal range.

1 Doctor Answered
You have very high uncontrolled diabetes and need perfect control for troublefree life. The number of people with diabetes is increasing incredibly rapidly and is heading towards 500 million. This is a world epidemic. Those affected by the most common form of diabetes (type 2) normally never regain their health. Instead, we take for granted that they’ll become a little sicker for every year that goes by. With time they need more and more drugs. Yet, sooner or later complications emerge. Blindness. Dialysis due to faulty kidneys. Dementia. Amputations. Death. Common symptoms of diabetes: excessive thirst and an abnormally high urine production. This is because periodically blood sugar is so high (above 15 mmol/l or 270 mg/dl) that it leaks out into the urine pulling fluid from the body, which increases thirst blurry vision is also common. All the sugar makes the lens in the eye swell and you will become more nearsighted fatigue with type 1 diabetes, you may inexplicably lose weight and your breath may smell of acetone (nail polish remover) however, please note that with milder forms of diabetes you often don’t notice anything. Still, all that sugar in the blood may gradually damage your body. A normal blood sugar level is up to 6 mmol/l (108 mg/dl) fasting, or up to 8.7 mmol/l (156 mg/dl) after a meal a marginally elevated blood sugar level may indicate prediabetes above 7.0 mmol/l (126 mg/dl) fasting, or 12.2 (220) after a meal, indicates that you have type 2 diabetes. Type 2 diabetes is by far the most common form (around 90% of all cases) and the one which is increasing the most. It primarily affects overweight people in middle age or later. It’s not uncommon for the affected person to also have a high blood pressure and an abnormal lipid profile. Gestational diabetes is a temporary special case of type 2 diabetes. In type 2 diabetes the body has an increasingly harder time to handle all the sugar in the blood. Large amounts of the blood sugar-lowering hormone insulin are produced, but it’s still not enough, as insulin sensitivity decreases. At the time of being diagnosed with type 2 diabetes, people usually have ten times more insulin in their bodies than normal. 2 as a side effect, this insulin stores fat and causes weight gain, something that has often been in progress for many years before the disease was diagnosed. Type 1 diabetes (juvenile-onset diabetes) primarily affects children and young adults. People who get type 1 diabetes are often of normal weight. In the months prior to being diagnosed they have usually lost weight inexplicably. Type 1 diabetes is caused by death of most of the body’s insulin-producing cells (from an unknown cause). Severe deficiency in insulin causes high blood sugar and rapid weight loss. Treatment primarily consists of administering the insulin you don’t make with insulin injections. In addition, a diet that doesn’t raise blood sugar dramatically facilitates getting stable and normal blood sugar. 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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