My mother is 52 years old and she has been suffering from diabetes for last 7 years. She has been primarily on two medicines janumet 50/1000 amaryl 2 mg recently she has started having fruits in early morning diet and has added an apple and two cucumbers and a small piece of papaya. Recently her sugar level has shouted between 290 to 400 she complaints pain in hands and legs and itching in her hands and legs kindly suggest a solution and also what can be an ideal food chart for her?
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Improving digestive function and regulating metabolism to an optimal level is the only remedy for diabetes, rather than controlling sugar level. All fruits are healthier if they are organically grown as it contain most of fructose. Hybrid fruit will only shoot up glucose level. Many people fail to understand the deep concept of diabetes. Siddha medicines will help her a lot to correct the above conditions gradually. Pepper kashyam prepared in home and to be taken 100 ml twice a day will make her better.Â
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Only fruits diet is no ideal for diabetic patient. She can take papaya, guava, anjjeer, khomani,apple, jamun in moderation. Sweet fruits like mangoe, banana,grapes and cheekoo should be avoided. She need to increase her medicines in consultation with her treating physician. Â
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Her sugar are not under control. You should do a hba1c test (it shows sugar average of last 3 months). Based on hba1c, we may need to increase medications dosage in her. Also pain is due to diabetic neuropathy. It can be managed by controlling sugars and prescribing medications for the same. Feel free to contact me on private consult for detailed assessment and management. Â
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Hello, Thanks for the query. I have seen the details and understand your concern. The given glucose levels are too high, suggesting there is a need for upgrading current treatment. Plus there is a need to look at her dietary pattern and extent of daily physical activity. The other symptoms complained suggest possibility of diabetic neuropathy. Before any suggestions can be made I need to know the following : 1) Fasting & PP glucose levels, HbA1c%, 2) Serum creatinine, urea and microalbuminuria. 3) Lipid profile and BP readings. 4) As earlier mentioned her diet and extent of daily exercise . In this communication we are supposed to give only general guidelines, no drugs can be prescribed. So if you want online help please come in a private conversation with all the above details, then I will be able to give specific guidelines as well as prescribe necessary drugs. Thanks.Â
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Kindly stop janunet (50/1000) as well as amaryl also and please start tab zoryl mp2 forte (1000/15/2) once daily along with morning meal 2 pm and kindly take fruits in the afternoon around 11: 30 am. Â
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Follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. U can take (moderate amount) grapes. Apples. Berries. Citrus fruits. Papaya. U should avoid sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats sugar, cake, pastries mithai/sweets chocolate fruits like mango, litchi etc. White bread, pasta fruit-flavored yogurt. Sweetened breakfast cereals. Flavored coffee drinks. Honey 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods, spicy n fried foods 7.take a lot of green vegetables n fruit. 8. Drink lot of water. 9.curd is good for u. Exercise in the form of yoga, cycling, walking etc. For more details you can consult me. Â
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The reason for sudden increase in blood sugar should be analysed, to see if it is because of1. Noncompliance of medicine, 2. Noncompliance of diet or 3. Some other reasons like infections. Then accordingly the management is done. Being a diabetic for 7 years other blood investigations to asses diabetic complications help in proper medication. She may need insulin at least for a short duration. Â
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