I am a bp and diabetic patient since last 5 years. Since last 3 months due to covid-19, I could not consult my doctor. I am under following medication: bp - cortel - a - one in the morning torglip 50 mg - one along with breakfast glimestar m4 - 1, starvog 0.20 mg - 1 along with lunch glimestar m4-1, starvog - 0.2 mg -1, torglip 50 mg - 1 & roseday 5 mg -1 along with dinner. Yesterday, when I checked my sugar level on glucometer, it was showing 161 - fasting & 220 post meal. Kindly advise me whether I should change my medicines or it can be realigned for better results. Bp is strictly maintaining between 130 - 85.
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Dear, I find that you are on a complex regimen of antidiabetic drugs. With the covid 19 I am sure your walking has come down and this may be the reason for the poor sugar control. Exercise for one hour per day. Focus on your diet as follows reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein (dhal, soya, egg white, fish or chicken). Take lot of green leafy vegetables walk 5 km per day and gradually reduce weight by 1 kg per month to about kg. Monitor blood sugars with glucometer as follows. Fasting and pp on wednesday and 2 hour after lunch and after dinner on sunday and maintain a record. If in spite of dietary adjustment your sugar levels continue to be high and if your hba1c is more than 8 % seek a consultation to adjust your anti-diabetic drugs regards
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Hello, Thanks for the query. I have gone through the details given. You have mentioned various medications being taken and FBG & PP glucose as well as BP. However, following details are not given : 1) HbA1c%, 2)Serum creatinine and urea, 3)Lipid profile, 4)Dietary detaisl, 5)Weight, height and extent of daily exercise, 6) Whether you indulge in alcohol and smoking. I need to know all these details then only any comments or suugestions can be made. Your fasting glucose is very high, it should ideally be < 100 mg or closer to 100 mg. PP should be 150 to 170 mg & HbA1c% < 7%(not given). Therefore, please come back with all the necessary details in a private conversation so that I can give specific guidelines as well as prescribe the necessary medication. In this communication we are supposed to giev only general guidelines. No drugs can be prescribed. Thanks.
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Please check hba1c and report.
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Kindly do exercise and control your diet.
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