I have sugar level 146 before meal and 250 after meal and I take regularly glycomet 500sr tablet morning daily before breakfast ,is it ok to change treatment or not.

Question

Hello, thanks for the query. The glucose levels mentioned are much higher than those recommended. Because in a well controlled diabetes patien fbg should be < 100 mg or closer to 100 mg & pp 150 to 170 mg & hba1c% < 6.5%. Therefore, there is a need to upgrade the treatment. That needs to look at weight, height, extent of daily exercise dietary pattern, lipid profile and bp readings. Only after going through those details any suggestions or recommendations can be made. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Hello, thanks for the query. The glucose levels mentioned are much higher than those recommended. Because in a well controlled diabetes patien fbg should be < 100 mg or closer to 100 mg & pp 150 to 170 mg & hba1c% < 6.5%. Therefore, there is a need to upgrade the treatment. That needs to look at weight, height, extent of daily exercise dietary pattern, lipid profile and bp readings. Only after going through those details any suggestions or recommendations can be made. Thanks.

Deepali Vidhale · Answer

Mr. lybrate-user you definitely need to change the treatment plan. Your sugars are raised. Tablet is not enough to keep your sugars in check. Fbs should be upto 110 and pmbs upto 140.

M S Seshadri · Answer

130 and pp > 180) and if your hba1c is more than 8 % seek a consultation online to adjust your anti-diabetic drugs regards, professor m s seshadri." mednames="">Dear lybrate-user, I find that you are quite overweight for your height of 5'8" the correct weight would be about 75 kg and you need to reduce about 10 kg by diet and exercise. This will get your sugars under much better control. I suggest the following 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 ideal body weight (height in cm minus 100 will roughly be your ideal body weight in kg) about 75 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 (fasting > 130 and pp > 180) and if your hba1c is more than 8 % seek a consultation online to adjust your anti-diabetic drugs

Karuna Chawla · Answer

your blood sugar is still more than permissible limit. Along with medicines 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, swimming, gymming, walking etc. Now about point no. 5. You should join a gym for weight training. Do it 2-3 times a week with at least 48 hours in between 2 sessions. For more details you can consult me.