Hello dr, i'm diabetic since last 6 years age 54 I am taking glycomet 500 3 times a day & glim2 mg 1 morning but my fasting 130-150 post lunch 240-265 is this ok? Or should I change tablet, kindly advise which tablet should I take to bring my sugar level to normal. Thanks.
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Mr. lybrate-user, thanks for the query. I have seen the query. The glucose levels mentioned are definitely higher showing your current treatment is not helping you at all. There is a need to look at the overall treatment and upgrade it. We need to look at the dietary pattern extent of daily exercises and drug treatment. I am sure you are aware that in a well controlled diabetes patient fasting glucose should be < 100 mg, pp 150 to 160 mg & hba1c% < 6.5% considering your age. So please come back with following details: fasting, pp glucose of the day, hba1c%, lipid profile, serum creatinine, urea, height, dietary pattern extent of daily exercise and bp readings, preferably in a private conversation then I will be able to guide specifically and prescribe the necessary medication if required. In this communication we are supposed to give only general guidelines, no drugs can be prescribed. If you are not willing to for online consultation, please contact your local physician and get the necessary upgrade done. I await your response. Thanks.
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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. Do suryanamaskar for good health regularly for more details you can consult me.
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You need to change or add some more medications as your blood sugars are out of range. You also need investigations like HBa1C and creatinine. Please consult a doctor and make appropriate changes.
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