I am 58 years old male indian. 35 years ago I undergone surgery for chronic pancreatitis. Thereafter i have had severe abdominal pain for long years. Later on I went surgery again before 5 years removed gallbladder removed stone from pancreas and bile duct. I have been taking digestive enzyme tabs 3 times daily with food. After that I before 3 years I had a serious heart attack. Suddenly doctors have done angioplasty. There were 4 blocks. I am diabetic for the last 32 years. Using insulin and other tabs. I am so tired now a days I have pain on the lower part of spine and sputum production and lega paining etc. Kindly advise me what should I do?

Dr. Sajeev KumarGeneral Physician34yrs exp

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It is not as easy 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 the 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) 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. For sugar 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 scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.  

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