Dear doctor I am 44 years old. My sugar level after food 250 some times 350 at present I am taking medicine GLYCOMET-GP 2 Forte. And my two foots including foot fingers very painful some times pining my foot pain and I am taking medicine PREGABALIN-75. Pls any body advice me take any other medicines kindly help to me. Eagerly waiting for your reply soon sir. Thanks. Hussain.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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Your blood sugar is very high and is not controlled with the medicine. You may have to start insulin. Consult physician/diabetologist for advice 1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment. 

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