I am diabetic from last 5 yrs. My fasting result is between 100-118 average and pp is 150-200 average. I am taking jalra m 50/1000 in the morning after breakfast and 50/500 after dinner. I suffer a lots from uric acid and leg pain. And so recently my physician have prescribed me furic 40. Please provide me a international prescribed proper diet. At one time I was taking insulin human mixtard 30/70 as I was suffering from infection in my operated knee as the blood level was high for one month. There is myth that taking sugar control pills lead to kidney damage in future. Is it true? And taking insulin prevents kidney damage. please clarify.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. Lybrate-user mustafa, the glucose levels mentioned look fairly good. Ideally fasting should be closer to 100 mg (as it is now), pp should be 150 to 160 mg and hba1c%<7 (ideally <6.8%). Your sugar control can be improved by diet and exercise to the required ideal level. As regards the exact diet, it has to be very specific and individualised, based on present dietary practice, sugar levels, extent of daily exercise and present dietary pattern. So I prescribe the same if you supply all those details. In the mean time I am giving general guide lines as to which foods to be taken or avoided. Avoid sweets, deep fried foods, junk foods, pastries, sweetened aerated drinks, red meat, high fat milk products, fructose corn syrup containing products and highly processed foods. Refrain from alcohol and smoking completely. Consume more of green leafy vegetables & salads, permitted fruits (100 g a day). Use whole grain products and whole grain flour for chapati and roti, no maida. Your diet should give calories based on ideal body weight, exercise and sugar levels. Regards. 

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