My colleague has got 225 sugar recently which is for the first time. At the same time he has got malaria and his eye sight is extremely poor. How should he go ahead?
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It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised 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.
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Poor vision in his case can be due to the following reasone 1. Due to fluctuating sugar levels vision may be poor 2. Malaria can cause reaction in eye 3. Anti-malarial drugs could also cause toxicity leading to poor vision without a complete examination it is difficult to comment. It is advisable to consult a eye specialist personally.
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