I am 52 years old. My insulin (novomix penfill) intake 32units in the night and 28 units in the morning along with zoryl m4 forte in the night and klobizide 5/500 day time. And my sugar levels are 125 fasting and 180 post prandial. How to reduce the medication. My body wt is 86 kgs.

Dr. Amit AroskarAyurvedic Doctor20yrs exp

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Dear , your bmi is 25.7 which makes you slightly overweight. This increases a insulin resistance and thus will play a role in keeping your blood sugar high. A proper measure for knowing and managing your diabetes will be to ensure a hba1c below 6.5%. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for yourself. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you can do a monthly self glucose monitoring 3 times a day and keep a track of your food with it. Check fasting sugar, sugar one hour prior your lunch and 2 hrs post lunch, and note down the details of your breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Best of luck. 

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