I am male 56 years , diabetic patient my reading are 140 and 287 pre and post lunch what is the treatment shall I take.
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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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Readings show diabetes is not under control at least on the day tests are done specially after food. No mention of medications being taken. You should be extremely disciplined about taking prescribed medications as advised, diet plan as advised, proper timing of food, regular exercise like walking for minimum 40 minutes a day. Then get blood sugar done 1. Fasting, 2 hours after principal morning meal and just before dinner. See your regular physician with these readings and reviwe of management which requires follow up as advised and detail check up once a year. Your doctor should be able to guide you further.
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