Hi my mom is 49 years old she has been suffering from blood sugar/ BP and pain her recent diagnosis report says that FBS-- 238 PPBS-- 269 BP--130/80 she has been taking medication s like gluconorm g2 stamlo 2.5 but her feet and ankle used to swel occasionally her creatine is .38 what should I do.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Hello, if she has diabetes and high blood pressure, it is necessary to control both the conditions effectively, to prevent possible long term chronic complications of both the diseases. Looking at her height & weight it is clear that she is having grade 1 obesity with a bmi of 30.5 kgs/m2. This itself may be the reason for uncontrolled blood glucose level. Her ideal body weight should be 50 kgs, so she carries 12 kgs extra weight. Reduction of weight, regular exercise and diet control will definitely help in bringing her blood glucose under excellent control. Her bp is fine, blood glucose has to be controlled better. It appears there has to be a total relook at the treatment, diet and extent of daily exercise. When in control fbs should be around 100 mg, pp 150 to 160 mg, hba1c%<6.8. Thanks. 

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