I am a diabetic since last 17 years but lately my PP after breakfast is going un controlled. I take lipaglyn, Amaryl 1 mg. MET, before breakfast and 18u of actrapid. My sugar level is between 270 and 350 mg. I take 2 spoons of Oats with milk in the morning as breakfast and one cup green tea early in the morning after medicines. The fasting sugar is 140 to160. Can anyone guide me the reason. The Lunch and dinner pp levels are below 200.

Dr. Prashant NakumDiabetologist1yrs exp

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Dear lybrate-user, your breakfast contain oats and its a good source of carbohydrates and fiber, fiber is good but carbohydrates ultimately convert in glucose (sugar) so I suggest to change your breakfast and start taking citrus fruit like orange in breakfast, regards, hope it is helpful. 

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Dr. Mahendra B MehtaGeneral Physician42yrs exp

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Dear Balance, Diet,rxcercise, stress management. Lifestyle modification, monitoring DIABETIC PROFILE and target organs and of course regular follow up is extremely important. Various modalities of treatment for betterment. Advise counselling and guidelines. And allied therapy. All the bestGodbless you. 

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Dr. Vinod MaratheNon-Invasive Conservative Cardiac Care Specialist42yrs exp

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Dear Pl get fasting insulin, HbA1C, Vit D level done. This is base line. You need a proper two time meal diet plan. Light exercise, pranayam, yoga, some Ayurvedic medicines supplement can correct all this in 3-6 months You need commitment and patience to get results. Allopathic medicines need Tobe supplemented with life style change for better results. Vm. 

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Dt. Kavita AgarwalDietitian/Nutritionist8yrs exp

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hello balan , u should start walk daily. take high fiber diet, include salad , apple,butter milk.take milk oats, milk cornflakes without sugar in breakfast .take milk porridge ,green veg.have small and frequent meals. u should take meals in fix time . don't skip ur breakfast and meals. 

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