please give me the name of Doctor for advice

my sugar effected from october 2012 and when i have ist checked it was 195/392 than after taking medicine after one month it was 139/195 but after two months it was 195/292 and after one month it is now on 27th may 2013 196/308 and my doctor has advised to continue with xmate150 sr 500mg or obimate and from today gerome kindly advice is it correct diagonisis or pl advice to whom i should consul in salt lake area kol 700064.

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  • * Check your post-prandial blood sugar (2 hours after taking food) daily. It should be less than 140 mg/dL.

    * Please avoid or reduce foods that cause elevated blood sugar levels.

    * Eat less food more times in a day.

    * Avoid consuming food at night.(Alternate medicine).

    * Exercise (brisk walking) daily for about 30 minutes.

    * Avoid single high concentrated meals.

    * Food high in fibre content like vegetables, whole pulses, fruits, etc.

    Ideal combination of diabetic diet should be:--

    Carbohydrates: 55-60%.

    Fat: 30%.

    Proteins: 15-20% (0.8g /kg /body wt).

    Fibres 40 g/day.

    DIABETIC DIET

    Do not eat at all:--

    Sugar, jam, syrups, honey, sweets, chocolates, fruit juices, ice creams, cold drinks, glucose drinks, cakes and pastries, sweet biscuits, puddings and protein powder with sugar.

    Eat in moderation:--

    Bread, chapatis, oat porridge, cornflakes (No sugar), Cheese, butter, Noodles or spaghetti, macroni, Thick soups, Milk & milk products, Chicken, lean meat, fish.

    Take unrestricted:--

    * Salads (cucumber, tomato, onion, raddish, salad leaves).

    * Vegetables (cabbage, baigan, lady fingers, french beans, methi, palak).

    * Fruits (except banana, chockoo or mangoes).

    * Sprouted beans and pulses.

    * Marie biscuit (with less sugar).

    * Clear soups, Lemon juice, Buttermilk

    Periodical tests to be conducted by a diabetic patient.

    A: HbA1c. HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows how well you are controlling your diabetes.

    B: Control your high Blood pressure, if any. Normal blood pressure- <120/80 mmHg.

    C: Control your blood Cholesterol: Normal cholesterol < 200 mg/dL. LDL <100 mg/dL HDL > 40 mg/dL Triglyceride < 150 mg/dL.

    D: Diabetic education. Dental check-up should be done in every six months.

    E: Eye examination for glaucoma, age-related macular degeneration, diabetic retinopathy and cataract.

    F: Foot examination (Diabetic neuropathy and diabetic foot ulcers)

    G: Glucose monitoring. Fasting or postprandial blood sugar may be checked daily and avoid foods that elevates blood sugar.

    H: Health maintenance immunization against influenza and pneumococcal pneumonia.

    I: Indications for specialty care. Heart, kidney and liver should be checked periodically by concerned specialists.

    * Overall, the risk for death among people with diabetes is about twice that of people of similar age without diabetes.

    * Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.

    * The risk for stroke is 2 to 4 times higher among people with diabetes.

    Sources:--

    en.wikipedia.org/wiki/Diabe...

    nlm.nih.gov/medlineplus/dia...

    en.wikipedia.org/wiki/Aerob...

  • DR PARAG SHAH

  • DR PARAG SHAH AHMEDABAD 079 26444222 079 26461316

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