i am 60 and a diabetic since 2009,i take metformin and glimepride combination dru my post parandial sugar level varies from 150 to 180mg/dl

[neil52]

can i take this as under control

[diabetic66]

Sticktly speaking it should be < or=140.mg.It should be seen that the sugar level remains 160 or less at the worst case.

[neil52 in reply to diabetic66]

thank you

[esivaraman]

You seem to be doing nearly well. Reduce yr rice intake and more salads. Check HbA1c now and after 3-4 months.

[neil52 in reply to esivaraman]

i will follow your advice.thank you

[Hidden]

At your age,the levels of sugar are not alarming.But you can reduce it further to less than 140 through better diet control and exercising some more.

[neil52 in reply to Hidden]

thank you

[ranjit12]

Eat everything but keep BMI less than 23 and ruled out OSA

[ShooterGeorge in reply to ranjit12]

When I became diabetic my BMI was only 22!!

[ranjit12 in reply to ShooterGeorge]

yes It could be There is not only criteria to diagnose OSA by BMI . W e should look for snoring tirdeness Blood pressure, age, sexual dysfunction, gender.facial structure. All are responsible for cause OSA.

[ranjit12]

No need to overweight and obese to diagnose OSA. This is one of the criteria but no only obesity can cause OSA.

[ranjit12]

Many people are looking solution for impotence. Try to understand the cause of impotence . Androgen deficiency, atherogenesis and LACK OF PROPER SLEEP.Which is explained by OSA (OBSTRUCTIVE SLEEP APNEA).I am not aware of these aurvedic drugs how it acts. There is no scientific basis for these drugs

Dr Ranjit

MD, MRCP(UK)

[ShooterGeorge in reply to ranjit12]

Either one should study Aayurveda or should experience it to know how it acts. This is true with anything. Till recently Pioglitazone had scientific basis; what is the status of that scientific basis now? Will you kindly have a look at the post healthunlocked.com/diabetes... ?

[ranjit12 in reply to ShooterGeorge]

Try to understand the side effects . Why any country stopped any drugs .FDA has not allow to use this drugs in his own country. Their people life is more important. There are many side effects when patients takes this medicine.

[ranjit12]

around 80 percent of the patients Those who have DM type2 have OSA

[ranjit12]

Try to understand why the patients have Diabetes . Why pancreas is not releasing insulin .There is a strong correlation between OSA and diabetes. We are not talking about cause just we are talking about carbohydrate and metabolism . OHA and insulin. We should look for the cause rather than only sugar values.

[ShooterGeorge]

Hi neil52,

In my view PPBS varying between 150 and 180 even with medicines can not be taken as under control.

Please have a look at my post healthunlocked.com/diabetes... and read below:

You too can EVEN cure your diabetes yourself like me.

TAKING MEDICINES ALONE WILL NOT BRING DOWN BLOOD SUGAR ALWAYS. THAT IS WHY PATIENTS ARE FORCED TO MOVE FROM EXERCISE TO DIET CONTROL TO LOW DOSE TABLETS TO HIGHER DOSE TABLETS TO INSULIN INJECTION AND COMBINATIONS OF THESE. YOU HAVE TO CHANGE YOUR FOOD HABITS & LIFE STYLE ALSO TEMPORARILY TILL CURE.

Diabetes is a fundamental disorder. It is comparable with low voltage in an electric circuit. In both cases all connected subsystems will under-perform and will fail in due course. It will affect SEX life also, if diab is not contained. Diab impairs the glucose (SUGAR) & oxygen supply to ALL CELLS of the patient. You cannot compensate the resultant weakness with liquor, food or medicines.

A DIABETES PATIENT (also known as A DIABETIC) need NOT starve. PROPER or APPROPRIATE food can be eaten EVEN FULL STOMACH THRICE DAILY! Try to understand diabetes & conquer it like me.

While following the Long-wheat diet explained in the article referred below, non-vegetarians can have MEAT/FISH/EGG in moderate quantities as side-dishes/curries.

I was diabetic from 2006; but NOT diabetic from 2009. I studied Diabetes thoroughly, because it was to solve MY problem.

Do you want to see my experience and blood sugar history from 2006 to 2013? Those are reported at: appropedia.org/Diabetes_mel... If you want only HOW TO DO, GO TO appropedia.org/Diabetes_mel...

appropedia.org/File:BloodSu...

Please read MY REPLIES part 1, 2, 3 & 4 to question AT diabetesindia.healthunlocke...

Like a licensed driver helping a learner, I can guide you to cure Diabetes because I am experienced by curing my diabetes (Type-2) in 2009.

Please report your future experience (good or bad) here for the benefit of others.

ASK ME MORE>

[ranjit12]

why cells are not using effectively insulin because persistent hypoxia at cellular level . There are interlukin 1l6 and TNF which are responsible for causing lack of release of insulin. Which is responsible for not working insulin at cellular level.

[ranjit12]

Sleep apnea--- fragmented sleep--intermittent hypoxia-----sympathetic activation--- increase catacholamines---insulin resistance

HPA AXIS alteration--increase cortisol---insulin resistance and pancreatic b cells dysfunction

changes in adipokin profile increase leptin and decrease adipokin also responsible for insulin resistance and B cells dysfunction.

[ranjit12 in reply to ranjit12]

we have to look for the cause rather than only glucose and metabolism.

[ShooterGeorge in reply to ranjit12]

Good going Concerned. Keep it up.

[ShooterGeorge in reply to ranjit12]

Good going Concerned. Keep it up.

[ranjit12]

Try to look for cause and try to prevent many complication like Heart attack, MI, STROKE, ARRTHYMIA.AND SAVE MONNEY AND LIVE WITH DIGNITY. I am not looking for cause already this has proven by many studies. we have to improve our knowledge.

[ShooterGeorge in reply to ranjit12]

You are right,WE have to improve OUR knowledge.

[ranjit12]

High sugar is the manifestation not the cause. There is difference between cause and manifestation

[ranjit12]

Obstructive Sleep Apnea: Its Relevance in the Care

of Diabetic Patients

[ranjit12]

There may be other physiological explanations

for an association between OSA

and diabetes independent of metabolic

dysfunction. Several studies have found

an increased prevalence of SDB in

patients with diabetes and autonomic

neuropathy, including non-obese type 1

diabetic patients. During sleep, respiratory

function is partially controlled by

the autonomic nervous system. If this

system is impaired, the airway may

become less stable and control of

breathing more variable, which can result SDB.

[ranjit12]

In the present study we have shown that preDM and

T2DM are commonly observed and associated with

OSA . Our findings support

the recommendations from the International Diabetes

Federation (IDF) suggesting that subjects with T2DM

should be screened for OSA . If the relationship

between preDM and OSA is verified by others, this may

indicate that obese subjects with preDM should also be

screened for OSA.

[ranj in reply to ranjit12]

How to clinically know that one is suffering from OSA.

[ranjit12 in reply to ranj]

SNORING, TIREDNESS, HIGH BLOOD PRESSURE, CHOCKING, NOCTURIA IF ANY THREEE IS POSITIVE YOU CAN GO FOR SLEEP STUDY