I was diagnosed DM in 2004 and have been on pills ever since. The dosage and type of medicines have been changing as per doctors' advice.

[raghav1964]

Presently I am taking Azulix 2MF 1BD, Advog 0.3 1BD, Nebilong AM 1OD, Roseday10 1HS, Cad-X 1OD,Febuget40 1OD. I am about 50 years old, wt 67 kg, fbs 100-110, ppbs 180-190, bp normal. I feel pain in joints after walk. What else i should do? Are medicine doze high? I am also feeling sexual weakness in erection. Any suggestions?

[Hidden]

About the medicine dosage you have to verify with your doctor only.About pain in the heels,I hope you are using comfortable shoes with 100% cotton socks.use a foot care cream to keep the feet soft and pliable.I am sharing some general suggestions about diabetes management base on my long experience as a diabetic.Please consider them.

Diabetes is a metabolic disorder which is a result of the pancreatic gland in our body either produces little or no insulin or the body has developed resistance to insulin. In both cases,the body cells do not receive the glucose needed for production of energy because insulin is essential for glucose to enter the cells. This results in the blood sugar levels to increase beyond acceptable levels,though your body cells are starved for glucose. This condition is very bad for our well being and over long term may result in severe complications.

Controlling blood sugar levels is a tough job but it is not impossible if you realize that everything is in your own hands. This is so,because though you may get good advise from doctors and dieticians,it is ultimately Y O U that will have to take all the necessary steps to successfully control diabetes. I am giving certain general suggestions based on my personal experience which you may consider and adopt based on your personal choice.

Diet plays a very important role in managing diabetes. You should reduce intake of foods that are rich in carbohydrates like sweets, rice,wheat,other grains ,potato,beet and other root vegetables rich in starch. You should eat more of vegetables,sprouts,greens and salads that give you lot of fiber,vitamins and minerals. Each meal you take should be smaller but you may have 5 or 6 meals instead of 3 meals a day.

Exercise is very important to control diabetes. Daily brisk walking or jogging for at least 40 to 60 minutes is ideal. Such exercise will consume lots of energy and sugar levels come down accordingly.

Mental stress aggravates diabetes. Lead a stress free life by adopting relaxation techniques like music meditation,yoga and breathing exercises.

Consult a diabetologist and get prescribed for medication if necessary and comply with the doctor's advise scrupulously.If you have proper diet control and exercise regularly.you need not depend on medicines heavily.

Please remember that the most important person in managing your diabetes is Y O U.

[raam in reply to Hidden]

Dear Sir, Have you adopted this recommendation yourself. Then you will not be diabetic Hardly one can practice. .

[Hidden in reply to raam]

It is not a recommendation.It is just sharing of my personal experience.My last A1c was 6.4 and during my last annual,all my readings(about 40) came within normal.I take my medicines with 100% compliance.I am certainly diabetic but with good control.Lastly,if I can practice,anyone can.

[vijen]

I feel the dosage is little bit high.You have not said about the medicines being adminstered from the day one of DM if it is so it is high but if it is gradual try to reduce it after consulting your family doctor.Go for walk daily both in the morning and evening with that you sugar level will come down.Initially to bring down your sugar level eat only ragi no other stuff for 15 days then you will see the result.As far your knee pain as soon you get up from bed sit on sofa stretch your leg up and down about 10 times you will see the relief.

[raghav1964 in reply to vijen]

Thanks for responding.Medicines keep changing as per diebetologist,s advice. Here I have mentioned the medicines which I am taking at present. Normally I walk regularly for 3 km in the morning 5 days a week. But it is becoming difficult due to knee pain. What is ragi ?

[vijen in reply to raghav1964]

If you are from karnataka it is well known stuff there is no other name for it.If not try jowar.As far knee pain is concerned do the exercise as suggested by me I too had the same problem also try to contact good homeopathic doctor he will suggest medicine for the knee pain. Apply

Mahanaryani taila it will give relief.Try karela+ jamun juice of Natural also neem juice.But try one by one

[liverane]

As per the advice of medfree, who is aged-experienced and knowledgeble and others also say that you must go for Low carb and small quantity and protein and fat for strength and longer time to add another meal. In short practise to around 300 approx. and take medicine with our missing. Practise walking(5.% KM/hr and yoga.

Though 90FBS is optimum i have not achieved so far. But, you should first aim for 100 + or - 5 should be good- FBS. Once you achieve this .and practise LCHF but Fruits ,sweets, ice cream, cake and high carb -GI items shall be avoided. Once you bring your sugar in blood between 100 to 150 your EDF will vanish.You start going in for food stuff which controls blood sugar.I feel you may feel hungry because of heavy medicine and tend to eat more carb and hence your PPS in blood is high.

[raghav1964]

I do exercise discretion in diet and avoid potatoes, rice, sweets, sweet fruits. Limit myself in general to roti, dal, green vegetables, salad, fruits, chicken, porridge, corn flakes, muesli etc. but due to long working i restrict myself to 3 meals per day which I shall try to change. I read a lot about LCHF but I am not able to adapt myself to it.

[raghav1964]

Thanks for your reply. I am already avoiding high GI food, processed food, bread, butter. I take poultry but avoid eggs, meat, use soyabean/ sarson oil for cooking. Fruit intake is restricted to apple, guava, papaya, pomegranate only.

[drarunkumar]

Start Calcium and Macroberin P - 1 tab. daily night.

[raghav1964 in reply to drarunkumar]

My diabetologist had advised calcium tab earlier and I had taken for few months then it was discontinued. No appreciable change was observed.. Pl tell me what is the other tab for ?

[Gondu]

dear raghav1964, with LCHF you must try to achieve fasting level of 90 and pp level after 1 hr 150 to 160 and after 110 mts 120 to 130. It is definitely possible with concentrated effort and willingness to consume the LCHF. You have to concentrate on food intake and repeated testing.

[ponnusamy]

stop febuget & roseday..if you are alright(after 30days) check lipid profile

[raghav1964 in reply to ponnusamy]

Dear ponnusamy, my doctor has advised today to discontinue febuget based on reports. But roseday 10 is continuing.