i am 48 years old male and my bmi 21, i am on medication of glycomet gp 1 1 mg in morning and .5mg in night. Having good control on my bs level for almost 9 years suddenly it went out of control in the last two month or so. ( ie) 140 fbs and 220 pbs. I have also lost some 3 kg during this time. My life style and diets are, morning walk and run for 1 hour, evening walk 45 minutes. Food intake bf 3 idli. mid day 1cup salad or pappaya. lunch 1 chappathi and 1 150 gm rice. evening tea and biscuts at 6 pm 1 glass of milk dinner 3 chappathis at 9 pm. My sleep pattern also good no other body symptoms of excess sugar, except a weak look. my A 1c was 6 a year back not done any check up after that.
pls advice me to gain weight and look fitter.
Written by
anumanda09
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Sudden spike in sugar levels accompanied by loss in weight needs a careful review of what changed in your lifestyle during recent past.You are relatively young and your exercise regimen is excellent.Obviously you are depending heavily on carbohydrates.Reducing consumption of carbohydrates makes a decisive impact.Increase intake of greens,vegetables,nuts like almond,and mixed sprouts in your diet.You have to monitor each meal and find means to reduce consumption of carbohydrates.As suggested by champak045,get HbA1c test done immeditely and take advise from your doctor.
Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood.
Glimepiride is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Glimepiride lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally.
Eat less food more times in a day.
Check your blood sugar (FBS or PPBS) daily and avoid or reduce the foods that cause hyperglycemia.
You should undergo the following tests periodically.
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 6 months.
E: Eye examination for glaucoma, age-related macular degeneration, diabetic retinopathy and cataract.
F: Foot examination
. (Nerve conduction studies)
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, eye 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.
Restrict carb.no idli and rice in morning and lunch.3 roti should be reduced to 1.increase salad.Take almond,walnut ,peanut along with flax seed.I think with slight modification you can be back to normal. Thanks
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