Sugar levels are not controlled both FBS and PPBS

I was diagnosed with diabetes 8 years back.i am 31. My bmi is 15.53. hba1c was 13.2.my doctor put me on medicine and suggested diet and exercise.now my FBS is unstable at 232 to 250.but PPBS is 350 to 420.i m on high carb diet. .pl advise how to lower PPBS? And FBS. Medications that I am following is

1. Insugen 30/70 ( injection) - 15 units morning and evening

2. Glimiprime -M4 (half ) - morning and evening

3. Diatin-20mg evening .

I'm following diet as

Early Morning : 1 cup tea or milk

Tiffin : 3 idlis or 2 Dosa

Post tiffin: 2 egg whites and 6 almonds or 3 idlis

Lunch : 3 cups rice with vegetables salad or 1 ragi ball ( big)

Evening: 1 cup tea or milk

Dinner : 2 chapatis with 1 cup rice and curd .

Since 15 days strictly I am following​ this diet and no excercise . I have checked my sugar levels daily the average sugar level is 275 for the past 15 days . I'm South Indian. Please give me medications and suggestions for improvement of my sugar levels.

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Looks like you have to make man changes in your lifestyle.First of all try to avoid idli and ragi.Instead,have more greens,vegetables,mixed boiled and seasoned sprouts,some dairy products,eggs etc with low glycemic index.It means that all those foods that do not spike sugar levels.Always be conscious as to how much carbohydrates you are eating and avoid those food rich in carbohydrates.Instead of coffee/tea why don't you try green tea once a day?Exercise is very important to control sugar levels.Go for a walk daily for 30 to 40 minutes.

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Insugen 30 70 Injection is composed of the following active ingredients (salts): Soluble Insulin(30%), Isophane Insulin(70%)

. It is short acting insulin.

GLIMIPRIME M4 FORTE TABLET. Contains. Glimepiride 4 mg,Metformin 1000 mg.

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.

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.

DIATIN 20MG TABLET (DIACARDUS) with a composition(formula) of Teneligliptin 20 MG.

Teneligliptin (generic name) Diatin (brand name) is a pharmaceutical drug for the treatment of type 2 diabetes mellitus. It belongs to the class of anti-diabetic drugs known as dipeptidyl peptidase-4 inhibitors or "gliptins"

Your body mass index is 15.5 and you are underweight. You may adopt low carbohydrate high fat diet. Engage in moderate exercise daily. You may take 2 iddlis (instad of 3 iddlis) inthe morning, reduce to 2 cup of rice at noon and avoid one cup of rice at night. You may take one fruit daily. It may take 3 months time to lower your blood sugar level.

Avoid foods with excess fat in them such as meat

(especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried foods.

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

An ideal diet is low in carb, controlled and moderated fat and protein; vegetables and fruits a plenty; and red meat, dairy and bakery the least.Most bakery items contain High Fructose Corn Syrup. (Lays, Curkure, Oreo, Coco cola and other aerated drinks). High Fructose Corn Syrup is a concentrated form of sugar, fructose derived from corn. It increases body fat, cholesterol and triglycerides and it also makes you hungry.

Wish you good luck.

Sources:--

en.wikipedia.org/wiki/Glime...

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Metfo...

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Tenel...

en.wikipedia.org/wiki/Dipep...

en.wikipedia.org/wiki/Under...

en.wikipedia.org/wiki/Low-c...

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

medlineplus.gov/ency/articl...

medlineplus.gov/diabeticdie...

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Your sugar levels are very high, you need to take action fast.Like champak045 said it would be a good idea to seek advise of another doctor.Start LCHF diet , you have to limit your carbohydrate intake to about 100 to 120 gms./day , no need to go hungry , just cut the amount of rice/idli/dosa/ragi etc. and compensate it liberally with lots of green veggies and other veggies of your choice prepared using good fats like pure ghee , fresh unsalted butter, virgin coconut oil etc. For snacks you can have roasted peanuts , almonds , walnuts , coconut in any form and fruit in limited quantity.It is my personal experience that consumption of less carb and more fat and moderate protein makes you feel less hungry . I may add here such lifestyle changes would involve lots of determination on your part as we have to unlearn lots of "normal " dietary practices developed since childhood .So take some time to know more about LCHF diet here on this site by going through old posts of members like Anup and Shashikantiyengar and also do your own research on internet about how to count carb content in foods that you normally eat at home and also about low carb fruits and vegetable available to you . So thumbs up & good luck to you :)

Reply

Dear friend you are on insulins plus glimipride plus tenegliptin .Dr prescribed the food which is high glycemic.Reduce carb.say idli,dosa or rice .Shift to spout,vegetables less in carb,30 minutes walking after each meal.Change your doc.purchase a glucometer.Note down 2 hours reading after each meal.you check your eye,kidney and heart along with LFT.But do not be panic.Be brave to fight D2 with LCHF diet with a good doctor advice.May Almighty give a zeal to fight back.Thanks.

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