DIABETES NOT CONTROLLED SINCE A YEAR

[DIAINDIA]

I've been a Diabetic since the last 11 years. I'm 57 years old and for the last 10 years, I've had good control over Diabetes. I am on Metfornin only. For a year now, my HBA1C has been 8. Please give some advice. Thank you in advance.

[sandybrown]

It is good tat you consider T2 is under control with medication!

How is your general health.? Do you go for yeye,feet check every year?

What is your diet like, do you watch out for hidden and free sugar in food and drinks you take?

I take it you are looking for input rather than advice?

[DIAINDIA in reply to sandybrown]

Thanks Mr. Gangadhar, I prefer only 2 meals a day, 2 full meals a day. One by morning 10 AM & ANOTHER MEAL BY 7 PM, Evening by 4-5 pm very little snacks like ground nuts with tea. I go 30 minute walk in the morning. Morning metfornin 1 gm & evening 500mg same

[Sankanrbanerjee61 in reply to DIAINDIA]

Take fruits at breakfast and veg food lunch and dinner with salad may lowering your bg level

[sandybrown in reply to Sankanrbanerjee61]

What sugar free fruits do you take for breakfast?

[Sankanrbanerjee61 in reply to sandybrown]

Guava, cucumber, lemon, apple and sometimes banana. Before mango season my hba1c was 6.4 and after eating plenty of mango my hba1c is 6.5 for the last two months my fbs between 79 to 110

[Sankanrbanerjee61 in reply to sandybrown]

Sweet or sour prefer guava, apple, cucumber, lemon, pineapple kindly note that fructose lower blood sugar level

[rnpath in reply to Sankanrbanerjee61]

sorry.fructose will not reduce blood sugar.it gets converted in your liver in an hour to glucose .

[Sankanrbanerjee61 in reply to rnpath]

Before mango season starts my hba1c was 6.4% and taking plenty of mango my hba1c after mango season was 6.1%

[DIAINDIA in reply to Sankanrbanerjee61]

Its a Good Suggestion, Vl consider.

But it wont fill our hungry.

[DIAINDIA in reply to sandybrown]

Thanks Mr. Sandy brown, I prefer only 2 meals a day, 2 full meals a day. One by morning 10 AM & ANOTHER MEAL BY 7 PM, Evening by 4-5 pm very little snacks like ground nuts with tea. I go 30 minute walk in the morning. Morning metfornin 1 gm & evening 500mg same

[sandybrown in reply to DIAINDIA]

You have not mentioned about your eye check or foot check!!

[DIAINDIA in reply to sandybrown]

I have not checked about my eye & foot.

But I have sight problem not sure about readings, I use glasses for reading

[sandybrown in reply to DIAINDIA]

It is imperative that you go for eye and foot check at least once a year.

during the eye check a photo of the back of the eye to check for damage.

Please discuss this with your doctor.

[gangadharan_nair]

Type 2 diabetes is controlled by diet, exercise and anti-diabetic medications. You have not mentioned about diet and exercise. Diabetes can not be controlled by anti-diabetic pills alone.

Reduce carbohydrate diet. You should walk for one hour daily.

Avoid sugar and oil in your diet on order to protect your heart. 68% of diabetic people suffer from heart attack and 15% from stroke.

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

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, thyroid and eye should be checked periodically by concerned specialists.

Consult a diabetologist once in every 3 months.

Links:-

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

medlineplus.gov/ency/articl...

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

medlineplus.gov/ency/patien...

en.wikipedia.org/wiki/Anti-...

[DIAINDIA in reply to gangadharan_nair]

Thanks for your reply

[anilrajpal in reply to gangadharan_nair]

Very good inputs, sir. Thank you for writing so clearly as many times the messages are not fully understandable. You make an extra effort to make sure that it is most useful for the readers. Aprreciate it.

[DIAINDIA in reply to anilrajpal]

I want to be as simple as possible in writing, not everybody is having broad knowledge of Language, Of course Language is all about communication. Please share your food habits as a diabetic

[Godfrey]

Stick to LCHF.

[rnpath]

you are doing fine withHBa1c of 8.get your urine microalbuminuria as a check of your kidney function.

[DIAINDIA in reply to rnpath]

vl check about mu kidney tests

[shahzam]

Just add the medicines like, sitagliptine 50 mg or Gliclazide 80mg .

[sandybrown in reply to shahzam]

Before any medication are added to the existing list of medication a doctor's review is necessary!!!

[DIAINDIA in reply to sandybrown]

You r exactly rt. Vl consider your point

[bapi1951]

How canyou say it is good control.Your HbA1c was 8. Need to bring down to 6.5 to 7.Talk to Doc.

[DIAINDIA in reply to bapi1951]

Latest update states that hba1c 7-7.5 is tolerable by human body,

Please give inputs if you have any

[sandybrown in reply to DIAINDIA]

Where did this information comes from?

Can you provide a link to read more on this?

Thanks.