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After food blood sugar 153. Should it be controlled by medication or diet? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User:Hi doctor
Doctor:How are you doing?
User:Dr XXXXXXX i am doin gud, hv a query with regard to my husbands blood sugar levels
Doctor:Sure, Please go ahead
User:his after food count is shoing 153, while it should be within the range of 150
User:should he start medication or can he control with diet and exercise as it is 3 points more than usual
Doctor:actually, XXXXXXX your husband has impaired glucose tolerance
Doctor:This is not diabetes
Doctor:This can be controlled with the right diet and exercise
Doctor:He needs to lose some weight
Doctor:No medication is needed at this point in time
Doctor:Moreover, if we arrest it at this stage, we can delay or possibly prevent the development of diabetes
User:ok what kind of diet our staple food is rice and wheat, should we introduce ragi or something
Doctor:I will explain both parts to you
Doctor:First, about the exercuse
User:walks for 20 mins is done for 5 days as of now
Doctor:He needs to do a brisk walk for 50 minutes atleast 5 days a week
Doctor:Apart from that, yoga like about 25 suryanamaskars and pranayama like kapalbhati will also be helpful
Doctor:Second part is diet
Doctor:Breakfast is must
Doctor:It needs to be taken within 1 hour of eating
Doctor:What do you have currently?
User:chapathis, rice items usually
Doctor:Avoid rice items
Doctor:He can have 1-2 chapattis + some vegetable/dal
Doctor:Or he can have poha with vegetables
Doctor:Or wheat flakes+milk
Doctor:Then in lunch and dinner, it would 1-2 chapattis+dal+vegetable+salas
User:can he have rice once a day say for dinner?
Doctor:At tea time, he can take 1 cup tea without sugar with 1-2 XXXXXXX biscuits
Doctor:If you must have rice, have it for lunch
Doctor:and switch to brown rice
Doctor:It has more fiber
User:o ok
Doctor:and is much better overall than white rice
Doctor:Every 3-4 hours basically, he needs to have something small and healthy
User:what abt fruits, any particular fruit to be avoided?
Doctor:I'll suggest that you opt for a diet plan that is prepared by a qualified dietician
Doctor:We have one here
Doctor:should I tell my customer care team to contact you?
Doctor:About fruits, mangoes, grapes, sapota , litchi, banana is to be avoided
Doctor:Are you there?
User:yes please i would want the diet plan
User:you canask ur cust care to contact me
Doctor:They will do that
Doctor:Is there anything else I can help you with?
User:no thats it thank u very much
Doctor:Thanks for consulting me
Doctor:Have a good day ahead
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