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Diabetes, high cholesterol, lifestyle changes recommended - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2498 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   i am XXXXXXXX XXXXXXXX age 47
Doctor :  
Ok
Doctor I would recommend you to update your email id and mobile no. in your account

Doctor :  
You may proceed with your query
Doctor :  
Are you there?
User :   My q is My cholesterol total is 228.70, Trigly cerides 215.50, Cholesterol HDL - Direct 54.40, LDL Cholesterol 131.20 , VLDL Cholesterol 43.10, TC/HDL Chol. Ratio 4.20 and LDL/HDL Ratio is 2.41 Sugar 130/258 Please advice what can i do . can i take medicine/ control diet
Doctor :  
Ok
Doctor :  
Let me read it.
User :   ok
Doctor :  
Ok
Doctor :  
Your readings are just above borderline
Doctor :  
So, it is easily reversible.
User :   ok
Doctor :   Only sugars are a bit higher
Doctor :   I would like to know your height and weight?
User :   height is 5.7" and weight is 83 kg
Doctor :  
Your ideal weight is around 70 kgs
Doctor :  
So ,you will need to work on that as well
User :   ok
Doctor :  
With a few lifestyle changes, you can see changes in all parameters
Doctor :  
Have you shown this report to a doctor?
User :   no
Doctor :  
Ok
Doctor :  
I would recommend you to get a repeat test of your blood sugars
Doctor :  
in a good laboratory
Doctor :  
Both fasting and after food testing is to be repeated
Doctor :  
Because 258 after food requires some medications
User :   i repeated every month from thyrocare and religare
Doctor :  
It is slightly higher
Doctor :  
Ok
Doctor :  
Thats good
Doctor :  
What was the previous reading
Doctor :  
if you remember
User :   138/260
Doctor :  
Ok
Doctor :  
Are you on any medications?
User :   bp is alrway 100/150-160
User :   no
Doctor :  
Ok
Doctor :  
So, I recommend you to start medications for your sugar control
User :   if possiable diet control or exercise
Doctor :  
BP and cholesterol problems need not require, as it is in the borderline
Doctor :  
But sugar control does require
User :   ok
Doctor :  
There are very good medicines
Doctor :  
and it is good to start with them for sugar control atleast
User :   ok
User :   Please advice medicine
Doctor :  
It is to be taken on prescription only
Doctor :  
So, you will need a consultation with a Diabetologist
Doctor :  
and then started
User :   ok
Doctor :   Coming to the other problem,
Doctor :  
you will need to make some lifestyle changes
Doctor :  
That would be quite sufficient
User :   please tell me diet also
Doctor :  
Avoid, oily foods, junk items and bakery products
Doctor :  
Includes sweets as well
User :   ok
Doctor :  
Also if you take tea/coffee need to take it sugarless
Doctor :  
Say no to soft drinks
User :   ok
User :   ok
Doctor :  
Do you consume alcohol and/or smoke?
User :   no
Doctor :  
Thats good
Doctor :   Cut down your quantity of food intake
Doctor :  
Avoid excess salt
Doctor :  
Take more of fruits and vegeatables
User :   ok
Doctor :  
Exceptions being banana, jackfruit, sapota, potato and beetroot
Doctor :  
As they are high in sugars
Doctor :  
I mean starch content
User :   ok
Doctor :  
Take buttermilk instead of curd
Doctor :  
Skimmed milk instead of whole milk
User :   ok
Doctor :  
Such minute changes are quite sufficient
Doctor :  
Do you take non-veg?
User :   no
Doctor :  
How about Egg?
User :   no
Doctor :  
Ok
User :   but i planning take a egg
Doctor :  
So, dietary part, I think that the above mentioned changes if you follow
Doctor :  
you will see good results within a month's time
Doctor :  
That is progress
Doctor :  
If you take egg, take only the white portion and not the yolk
User :   ok
Doctor :  
Use whole grains like red raw rice instead of white polished rice
Doctor :  
Atta instead of maida
Doctor :  
And other whole grains like Oats, Cornflakes and Ragi are recommended
User :   alway take atta with channa
Doctor :   That is a good habit
Doctor :  
Also consider the amount of oil
Doctor :  
Should be dry to be healthy
User :   i will safola health oil
Doctor :  
Ok, but not more than 10ml/day,
Doctor :  
The other part which you need to do is Exercise
User :   ok
Doctor :  
Do you follow any methods right now?
User :   yes i start control on food, do excerise daily 5-10 mint. and walking 15 mint everyday
Doctor :  
Ok
Doctor :  
Walking, target yourself for a brisk walk for 30-45 minutes
Doctor :  
That is more than enough
Doctor :  
The pace should be optimum so that you can talk comfortably while walking
Doctor :  
and should be able to feel the heart beat
Doctor :  
Is that clear?
User :   OK
Doctor :   Is there any thing else I can help you with?

Doctor :   Are you there?
Doctor :  
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