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Uncontrolled sugar levels, 215-217 - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1706 Questions
User :   Hi. I am 58 years old diabetic since 1995, professionally an engineer working in MNC.
In the last two occassion my PP blood sugar came 215 & 217.
I am presently having the following medicine
1.Before break fast GEMER FORTE1 & PIOMED .3-one each
2.After breakfast VOGLITAB-.3Mg
3.Before dinner GEMER FORTE-1- One no

My question is whether any further medicine to be taken alonh with the existing medicine.
Doctor :   hi
Doctor :   Dr. XXXXXXXX here. let me read what you have typed.
Doctor :   when were these test done?
Doctor :   is he on strict diet control and daily/regular exercises?
User :   Yes. These test has been done in last two months.I do 15 minutes treadmill & 15 minutes yoga five days a week.
Doctor :   ok. these tests should be repeated again. since the sugars were not under control at that time, and you are taking the medications
Doctor :   it should have been repeated after 15 days to see if the dose of the medications are fine or not.
Doctor :   i would suggest you to take repeat tests along with a HbA1C (glycosylated hemoglobin) test to check for sugar control over the last 2-3 months
Doctor :   and then decide on readjustment of the medication dosages.
Doctor :   in the meanwhile follow a strict diabetic diet with very less use of rice and other simple carbohydrates
Doctor :   increase your treadmill time to 20 minutes two times a day daily.
User :   O.K. But any further suggestions to give. Such as how much PP sugar should be maintained . Whether any dry fruits can be taken ( i take dry fruits almost daily ). Whether I can continue to have Chattu in Breakfast ? Whether I can take one /two piece mango daily ? Any other suggestion you fill I should maintain .
Doctor :   simple carbohydrates tend to increase sugar levels, avoid rice (take max upto 1 small cup of it daily once), avoid mago, papaya, chiku, idlis, dosa, potatoes.
Doctor :   take more of whole wheat chapatis, ragi, rava/suzi items.
Doctor :   you can continue chattu in breakfast, but take it with small pinch of salt and lemon, not with sugar.
Doctor :   avoid tea/coffee, caffienated beverages
Doctor :   stick to citrus fruit juices like lemon, orange musambi without sugar.
Doctor :   your FBS sugar level should not be more than 110, and PPBS should not be more than 140
Doctor :   repeat tests every week until you have control level values, if after a week of strict diet control and exercises the values are still above 200, then you will need to consult a Daibetologist
Doctor :   to get your medication doses readjusted , or changed to alternate medications
Doctor :   to allow for better sugar control.
Doctor :   are you there?
Doctor :   have you followed what I have said?
User :   can it be controlled to that level ? can I have diet chart ? Should I have to increase exercise time ? I ahve tested my sugar level with or without potato, Mango. Both the time it was same .
Doctor :   yes I have already advised you to increase your treadmill work-out to 20 minutes twice daily.
Doctor :   and with proper diet, exercises and medications, you can achieve good control and maintain it at that level.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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