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Suggest Treatment For Increasing Post Prandial Values

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Posted on Mon, 22 Dec 2014
Question: I am 57yr old. using glycomet sr 500 daily after lunch for 18 month.now pp sugar is increasing to around 170 .advice requested
doctor
Answered by Dr. Niranjan G (7 minutes later)
Brief Answer:
You need lifestyle changes too .. along with medications

Detailed Answer:
Dear friend , greetings from HCM...

I have read your query and understood your concern ...

Only tablet metformin cannot reduce your blood glucose ... along with medications you need lifestyle modifications too...
... You need to get your lipid profile, microalbuminuria and HbA1c checked. Your medications are sufficient for time being if you are committed for lifestyle changes..

First stay away from all the fast / processed / and fried food stuffs ..

Divide your meal in to 4-5 parts per day whenever you feel hungry.. Add more of fiber rich food stuffs like green leafy vegetables, raw fruits.. (not juices), eat very less of carbohydrates (rice) avoid sugar completely.. Take Millets and breads prepared out of it like ragi.. Ragi is a very good source of calcium too... Do take more of proteins ... like egg white... say no to oils and cholesterol rich food stuffs ... you can take fish (boiled) but chicken (without skin) rarely... Sir, based on this you prepare your diet chart and strictly follow it..

Do exercise .. walk at least half an hour to one hour a day ... try and practice yoga and pranayama ... some aasanas are very easy to practice and also beneficial.

Quit smoking and reduce your alcohol intake. Moreover, beet root juice (inorganic nitrate), olive leaves, garlic, turmeric, tamarind also have proven benefits.

If you can follow these (have to!!) you can definitely see difference yourself by the time you have your next blood investigation report in two months ...

ALL THE BEST ...thank you ... I hope I answered your query...
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Niranjan G (41 minutes later)
sir, iam also a hypertention patient since 2010 and taking olmizest am from then .but recently my BP is 150/90 and now I am taking olmizest 20mg along with olmizest am acc. to my phisician. now my BP is 130/90.please request some advice
doctor
Answered by Dr. Niranjan G (16 minutes later)
Brief Answer:
Your BP is under control .. continue the same tab.

Detailed Answer:
Dear sir..

If you can keep in your sugar levels under check ... And continue the lifestyle changes .. Your blood pressure also will be under control..

Avoid stress go for walk and listen to music .. music also effects the BP..

Have more of fruits and vegetables along with oat s to reduce your cholesterol levels ..

Take care.. I hope I answered your query ... Thank you
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Niranjan G (42 hours later)
sir, since I have been taking the aforesaid medicine specifically after my diabetic problem my haemoglobin reduce to 11 from 13.is there any relation between hb and the said problem .advice requested
doctor
Answered by Dr. Niranjan G (32 minutes later)
Brief Answer:
Sir, your low Hb, due to lack of proper nutrition

Detailed Answer:
Dear sir greetings and welcome back .. I have seen your medications .. But unlikely that these medication s cause low Hb .. You have to take proper nutrition like green leaves and vegetables .. If you are a non vegetarian you can take meat , liver and fish are the good sources of iron .. Rule out hook worm infestation by getting stool examination ... Take care .. All the best
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Niranjan G

Diabetologist

Practicing since :2003

Answered : 633 Questions

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Suggest Treatment For Increasing Post Prandial Values

Brief Answer: You need lifestyle changes too .. along with medications Detailed Answer: Dear friend , greetings from HCM... I have read your query and understood your concern ... Only tablet metformin cannot reduce your blood glucose ... along with medications you need lifestyle modifications too... ... You need to get your lipid profile, microalbuminuria and HbA1c checked. Your medications are sufficient for time being if you are committed for lifestyle changes.. First stay away from all the fast / processed / and fried food stuffs .. Divide your meal in to 4-5 parts per day whenever you feel hungry.. Add more of fiber rich food stuffs like green leafy vegetables, raw fruits.. (not juices), eat very less of carbohydrates (rice) avoid sugar completely.. Take Millets and breads prepared out of it like ragi.. Ragi is a very good source of calcium too... Do take more of proteins ... like egg white... say no to oils and cholesterol rich food stuffs ... you can take fish (boiled) but chicken (without skin) rarely... Sir, based on this you prepare your diet chart and strictly follow it.. Do exercise .. walk at least half an hour to one hour a day ... try and practice yoga and pranayama ... some aasanas are very easy to practice and also beneficial. Quit smoking and reduce your alcohol intake. Moreover, beet root juice (inorganic nitrate), olive leaves, garlic, turmeric, tamarind also have proven benefits. If you can follow these (have to!!) you can definitely see difference yourself by the time you have your next blood investigation report in two months ... ALL THE BEST ...thank you ... I hope I answered your query...