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Suggest Treatment For Elevated Blood Sugar Levels

Posted on Fri, 1 Jul 2016

Question: My sugar level is 290 is there any medication to come to normal

Answered by Dr. Dr. Abhay A Mali (42 minutes later)

Brief Answer:
Need more information.

Detailed Answer:
Hi,

Thanks for your question.
Notes your concern.

I want to know -
- Your age & gender.
- Family history of diabetes.
- Currently are you on any medicines.
- For what symptoms have done undergone blood tests.

Get back to me as early as possible possible.

Regards,
Dr. Abhay Mali.
Diabetologist.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Dr. Abhay A Mali (36 minutes later)

My my age is 42 my mother is a diabetic but she is in control Parts for XXXXXXX medicine is XXXXXXX I have not taking any medicine right now I am taking as you get bitter gourd powder on daily basis and XXXXXXX warm water in the morning so far I have not consultant doctor for these people talk about my age if fasting is 179 and post postoperative there's a 290 R K XXXXXXX the taste actually in the month of September 2015 it was 145 in fasting and after 42 hours 253 to some extent my actually the lake is little bit pain sometimes not always and some XXXXXXX relieve my body comes from tiles so please please give your valuable suggestion if you want any kind of actually any report any more report from my head I can provide you waiting eagerly waiting for your reply and you can tell me what kind of food I'll have to take by that I will go for a child that fasting or not censored it mean to set it
My age is 42

My mother is diabetic but she is under control

No medicine consuming

Eye problem , using specs form last 3months

Last blood test was in fasting 145/233 and today is 175/290

Should I go for dieting and any selective food to co some

Currently taking bitter gourd & .method powder with XXXXXXX water on daily basis.

Please give your valuable suggestions and what ki d of remedies should I opt

Thanking in anticipation..

Answered by Dr. Dr. Abhay A Mali (6 hours later)

Brief Answer:
Diet, exercise & medications are important in management of diabetes.

Detailed Answer:
Hi Mr. XXXXXXX

In such a case I usually advise following investigations -
- Complete blood count.
- HbA1c
- Lipid Profile
- Renal function test
- Liver function test.
- Urine examination
- Ultra TSH.

Also there is a need for detailed history taking & physical examination which help in confirming diagnosis of Type 2 diabetes & associated morbid conditions like obesity, blood pressure problem.

Considering normal heart & kidney function I may suggest -

Diabetic diet :
You should consult near by dietitian who can plan diet for you considering your height & weight (BMI) & food habits.

Exercise :
Atleast 150 min per week of moderate degree physical activity is recommended.

Medications:
In such case I may suggest Tablet containing Metformin 500mg starting with one tablet a day with gradual increase in dose to 3 tablets a a day in divided dose over a period of 7 to 10 days.
To repeat fasting & post-prandial blood sugar levels after 4 weeks accordingly further changes in medications can be done.

Hope this helps you.

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Dr. Abhay A Mali (3 days later)

It is very brief I want to know the following things:

Daily exercise

What about diet or food like Rice , Potato ,&Sweets occasionally and drinks very rarely.

Allopathic or Ayurvedic medicine

Height is 5'10" % weight is 85kg remains constant for last 3 Years no weight loss

Do you think medicine will help or I need Insulin

Mother is a diabetic, is hereditary also counts

Due to stress?

Please throw some lights on the above points.

I will be very glad to hear you.

Thanking in anticipation ...

Answered by Dr. Dr. Abhay A Mali (4 days later)

Brief Answer:
Type 2 Diabetes is a hereditary disease. Stress increases blood sugar level

Detailed Answer:
Sorry for detailed response.

Your Body Mass Index (BMI) is around 28 denotes overweight.

I may suggest
- Exercise : Daily 30 to 45 min brisk walk.
- Diet : Avoid potatoes, sugar in any form. Can take 1 small bowl rise with lunch avoid night time rise.
Better to consult near by dietician for better advise who can plan diet chart considering your food habits.
You can take drink occasionally 1-2 pegs at a time.
- I am practicing Allopathy only no experience with other XXXXXXX I have already suggested medication in previous answer.
Whatever XXXXXXX you use better to monitor blood sugar levels once in a month or 2 months.
- Yes diabetes is a hereditary disorder. There is a increased chances of diabetes in children of diabetic parents.
Stress increases blood sugar levels.

Hope this helps you.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Naveen Kumar