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High fasting sugar levels. Not on medication. Can you give a diet advice?

hi i m 49 yers old 15 days before i did glucose fasting 151 two months beore it was 105 doctor advise me diet contol &exrcise which i m doing for last 14 days to day i did random test it was 165 advise me what i wl do she didnt put me on medication i m doint 30 minutes exercise on trade mill then dinner then going for walk day time i m eating 5 pieces of brown bread dinner three pieces & some vegetable
ten days before my random was 171

Asked On : Sun, 28 Apr 2013
Answers:  2 Views:  31
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Internal Medicine Specialist 's  Response
Welcome to HCM,
You are recently detected to have Diabetes type II with Fasting blood sugar 151 mg/dl which is sufficient to diagnose Diabetes.
Initial treatment is definitely taking care of diet and following regular exercise but please also get your Post Prandial blood sugar level( PPBS) as many times this may be high and you need to start drug therapy early with consultation of your Physician.
Diabetic diet is basically 25 K cal/kg body weight and taking 3 to 5 small meals is all right taking Proteins,Complex carbohydrates and less than 30% calories from fats out of which 10% is saturated fats.Avoid simple sugars and food with high Glycemic index. Incorporate green vegetable and nuts in diet with some fruits.
Your blood sugar is decreasing but take a Fasting and Postprandial(2 Hours) blood sugar level along with HbA1c to decide about treatment and in such cases adding Metformin will help greatly but do so only after consulting Physician.
There is no need to test Random blood sugar again and again.
Please take care
Good Luck.
Dr. Akhilesh Dubey M.D.

Answered: Mon, 29 Apr 2013
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Diabetologist Dr. Basheer Ahamed's  Response

Your Fasting is blood sugar is on the higher side.
Continue lifestyle modification activities like increased physical activities, regular exercise and dieting.
At this point it advisable to take metformin.
That will help you in many ways.
It will reduce your insulin sensitivity.
It will reduce your weight.
Answered: Mon, 29 Apr 2013
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