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Diabetic, uncontrolled sugar levels, lack of exercise - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
User :   This query pertaining to dibetics
Doctor :   Ok.
User :   one of my family member has dibetics since 10 years
Doctor :   Ok.
User :   i want to know which helath regime we can follow at home itself to keep it under control
User :   his age 60
Doctor :   Is he on any medications?
User :   yes
Doctor :   May I know the medications?
User :   dose of medicines are quite heavy if compare with his age
Doctor :   Do you regularly monitor the Blood sugar levels?
User :   list of medicine are currently not available with me but i can get list
Doctor :   Ok.
User :   not at regular interval. once in year
User :   or whenever promblem face
Doctor :   When was the last time you got it checked and what was the blood sugar level at that time?
Doctor :   Does he follow any exercise regime?
User :   it was 240 post lunch
User :   excrcise not such
Doctor :   ok
Doctor :   what are the fasting sugar levels ?
Doctor :   i would want to give my suggestions for him to control his blood sugars at home
Doctor :   1. he needs to follow a strict diabetic diet
User :   210 before lunch
Doctor :   include a lot of green leafy vegetables , fruits and fibre rich diet
User :   okay
Doctor :   2. keep a watch on the glucose and carbohydrate consumption
Doctor :   have rice in modreation
Doctor :   he could prefer ragi ball at night
User :   which food has rich fibre
User :   also would like to carbohydrate are found in which food
Doctor :   all green leafy vegetable , fruits are rich in fibre
Doctor :   since he is diabetic avoid fruits like mango , pineapple , fruit
User :   oka
User :   okay
User :   which food to skip to avoid carbohydrate
Doctor :   no need to skip any food
Doctor :   he can have carbs but in moderation
Doctor :   as i said rice, and the fruits above like mango ,etc , fried food items , potatoes, etc are rich sources of carbs
Doctor :   he should also keep a watch on his cholesterol and blood pressure as these things are co existing in diabetics
Doctor :   apart from diet issues , i would stress on daily physical activity
Doctor :   this is very important for him
Doctor :   a minimum of atleast 45 mins of daily exercise is needed
Doctor :   it could be in the form of a jog or brisk walk
User :   okay
Doctor :   he must check his sugar levels every month and visit his doctor once in 3 months
Doctor :   he must also get an eye examination
User :   okay true
Doctor :   and annual blood tests for cholesterol , sugar , urine
Doctor :   apart from this good foot care also is needed
User :   he got catract operation long back
Doctor :   covered shoes at work , oft soles at indoor will help him
Doctor :   ok
Doctor :   cataract is commonly associated with diabetes
User :   yes
Doctor :   these are the general suggestions from my side
Doctor :   also there is a test called HbA1C
Doctor :   this will help in knowing the sugar control for the l;ast 3 months
Doctor :   i suggest you talk to your doctor and get them done
Doctor :   never stop any sugar medicines
Doctor :   did you follow all my suggestions ?
User :   have one query
User :   about HBA1C
Doctor :   sure please proceed
User :   you said this helps in knowing sugar control for last 3 months.. how this work ? didnt get this ?
Doctor :   it is an investiagtion
Doctor :   basically a blood test
Doctor :   it is done for assessing the persons past sugar control for last 3 months
Doctor :   the values are in the units of 6. 7, 8 and so on
User :   okay gr8
User :   which is ideal number ?
Doctor :   if the value is answer around seven it is not a concern and says sugars are well controlled and the person is on right treatment
Doctor :   if it crosses 7.5 , then action is suggested
Doctor :   did you follow my suggestion ?
User :   yes
User :   i think this would help
Doctor :   this is generally recommended by all diabetologists , but not compulsory or a part of routine
Doctor :   ok , did i answer all your questions ?
Doctor :   are there any more questions for me to help you with ?
User :   which food contain carbohydreds
Doctor :   carbohydrates are present in almost all foods
Doctor :   one cannot totally avoid them
Doctor :   we could call rice , bananas , sweets , mangoes , all cereals , aerated drinks are considered rich in carbs
Doctor :   are you there ?
User :   yes
User :   okay
Doctor :   are there any more queries for me ?
User :   yes last one
Doctor :   please proceed
User :   wheather it would be okayto have heavy dose of medicines at this age for DB
Doctor :   diabetes is a condition which cannot be cured
Doctor :   we aim at prevention
User :   his medicines dose n day is quite heavy
Doctor :   there are patients even at 80 yrs who have a combination of many tablets and insulin also together
Doctor :   so there is nothing to worry
Doctor :   it is not harmful for an individual
Doctor :   rather , an uncontrolled sugar levels can be more detrimental than the side effects of medicines
Doctor :   so do not worry about the dose
User :   somewhere around 10-12 tabs in day ?
Doctor :   just take him for regular reviews
User :   okay
User :   sure
Doctor :   i think the tablets would be not only for diabetes alone
Doctor :   since i do not know the name of the medicines here
User :   yeah might be possible
Doctor :   i suggest you discuss this with the doctor treating him
User :   thanks for time & feedback
Doctor :   it could be a combination for many asociated conditions
Doctor :   pk
Doctor :   pleasure here
Doctor :   wish him a good health
User :   thanks
Doctor :   take care
Doctor :   bye for now
User :   you too
User :   byeee
Doctor :   and thanks for consulting me
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