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Can Diabetes Be Controlled With Exercise And Food Regulation?

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Posted on Tue, 30 Sep 2014
Question: Can I control diabetes 2 with just exercise and regulated food intake and get rid of Janumet 50/1000 daily? I am 68 and am on treatment since six years. With one one hour plus daily walk I have reduced my weight from 76 kg to 69 kg. Iam male. My height is 5ft, 9inches. feel generally much better but sugar level hovers around 150 in the morning and 2-3 hours after food intake. I am trying to take light meals every 2-3 hours lately. XXX XXXXXXX
doctor
Answered by Dr. Dr. Phanindra Dulipala (55 minutes later)
Brief Answer:
I advise not to stop medication in your condition

Detailed Answer:
Hi Sir, I had gone through your query and understood your concerns.

Sir as you were on medication since six years, the sugar levels were in control. The only need to stop medication would be low sugar frequently. But in your case the sugar levels are around 150. In such case you should not stop medication. Diet and Exercise definitely helps in management.

Now as you have already stopped one drug, just check out sugar levels 2 weeks. If they are in normal levels, then you can stop the drug. To stop or start medication, the only criteria is sugar levels. You cannot stop with out considering them.

Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can close the discussion and rate the answer.
Wishing you good health.
Dr Phanindra Dulipala.
Diabetologist.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Phanindra Dulipala (13 hours later)
Doctor, if exercise and diet help in management of sugar levels, is there ANY possibility of controling sugar levels without medicine by reducing it gradually? I am prepared to walk two hours a day and have strict control on my diet till I get rid of this problem. I have heard it is possible, but I want a confirmation from a specialist before embarking on a strict regimen. Have you come across any such cases?
doctor
Answered by Dr. Dr. Phanindra Dulipala (48 minutes later)
Brief Answer:
Check the FBS, PPBS and HbA1c levels & write back

Detailed Answer:
Hi Sir welcome back.

Let me be make it clear to you sir, I have seen the cases before who were on medication since 1-2 years and came to me and when I got their blood sugar levels checked which were too low to normal. Then I slowly reduced the dosage and then stopped the medication along with blood sugar monitoring. They were now on diet and exercise mode of management. What I want to say they can managed on diet on exercise up to some extent.

In your case sir, your blood sugars are slightly higher to normal even when you are on medication, you can definitely try diet and exercise along with medication, and keep monitoring sugar levels. If they come under normal/ below normal you can definitely stop medication and try.

To make it more clear sir, diabetes is because high sugar levels than accepted in the body due to improper insulin mechanism. So, it is initially controlled with diet and exercise. Reduced calories intake and burning of extra calories by exercise.
When this stage is failed, then we start addition of medication which further helps in controlling sugar levels.

So if you want to try you can definitely try now with diet and exercise as much as you can and once the sugar levels are below normal, you can try stopping the drug. If the sugar levels bounce back. you need the medication again.

Hope this guides you sir,
If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can close the discussion and rate the answer.
Wishing you good health.
Dr Phanindra Dulipala.
Diabetologist.



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

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Dr. Phanindra Dulipala

Diabetologist

Practicing since :2008

Answered : 722 Questions

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Can Diabetes Be Controlled With Exercise And Food Regulation?

Brief Answer: I advise not to stop medication in your condition Detailed Answer: Hi Sir, I had gone through your query and understood your concerns. Sir as you were on medication since six years, the sugar levels were in control. The only need to stop medication would be low sugar frequently. But in your case the sugar levels are around 150. In such case you should not stop medication. Diet and Exercise definitely helps in management. Now as you have already stopped one drug, just check out sugar levels 2 weeks. If they are in normal levels, then you can stop the drug. To stop or start medication, the only criteria is sugar levels. You cannot stop with out considering them. Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can close the discussion and rate the answer. Wishing you good health. Dr Phanindra Dulipala. Diabetologist.