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Suggest Treatment For Elevated Fasting Blood Sugar Levels

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Posted on Wed, 3 Sep 2014
Question: Hi I am a type 2 diabetic since 6 years and taking azulix 2 mf forte ... I have not followed diet and exercises last 10 months and this week I monitored it comes 150 to 200 in fasting ...shall I contineu the medicine along with diet ...or I have to change immediately..pls advice
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Answered by Dr. Michelle Gibson James (33 minutes later)
Brief Answer:
change diet, continue meds, increase activity,

Detailed Answer:
Hi, thanks for using healthcare magic

The goals for fasting blood sugars and other before meal readings are 70 to 130 and the 2 hour goal is less than 180.

Since you have not been able to follow the diet and exercise regimen for the last 10 months, this would have contributed to the high readings.

You can consider altering your diet now to reduce your carbohydrate use and when you do use carbohydrates (carbs), use those with low glycemic index.
Carbs with lower glycemic index are broken down slower and do not cause sharp increases in blood sugars.

You can find a list of low carb foods, low glycemic carbs online.

If you can also start an exercise program that would also be helpful. The aim is for at least 150 minutes a week. If you are not able to do this immediately, you can work up to it.

After introducing these changes and continuing your medication, you should have improvements in your blood sugar readings

It would be best not to just do the fasting levels because it is important to know how it is doing throughout the rest of the day as well.
This means that one day you may do the fasting, the other pre lunch or pre supper or 2 hour post meal.

If you do not notice any improvement or notice worsening over a 1 to 2 week period then you should consult a doctor.

I hope this helps, feel free to ask any other questions
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Elevated Fasting Blood Sugar Levels

Brief Answer: change diet, continue meds, increase activity, Detailed Answer: Hi, thanks for using healthcare magic The goals for fasting blood sugars and other before meal readings are 70 to 130 and the 2 hour goal is less than 180. Since you have not been able to follow the diet and exercise regimen for the last 10 months, this would have contributed to the high readings. You can consider altering your diet now to reduce your carbohydrate use and when you do use carbohydrates (carbs), use those with low glycemic index. Carbs with lower glycemic index are broken down slower and do not cause sharp increases in blood sugars. You can find a list of low carb foods, low glycemic carbs online. If you can also start an exercise program that would also be helpful. The aim is for at least 150 minutes a week. If you are not able to do this immediately, you can work up to it. After introducing these changes and continuing your medication, you should have improvements in your blood sugar readings It would be best not to just do the fasting levels because it is important to know how it is doing throughout the rest of the day as well. This means that one day you may do the fasting, the other pre lunch or pre supper or 2 hour post meal. If you do not notice any improvement or notice worsening over a 1 to 2 week period then you should consult a doctor. I hope this helps, feel free to ask any other questions