What does my glucose tolerance test result indicate?

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Posted on Tue, 27 Sep 2016 in Diabetes
Question: Hi..recently hv done my GTT, results fasting 129 & After 2 hrs..223...doctor suggested to control through food & exercise for 2 months to see results but not written any medicines..thinking that any ayurvedic juices can improve the situation..and also doubt that some ayurvedic/herbal products will hv lead which causes kidney problems so scary to use them..sometimes i feel heat under my foot and need to stretch foot fingers...could you pls advice.H1BAC reading 6.4...so any ayurvedic stuff which can improves pancreas/beta cells functinality as it is recently diagnosised and newly started..so can i reverse it?
doctor
Answered by Dr. Abhay A Mali 56 minutes later
Brief Answer:
Uncontrolled blood sugar causes much more harm to body than medicines.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

Your GGT confirms diagnosis of diabetes. And with these results I may start you on Metformin (First line medicine in the treatment of diabetes which decreases insulin resistance which is responsible for Type 2 Diabetes)

I have no experience in ayurvedic medicine and not aware of any ayurvedic medicines in the treatment of diabetes.
But lot of researches going on in the treatment of diabetes but till date there is no definitive medicine in any XXXXXXX which is proved to revert pathology of diabetes (insulin resistance and beta cell dysfunction permanently) scientifically.

Whatever the symptoms you have mentioned are most likely due to diabetic neuropathy.

In such case I may suggest-
- Metformin 1500mg per day in divided dose.
- Diet: Consult near by nutrition specialist who can plan diet for you considering your Body Mass Index and food habits.
- Regular exercise: Usually 150 min per week of moderate degree physical activity is recommended.
- Weight control.
- Screening for diabetic complications for which I may suggest
Renal function test
Urine albumin creatinine ratio
Lipid Profile
Foot examination and neuropathy screening
Fundoscopy to know effect on retina of eyes.

Rather than thinking about side effects of medicine on kidney and other organs, you should be aware that uncontrolled diabetes causes much more harmful effect on blood vessels and there by affect almost every organ in the body.

You can follow ayurvedic treatment under guidance of specialist in Ayurvedic medicine but should monitor your blood sugar levels and other parameters as advised above regulary and accordingly decide further line of treatment.

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetlogist.




Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Abhay A Mali 8 hours later
Thanks doctor for your time, I appreciate...actually the endocrinologist have seen my bare foot after i told the symptoms..but didnt suggest any tests..after diagnosis..hv controlled my food and doing walking 30-45min dialy..now usually i am getting less than 100 from fasting and after 2 hrs food 130,118 etc coming as i am checking with glucometer..recently my optholomogist checked retina..she told nothing to worry as of now..as i am thinking i start able to control the sugar levels except little inconvenience under foot..should i wait for 2 months as doctor told to visit him after this 2 months control..or now itself i can see or going through tests as u mentioned . thanks again.
doctor
Answered by Dr. Abhay A Mali 14 hours later
Brief Answer:
You can wait and keep following your endocrinologist.

Detailed Answer:
Sorry for delayed response.
I really appreciate your efforts towards diabetes control.
You can definitely wait till your next follow up with your endocrinologist.

Hope this helps you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 805 Questions

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