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Diabetic, taking medicines, still have elevated values. How can I control blood sugar?

Dear Sir, Myself Ujjwal Kumar Chatterjee, 49 yrs age. Suffering from Type 2 DM last 13 years. Right now, taking Huminsulin 50/50 before break fast, 42 U and before dinner, 26U. Before break fast also taking Onglyza 5 and after break fast Volix M 0.2 and before lunch Eurepa 2 MF. Still my F.B.G. 238 mg/dl and PPBG (Post breakfast)-- 320 mg/dl. Please suggest regarding control. Warm regards,
Asked On : Sun, 9 Sep 2012
Answers:  1 Views:  47
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  User's Response
Welcome to Healthcare Magic,
I see form your report, your blood glucose level is high and is not under control despite medication. I would advice you consult again your Doctor for dose adjustment and follow bellow advices and achieve therapeutically targets: : 1.Dietary prescription : Weight loss and maintain ideally body weight; restriction of saturated fat to
2.Exercise prescription : combination of aerobic and resistance exercises, avoid extreme heavy lifting, straining, ( may raise blood pressure and aggravate retinopathy ); Intensity: increase heart rate moderately to 55 % of maximal heart rate ( 220 minus age in years); Duration : 30 minutes, preceded by stretching and flexibility exercises for a minimum 10 minutes; Frequency : best result if exercises occurs daily or minimum 3 time /week; if fasting glucose level are around 250 mg/dl, avoid strenuous exercises, if fasting glucose > 300 mg /dl, avoid any type of exercises; Monitor blood glucose level before , during and after exercises;
3.Avoid common precipitants: infections( respiratory, urinary, gastroenteritis, sepsis ) inadequate treatment; acute coronary syndromes; alcohol; drugs;
4. Therapeutical targets: 1.Preprandial plasma glucose normal 45 mg /dl, target > 55 mg /dl; fasting triglycerides normal
5. Avoid principal complications neuropathy, nephropathy and retinopathy.
I wish you good luck and speedy recovery,
Hope this helps and I have answered your query.

Best Regards,

Answered: Sun, 9 Sep 2012
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