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Diabetic, underwent angioplasty surgery. What should be done to control diabetes?

My father is having diabetes since past two years and recently before a month he underwent a surgery ( Angioplasty ) which was done successfully But previously we never monitored his diabetes and now as doctor told to monitor there are frequent changes which is a big reason to worry, kindly assist as what needs to be done to control his diabetes as he is having proper meal and medicine on time as prescribed by dietician & doctor then too there are many variations
Asked On : Thu, 10 Jan 2013
Answers:  3 Views:  51
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Endocrinologist 's  Response

Thanks for writing in.

What we need to know is HbA1c (Glycosylated hemoglobin) which gives us an average of your blood sugar in the last 3 months. Only if the value of this should be

You also need to monitor the blood glucose values in the following time periods

1. Before breakfast (fasting)
2. 2 Hr post lunch
3. before dinner
4. At bed time

Please monitor these for atleast 3 times a week for 4 weeks and let me know the results. If there are vast fluctuations in the sugar we can do what is known as "Continous glucose monitoring" which will give us a complete picture of sugar control for 24 hrs over 3 - 7 days .

Also let me know what medications he is taking for diabetes. This will help me judge the future course of action.

Hope I have answered your query. If you have any further questions I will be happy to help

Dr. Om Lakhani
Consultant Diabetologist (online expert diabetes care consultantion)
Director- 'Mellitus' - Advanced Diabetes & Lifestyle medicine centre
Answered: Thu, 10 Jan 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
There are various aspects of controlling the diabetes.Of course the medicines are very important but calorie restriction along with weight reduction and regular exercises play a very important role.
It is very important to control the diabetes meticulously to avoid long term micro as well as macro vascular complications
Consult a diabetologist,get all the relevant investigations done and take a proper treatment.
There is no reason why his diabetes would not be controlled.
Monitor his cardiovascular system also,since he has already angioplasty done in him.
Answered: Thu, 10 Jan 2013
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General & Family Physician Dr. Azhar's  Response
Hi. He should have to control his diabetes with regular exercise and should avoid sweets. He had to monitor his fasting and random blood sugar levels. Fasting levels had to be controlled within 110mg/dl, and random less than 200mg/dl, and gylcylated Hb to check for previous control of Diabetes. One thing missing was regular exercise. If sugar levels are out of limits consult your Physician for control of Diabetes and alteration in medicine
Answered: Fri, 11 Jan 2013
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