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Have fasting BSL 220mg/dl. Treatment?

Hello sir, 5 days back as routine checkup in office I came to know that my sugar levels are very high( 326 mg/dl). For a second opinion I went for Lab test & my readings are Fasting BSL- 220 mg/dl, Fasting Urine sugar- 0.5%(+) & PP BSL- 326mg/dl, Fasting Urine Sugar- 1.0%(++). Sir can you please advice me treatment and what measures I need to take further as I am really worried. My age is 30 years, height is 174 cm & weight 87 Kg.
Asked On : Wed, 6 Mar 2013
Answers:  2 Views:  117
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
You are definitely suffering from diabetes and you are in diagnostic range of diabetes.
Do you have positive family history of diabetes?
As you are young, there could be possibility of type I diabetes and treatment may require life long use of insulin.
You should consult with internal medicine specialist/ endocrinologist and should go for thorough check up.
You should go for renal function test, serum lipid profile, urine routine microscopy and serum C peptide level.
Serum C peptide is secreted by Beta cells along with insulin and values below normal range also indicates decrease insulin secretion.
Treatment depends on serum C level.
If sufficient amount is present then medicine swill work. If level below normal then insulin is must.
Take care,
Dr. Mayank Bhargava
Answered: Wed, 6 Mar 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
First of all you should realise that the management and treatment of diabetes is a life long process and it is very important that it be controlled meticulously ,other dreaded future micro as well as macro vascular complications would set in.
Since the treatment is not possible online,I would advise you to consult a diabetologist and get yourself investigated and evaluated properly ,before starting any medication.
I would tell you the general guide lines,which you should follow alng with the medical treatment from your doctor.
You must quit alcohol and smoking ,if any
Reduce your calories and reduce your weight to your required BMI range.
Must do regular aerobic exercises for 40 minutes a day.
Avoid junk foods and colas.
Avoid sweets and deep fried foods.
Take plenty of fresh fruits except mango,cheeku,banana,grapes etc.
Take green salad and green vegetables.
Remember,always keep meeting your doctor regularly for your overall monitoring.
If you are disciplined,you can tame this disease.
Answered: Wed, 6 Mar 2013
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