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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Control HgbA1c Level In A Diabetic?

I am a diabetic, I has been taking Metformin 500mg once or twice at day, follow a good diet like oatmeal , fruits , and juice for breakfast and yogurt for lunch. Still my last HgbA1c is now 6.9 after been at 6.2 back in October 2014. What other diet suggestion shoul I do? Thank you.
Thu, 9 Jul 2015
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General & Family Physician,  's  Response
Hello
You are taking Metformin for diabetes control i.e. you are having NIDDM ( type 2 ).
Now ,your Hba1c level is 6.9 , your aim is to attain 6.2 or low.
Ideally , NIDDM can be controlled with diet and exercise in most patients and since the possibility of secondary failure to ORAL agents ( metformin in your case) almost always exists, the diet must form the major fcous of effective long term therapy.
Since you didn't mention your age and weight , so adjust your diet as in this way.
Distribution of calories into meals .
2/10=====Breakfast
3/10=====Lunch
4/10=====Supper ( dinner)
1/10=====Bedtime snack-extremely important to prevent noctural hypoglycemia.
The bedtime snack is crucial, as it tends to prevent noctural hypoglycemia.
Suppose , your requirement for 1500 calories on a particular day adjust as mentioned above .
Carbohydrate 100 gm ===450-500.
Protein=============550-600
Fat================850-900.
So I want to tell you that each and everything which you eat contains calories and adjust .
This is an ideal method for the diabetic person , so follow .
Hope this be useful for you.
Good luck.
Your Hba1c will be under control according to this way.
Good luck.
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How To Control HgbA1c Level In A Diabetic?

Hello You are taking Metformin for diabetes control i.e. you are having NIDDM ( type 2 ). Now ,your Hba1c level is 6.9 , your aim is to attain 6.2 or low. Ideally , NIDDM can be controlled with diet and exercise in most patients and since the possibility of secondary failure to ORAL agents ( metformin in your case) almost always exists, the diet must form the major fcous of effective long term therapy. Since you didn t mention your age and weight , so adjust your diet as in this way. Distribution of calories into meals . 2/10=====Breakfast 3/10=====Lunch 4/10=====Supper ( dinner) 1/10=====Bedtime snack-extremely important to prevent noctural hypoglycemia. The bedtime snack is crucial, as it tends to prevent noctural hypoglycemia. Suppose , your requirement for 1500 calories on a particular day adjust as mentioned above . Carbohydrate 100 gm ===450-500. Protein=============550-600 Fat================850-900. So I want to tell you that each and everything which you eat contains calories and adjust . This is an ideal method for the diabetic person , so follow . Hope this be useful for you. Good luck. Your Hba1c will be under control according to this way. Good luck.