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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy To Control Elevated Sugar Levels

Good morning!I am Johnpaul Pereira, 36yrs, 104kgs, i have done my blood test last week it has detected elevated sugar levels 130 mg/dl fasting and 132mg/dl PP.6months back it was 121mg/dl. Sugar levels are gradually increasing.Please advise. I have started morning walk for 5kms and also work outs for alternate days of the week in a park.I have a 9-10hrs sitting job.Thanking you for your advice.Warm regards,Johnpaul 0000
Wed, 12 Apr 2017
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Diabetologist 's  Response
Hello,

Thank you for your query. I understand your concerns.

For ideal blood glucose control, your fasting blood glucose should be less than 110 mg/dl, your 2 hour post meal/post prandial blood glucose should be less than 160 mg/dl and your HbA1C (which gives the 3 month average blood glucose level) should be less than 6.5%.

From you have mentioned, you seem overweight/obese, I do not know your height. BMI is your body mass index – it is calculated as ratio of weight to height (kg/metre square).Ideal BMI for South Asians should be less than 23, for Caucasians and others the ideal BMI is less than 25.

Weight loss will help in proper glucose control. You need to watch what you eat, reduce your intake of high calorie/high fatty/high carbohydrate (sugar/starch) food items. Take smaller portions of food. Consume more wholegrains like oats, millets, wheat products etc. Use food items made of whole wheat flour rather than plain flour. Consume more vegetables, restrict consumption of saturated fats like butter cheese etc.

Exercise at least 45-60 min everyday – moderate exercise like jogging, swimming, cycling etc. Your target weight loss should be 1.5 -2 kg/month. Do weight training at least twice a week

Recheck your FPG and PPG levels in 1 month. If the sugar levels are falling, then continue with your lifestyle management and recheck your HbA1C in 3 months’ time. There should be a decrease in the HbA1C from current reading to one in 3 months. Despite, the above, if your sugar levels are raising then you need to see your doctor for medication.

I wish you good health.

I hope this answer has been helpful to you.

Regards
Dr Sunita Sayammagaru
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Suggest Remedy To Control Elevated Sugar Levels

Hello, Thank you for your query. I understand your concerns. For ideal blood glucose control, your fasting blood glucose should be less than 110 mg/dl, your 2 hour post meal/post prandial blood glucose should be less than 160 mg/dl and your HbA1C (which gives the 3 month average blood glucose level) should be less than 6.5%. From you have mentioned, you seem overweight/obese, I do not know your height. BMI is your body mass index – it is calculated as ratio of weight to height (kg/metre square).Ideal BMI for South Asians should be less than 23, for Caucasians and others the ideal BMI is less than 25. Weight loss will help in proper glucose control. You need to watch what you eat, reduce your intake of high calorie/high fatty/high carbohydrate (sugar/starch) food items. Take smaller portions of food. Consume more wholegrains like oats, millets, wheat products etc. Use food items made of whole wheat flour rather than plain flour. Consume more vegetables, restrict consumption of saturated fats like butter cheese etc. Exercise at least 45-60 min everyday – moderate exercise like jogging, swimming, cycling etc. Your target weight loss should be 1.5 -2 kg/month. Do weight training at least twice a week Recheck your FPG and PPG levels in 1 month. If the sugar levels are falling, then continue with your lifestyle management and recheck your HbA1C in 3 months’ time. There should be a decrease in the HbA1C from current reading to one in 3 months. Despite, the above, if your sugar levels are raising then you need to see your doctor for medication. I wish you good health. I hope this answer has been helpful to you. Regards Dr Sunita Sayammagaru