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What Causes Elevated Postprandial Glucose Levels Despite Taking Medication?

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Posted on Mon, 10 Aug 2015
Question: I am taking glycomet 1000 and Eurepa 0.5 in the morning, eurepa 0.5 and Glycomet 500 int he night. My sugar levels are not in control still , My pp came out to be 265 after BF. Should i continue with the same medicine?
doctor
Answered by Dr. Niranjan G (12 minutes later)
Brief Answer:
Check your HbA1c and microalbuminuria

Detailed Answer:
Dear friend, Greetings from HCM. You continue the same medications but with lifestyle changes. If you can change your lifestyle with proper medications in time you will definitely be healthy.
First you need to get your lipid profile,. thyroid profile, microalbuminuria and HbA1c checked. Also keep record of your fasting and post-prondial glucose record every day for a month in your diary with a well calibrated glucometer. Your medications are sufficient for time being if you are committed for lifestyle changes.
First stay away from all the fast / processed and fried food stuff. Divide your meal in to 4-5 parts per day whenever you feel hungry. With 2/3 snacks in between. That helps to keep the sugar levels constant throughout the day. Add more of fiber rich food stuffs like green leafy vegetables, raw fruits (not juices), take very less of carbohydrates (rice) avoid sugar completely. Take Millets in boiled form or the breads prepared out of it like ragi, bajra, sorghum, wheat etc., are very good source of micronutrients required for the action of insulin. Take more of protein rich food, like egg white, fish is good source of omega 3 & 6 fatty acids. Moreover, beetroot juice (inorganic nitrate), olive leaves, garlic, turmeric, tamarind also have proven benefits. Say no to oils and cholesterol rich food stuffs. Based on this, with the help of a dietician, you prepare your diet chart and strictly follow it.
Physical activity is very important, play games, walk at least half an hour to one hour a day. This not only helps you to burn calories, but also to relive your stress. Music is another way to relax too. Try and practice yoga, meditation and pranayama. Some aasanas are very easy to practice and also beneficial. Quit smoking (if) and reduce your alcohol intake.
If u can follow these (have to!!) you can definitely see difference yourself by the time you have your next blood investigation report in three months time
Wish you good health. Do feel free to ask more queries. THANK YOU
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
Dr.
Dr. Niranjan G

Diabetologist

Practicing since :2003

Answered : 633 Questions

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What Causes Elevated Postprandial Glucose Levels Despite Taking Medication?

Brief Answer: Check your HbA1c and microalbuminuria Detailed Answer: Dear friend, Greetings from HCM. You continue the same medications but with lifestyle changes. If you can change your lifestyle with proper medications in time you will definitely be healthy. First you need to get your lipid profile,. thyroid profile, microalbuminuria and HbA1c checked. Also keep record of your fasting and post-prondial glucose record every day for a month in your diary with a well calibrated glucometer. Your medications are sufficient for time being if you are committed for lifestyle changes. First stay away from all the fast / processed and fried food stuff. Divide your meal in to 4-5 parts per day whenever you feel hungry. With 2/3 snacks in between. That helps to keep the sugar levels constant throughout the day. Add more of fiber rich food stuffs like green leafy vegetables, raw fruits (not juices), take very less of carbohydrates (rice) avoid sugar completely. Take Millets in boiled form or the breads prepared out of it like ragi, bajra, sorghum, wheat etc., are very good source of micronutrients required for the action of insulin. Take more of protein rich food, like egg white, fish is good source of omega 3 & 6 fatty acids. Moreover, beetroot juice (inorganic nitrate), olive leaves, garlic, turmeric, tamarind also have proven benefits. Say no to oils and cholesterol rich food stuffs. Based on this, with the help of a dietician, you prepare your diet chart and strictly follow it. Physical activity is very important, play games, walk at least half an hour to one hour a day. This not only helps you to burn calories, but also to relive your stress. Music is another way to relax too. Try and practice yoga, meditation and pranayama. Some aasanas are very easy to practice and also beneficial. Quit smoking (if) and reduce your alcohol intake. If u can follow these (have to!!) you can definitely see difference yourself by the time you have your next blood investigation report in three months time Wish you good health. Do feel free to ask more queries. THANK YOU