Question: ENODOCRINOLOGY
Dear Doctor,
I am very much confused the way the messges coming through Whatasapp regarding the diet for diabetics. So many people are posting- dont eat this. dont eat that, this is good and this is bad for diabetics.As far as I am concerened I am 74 years old and had type ii diabetes since 2012. My fasting blood sugar most of the time is above normal i.e110. The level oscillates between 110 to 130.Regarding Post lunch most of the time it is within the normal limits. i.e less than 140.It oscillates between 120 to 150.I take moderate foo night i take 2 thin chapaathis.I read that we the diabetic should not eat chapathis and they are harmful .My problem is then what should i take for dinner? i dont know.I take glycomet 500 mg twice a day. How to reduce my fasting level below 100 . the other day i got lab test done and the fasting is 134 and 147 and Hb A1 c is 6.7. Before my cataract op in April the fasting level is 166 (lab report), but the doctor has said that it is normal for the people of my age.Though i know that the A1 c is under normal limits, but i am not able to contain the fasting level.what to do? I am strictly a vegetarian. Kindly show me some way
to get rid of this confusion. I am not able to upload the file , hence I am pasting it here. Sorry.
TEST NAME RESULT UNIT NORMAL REF. RANGE
0000 6 5 Male / 74 Years
SAMPLE DATE : 06-05-2017 06:20:27 REPORT DATE : 06-05-2017 14:59:38
/
SAMPLE SOURCE : Inhouse
Glycosylated Haemoglobin(HbA1c) 6.7 %
Interpretation of Result :
Hemoglobin A1c Degree of glucose control
>8% # Action suggested
7 - 8% Good control
6 - 7% Near normal glycemia
<6% Non-diabetic level
(Methodology : HPLC, Traceable to NGSP )
Mean Blood Glucose 161 mg/dl
(Methodology : HPLC )
Serum T3 1.5 ng/ml 0.8 - 2.3
Serum T4 8.6 ug/dl 4.8-12.0
Serum T.S.H. 3.4 mcIU/ml 0.35-5.5
(Methodology : Eletro Chemiluminiscence)
Fasting plasma Sugar 134 mgs/dl 70 - 110
(Methodology : Hexokinase )
Serum Urea 21 mg/dl 17 - 43
(Methodology : Urease/GLDH )
Serum Creatinine 0.7 mg/dl 0.8 - 1.4
(Methodology : Jaffe)
Post Lunch plasma Sugar 147 mg /dl 70 - 140
(Methodology : Hexokinase )

LIPID PROFILE
Serum Cholesterol 130 mg/dl 125 - 200
(Methodology : CHOD - POD )
Serum Triglycerides 148 mg/dl Risk if More than 150
(Methodology : Lipase GK: GPO POD )
Serum H.D.L. Cholesterol 48 mg /dl Risk if less than 35
(Methodology : Anti beta Lipoprotein )
Serum L.D.L. Cholesterol 56 mg/dl Risk if more than 130
Methodology : Direct LDL
Serum V.L.D.L. Cholesterol 26 mg/dl 10-35
Methodology : Calculated value
Dr.

Dear Doctor,
thank you very much for your kind reply. I have forgotten to tell you that I walk for 4.15 km every day for the last 40 years. I am from XXXXXXX Andhrapradesh. We are not known for porridge. And i do not like oats. We are accostomed to south XXXXXXX dishes like Idly, dosa, Upma, pulkas , chapathis, etc. If you know about these, please suggest .Thank you