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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Manage Diabetes

Hi Doctor, my mother is diagnosed with diabetes for last one year, her fasting was 120,post lunch was 136,hba1c was 6.5,doctor changed the medication to gluformin i 0.5, she started talking this tablet morning and night after food, it's been 3months now, she is doing yoga also, she started eating sweets, sugar related items, drinking tea with sugar for last one month and taking half tablet in the morning and half in night, I scolded her not eat sugar items, she said I am doing yoga now I am in control she said, she has got tests done at vijaya diagnostics center yesterday now the results are fasting-143, post lunch is 158,hba1c is 6.9, after seeing this I got scared of this, I scolded her, she told she will stop eating sugar items, she is going to walking in the morning, but I am getting tension about these reports, is fasting, post lunch and hba1c high or normal suggest me doctor please, is it dangerous to have this much range, her age is 47.she has got surgery (uterus removal) four years back, since than she got BP n sugar levels changed, please help me doctor, can she control sugar permanently. Are these reports high or normal, is she in control with sugar.
posted on Thu, 20 Apr 2017
Twitter Wed, 17 May 2017 Answered on
Twitter Thu, 18 May 2017 Last reviewed on
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Diabetologist,  's  Response
Hello, Thanks for the query.
Diabetes T2 is occurring because of either deficiency of insulin or resistance to its action mainly due to excess fat or both. Since insulin is needed every day for carbohydrate, protein and fat metabolism, treatment has to be for life time. There is no cure.
Apart from taking appropriate drugs she has to adapt a modifies life style. Which means : 1) Avoid sweets, sugar, jaggery, pastries, bakery items and sweetened aerated drinks. 2) Consume more of green leafy vegetables, salds and permitted fruits (about 100 g a day). 3) Exercise regularly so that accumulated glucose is burnt, weight is in control 4) Should maintain a BMI of Doing yoga or yoga asanas and pranayam is definitely helpful. But she should not indulge in taking sweets because that will increase the blood glucose very rapidly.
In a well controlled diabetic ideally FBG should be<100 mg, PP 150 to 160 mg and HbA1c% <6.8. Fortunately her diabetes is still in good control. But it is better she follows all the above mentioned suggestions. Uncontrolled diabetes is dangerous as it affects every single vital organ in the body like eye (retina), small and large blood vessels, nervous system, lower limbs and heart. So please impress upon herself to strictly adhere to the suggestions. Alos get her eyes checked (retinal examination). Thanks.
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Suggest Ways To Manage Diabetes

Hello, Thanks for the query. Diabetes T2 is occurring because of either deficiency of insulin or resistance to its action mainly due to excess fat or both. Since insulin is needed every day for carbohydrate, protein and fat metabolism, treatment has to be for life time. There is no cure. Apart from taking appropriate drugs she has to adapt a modifies life style. Which means : 1) Avoid sweets, sugar, jaggery, pastries, bakery items and sweetened aerated drinks. 2) Consume more of green leafy vegetables, salds and permitted fruits (about 100 g a day). 3) Exercise regularly so that accumulated glucose is burnt, weight is in control 4) Should maintain a BMI of Doing yoga or yoga asanas and pranayam is definitely helpful. But she should not indulge in taking sweets because that will increase the blood glucose very rapidly. In a well controlled diabetic ideally FBG should be 100 mg, PP 150 to 160 mg and HbA1c% 6.8. Fortunately her diabetes is still in good control. But it is better she follows all the above mentioned suggestions. Uncontrolled diabetes is dangerous as it affects every single vital organ in the body like eye (retina), small and large blood vessels, nervous system, lower limbs and heart. So please impress upon herself to strictly adhere to the suggestions. Alos get her eyes checked (retinal examination). Thanks.