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Insulin for Diabatic patient age 063.00 yearsType -2 has undergone Stuntscin all three MajorvArterie
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Endocrine & Hormonal Imbalances
Question #10995
334 days ago
383

Insulin for Diabatic patient age 063.00 yearsType -2 has undergone Stuntscin all three MajorvArterie

Arun Kumar Srivastava

I am Diabatic patient Type -2 my Hbac1 08.00 and Sugar Levels 121.00 mg/dl and 224.00 mg/dl after breakfast all tests KFT,LFT,CBC,Thyroid and urine R/M are normal as 03.00 Nos Stunts Medicated has put in place by Dr of Cadology Department at Safdarjung Hospital New Delhi my Sugar Levels in between RBS 164.00 mg/dl to 213.00 mg/dl now on Cardology Dr Advise Medichine previous to Stunts was on following Medichine Gliclazide Extended Release Tablets 02.00 Nos and Metformin 500 mg 02.00 tablets as Metformin not suits to me now taking more than 03.00 years time so Dr has temperiorally stopped now and only Gliclazide Extended Tablets 60.00 mg 01 Tablet OD only along with other Medichine if Sugar Levels cross more 250.00 mg /dl and previously Insulin Basalog r DNA Origin Insulin Glargine Injection IP 100 iu/ml when my Hbac1 11.5 in 2021 then Endocology Department Dr suggested 12.00 units single shot at 10.00 pm daily in 2024 January my Hbac1 was 06.5 to 07.00 full year 2024 then Insulin has been stopped by Treating Dr shaib now was on Metformin 500 mg 02.00 tablets now on Glampicide 60 mg 01 tablets OD feeling well please suggest Diet plan fruits and vegetables with low Glymix index and without any Fat and TriGlycride very low Levels including Dr fruits Minimum Medichine oral also waiting for your reply by return email

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Doctors' responses

Considering your history of type 2 diabetes and the coronary stents you’ve had placed, managing your blood sugar levels effectively is crucial. The current medication regimen with Gliclazide Extended Release Tablets is aimed at maintaining blood glucose, particularly since Metformin doesn’t suit you. Monitoring these medications is important as your HbA1c is currently 8.0, a bit higher than the target range which typically aims for less than 7.0 to reduce the risk of diabetes-related complications. It might be worth discussing with your doctor whether re-initiating a low-dose insulin regimen could be beneficial should your glucose levels continue above target, particularly since you’ve reacted well to insulin in the past. As for your diet, focusing on foods with a low glycemic index (GI) can help manage blood sugar levels. Consider incorporating whole grains such as oats and barley, legumes like lentils and chickpeas, and non-starchy vegetables like leafy greens, tomatoes, and broccoli. Fruits that generally have a lower GI include berries, cherries, apples, and pears – these can be consumed in moderation. Make sure you’re including adequate fiber and balancing carbs with protein and healthy fats from sources like nuts and seeds. Avoid refined sugars, sugary drinks, and limit processed foods with high saturated fats. It may also help to keep your triglyceride levels low, given your cardiovascular history. It’s often beneficial to consult with a dietitian who can customize your diet plan according to your unique medical history and lifestyle. Regular follow-up with your healthcare provider is essential to reassess your treatment plan, especially if your blood sugar remains high or if any symptoms develop. Remember that lifestyle factors such as regular physical activity, stress management, and sleep all play roles in blood sugar regulation.

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