hi, i am 49 year old, diabetic since 2005. though taking regular physical excercises i am not able to control diabetes and gradually lost weight. what is the solution to bring back myself to diabetes free and weight as per BMI

Ans: I think you are doing quite well. You have managed to get off the diabtes medications and have lost 8 kg in about 7 months. Subsequent weight loss is going to be much slower. I think you just need to continue with what you are doing at present (in terms of diet and exercise) . Further weight loss is going to be a very slow process. Your HbA1C levels are reasonable now. You must however understand that if you have a genetic predisposition to diabetes, diet and exercise can at best delay the onset of diabetes but may not be able to completely prevent it in the long run.

Ans: Hi Ayesha,

Managing blood sugar levels depends on what you are eating along with exercise. Weight loss can also be because of uncontrolled blood sugar levels. Also, check if your hormones are fluctuating, sugars can go hay-wire because of hormonal shift too. However you need to focus on:

1. Lowering glycemic load: Work on balancing meals like one serving of complex crabs (whole grain roti) + 1 serving pulse + 2 servings fibre (salads/cooked vegetables) This will take care of your post meal blood sugar levels
2. Go for 10 min quick walk post meals, to help sensitise insulin for better blood sugar levels
3. Avoid going for exercise in evening. This can create a dip in blood sugar levels at 3am and a spike in morning
4. Make sure your dinner is balanced for sustained release of blood sugar.
5. You can include a bed time snack (carb + fat + protein combination) to avoid a dip at 3am and which should take care of your fasting sugars. Some examples are a cup of milk with handful nuts/seeds or roasted channa or date roll (with nuts and seeds)
6. Clock in 150 min of exercise in a week with focus on weight training exercises at least 3 times a week. This is proven to show better blood sugar control throughout the day.

I totally understand that working so much and not seeing results can be demotivating but don't feel. Remember, every step you're taking is moving you closer to better health, even if it doesn’t feel that way right now. Please reassess basis the pointers mentioned above and see how you can work on your plan to achieve your goals. You've got this :)

Ans: I am not sure what us your height. 61 kg, even after losing weight, if it is within normal weight for your height, please do not worry.
Lets say, if your height is around 165 cm, or less, this is a good weight.
However, if you suspect some other health condition which is causing your weight loss, please consult a physician.