Madam,I am 51 years old .I am diabetic for the last 7 years.My weight is 73 and height is 5'2.My HBA1C is 6.5 at present.And fasting sugar is between 100 to 114 and PP ranges between 136 to 150.Presently I am on Jardiance 25 ,half tab in the morning and Tenglyn M 500 after dinner.What should be my diet and how do I reduce my sugar.

Ans: As per your height and weight measurements, you are overweight. Follow a dietary regimen that includes high protein, low carbohydrate and low fat. Include foods with high fiber and complex carbohydrates like fruits, vegetables, millets, lentils, etc. Adopt a fitness schedule which include cardio and weight training to lose body fat percentage and increase muscle mass. This will help lower your blood glucose levels, improve Insulin resistance and bring down your weight.

Ans: High blood sugar levels can cause serious health problems, including heart disease, kidney disease, and nerve damage. But with treatment and lifestyle changes, you can control your blood glucose levels. You need to review the basal and bolus Insulin dosage to get blood sugar levels controlled. The main factors to remember for dietary modifications are to focus on complex carbohydrates and fiber from foods like whole grains, vegetables, fruits, beans, etc. Eat foods with a low glycemic index and a low glycemic load. Have adequate protein in every meal and avoid sugary and concentrated sugar foods like sweets, chocolate cakes, pastries, ice creams and fried foods should be avoided. Adopt a regular exercise schedule including aerobic and strengthening exercises.

Ans: A fasting blood sugar level of 113 mg/dl is indicative of pre-diabetes. You can lower your blood sugar levels by following a low carbohydrate and low fat diet. Ensure consumption of whole grains like whole wheat, oats, jowar, bajra, beans, pulses, fruits and vegetables, which are rich in complex carbohydrates and fiber. Include adequate protein rich foods in your diet to blunt blood sugar spikes. Have small and frequent meals. Avoid sweets, alcohol, chocolates, fried foods, etc. Follow a regular exercise schedule to lower body fat.

Ans: Get your blood sugar checked at five times on the same day
1.as you wakeup beforebreakfast
2.an hour after breakfast
3. Two hrs after lunch
4.before dinner and
5.an hour after dinner
Consult a Nutritionist for a detailed menu for your consituition
Overall have early dinner
Avoid heavy animal protein for dinner meal
Regular physical exercise like brisk walking 30 mts a day five days a week