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Pre-diabetic at 53, A1c 6.0, Fasting 128: What's the best routine to lower it?

Dr Chandrakant Lahariya | Answer |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Dec 05, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more

Question by Lee on Dec 04, 2024Hindi

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I am 53 years old pre-diabetic A1c level of 60. My fasting level is Julie 128. What's the best routine to lower that I exercise every single day I try to eat healthy not so good what is recommended?

Ans: I am not clear about your reports. HbA1c 60 is not possible. Do you mean 6? I dont want to assume anything. similarly, fasting 128 is diabetic status but I also need to know 2 hr after meal or random blood sugar levels.

Irrespective of parameters, everyone can benefit from 30 to 60 min of moderate intensity physical activity atleats 5 days a week. Everyone can benefit from improved and balanced diet.

Please get detailed investigations done and consult a physician. That would be the first step.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice,
Safdarjung Enclave, New Delhi

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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HI KOMAL I AM LAKSHMI 67 YEARS OLD. I HAVE BEEN FOUND TO HAVE TYPE 2 DIABETES SINCE LAST TWO YEARS. I HAVE UNDERGONE ANGIOPLASTY AND BY PASS SURGERY ALSO IN THE LAST TWO YEARS. I AM TAKING PROPER MEDICENES AS ADVISED BY DOCTORS, PROPER DIET AND REST, YOGA, MEDITATION, EXERCISE AND WALKING. STILLL MY BLOOD SUGAR FASTING IS ABOVE 130 AND PP ABOVE 180. HBA1C IS 6.7. HEIGHT IS 150CM AND WEIGHT IS 60KG HOW DO I REDUCE MY BLOOD SUGAR LEVELS AND HBA1C ?

Ans: Blood sugar levels can be lowered gradually by lifestyle modifications. Ensure your diet consists of more complex carbohydrates like whole grains, fruits, vegetables, etc., low fat foods, good protein sources like low fat dairy products, eggs, lean meat, pulses and legumes, etc. Avoid sweets, bakery products, chocolates, savories, carbonated beverages, alcohol, etc. These will spike your blood sugar levels. Focus on portion control and follow a regular exercise regimen.

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Hi, I am 66 years old and my HbA1C is 7.4. My fasting glucose is 145 and PP is 210. I weigh 61 kgs. I walk regularly morning and evening for 45 min each. How to reduce my sugar levels?

Ans: Walking is an excellent aerobic activity which will help in lowering blood sugar levels by increasing your metabolic rate. However, a balanced and healthy diet will help control high blood sugar levels. Make healthy choices of complex carbohydrates like vegetables, whole grains, and fruits, and avoid highly refined carbohydrates like white bread, pasta, and sugary foods which can cause blood sugar spikes. Include protein foods in every meal and eat at regular intervals. Include healthy fats in your diet and follow a regimen of aerobic and weight training exercises.

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Hi, am 55 years old type 2 diabetic from past 22 year. Am not taking any medicine for diabetes just controlling through diet and excersis my Aic is 6.9.please advice

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Hello, I am 53 years old. Usually my fasting blood sugar level is around 125 between 128. How do I lower this I exercise every single day I eat probably only once a day.

Ans: Hey, if you want to work on brining down your fasting sugar levels, focus on these things:

1. Make sure your dinner meal is balanced. If you don't have a balanced meals you might see a dip in blood sugar levels in the middle of night which can lead to higher fasting sugars. Include complex carbs, proteins and fibre for sustained release of glucose into blood.

2. make sure you are exercising in the morning. Avoid exercising in the evening or night, since this will sensitise insulin and lead to a dip in blood sugars at night. Which can be a possible reason for higher fasting blood sugar levels.

3. if your dinner is early you can add a bed time snack which is a combination of carb and protein for example: roasted channa with a cup of milk or a cup of milk with nuts & seeds

These are a few reasons we see higher fasting sugars. Find out what is the possible reason for your high fasting sugars and work on it accordingly.

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Salaam sir My son Hamza domicile Indore has got Jeemain rank 79857, Comed K rank 11044, he is getting admission in VIT chennai campus for CS cyber physical system, Can we get something better than VIT chennai

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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