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70 Year Old Diabetic with High Postprandial Blood Sugar: What Should I Do?

Shreya Shah |110 Answers |Ask -Follow

Nutritionist, Diabetes Educator - Answered on Apr 12, 2024

Shreya Shah, founder of Health Fuel, is a clinical nutritionist, a certified diabetes educator and a weight loss expert.
A Fit India ambassador, she has been helping individuals to manage thyroid, diabetes and other lifestyle problems with the right diet and nutrition plan for nearly a decade.
Shreya is a member of Indian Dietetic Association and has worked in Mumbai’s KEM Hospital and Bai Jerabai Wadia Hospital For Children and Thane’s L H Hiranandani Hospital where she has trained healthcare professionals and organised wellness workshops.
Shreya holds a bachelor's degree in science from Ramnarain Ruia College, Mumbai, and a post-graduate degree in dietetics from SNDT Women's University, Juhu, Mumbai.... more

Question by Vilas on Apr 06, 2024Hindi

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I AM 70 YRS DIABETIC. Hba1c 7.7.taking Gycinorm 80 2-2-0 asd Jalra 50 0-1-1 Fasting b s 90to 100 But postprandial always above 170 What change do you Advice. Thanks.

Ans: The reason for high post-prandial sugar is usually what u have eaten in the meal.

Try and reduce the carbs(roti/rice/bread) and include more protein in the meal.

Also, post meal 15-20min of relaxed walk also helps in managing the post-prandial blood sugars, along with the dietary changes

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 ji. I am 61 years and diabetic for the past 12 years. My HbA1C today is 6.4 and it was 5.1 in November 2022. Fasting and PP is 90 and 84 respectively. I am on medication with Janumet 50/500 twice a day morning and night and Cardace 2.5 mg in the morning for BP. My weight is 60 kgs and height is 167cm. My diet includes millets, vegetables, fruits, dry fruits, chese, butter, ghee and cold pressed oils. Fully stopped eating maida, white rice and sugar. Please advice (1) how to bring HbA1c within 4.6 to 5.5. (2) If HbA1c is brought within 4.6 to 5.5, can I stop taking diabetes medicines ?. Thanks & Regards.

Ans: You are already on maximum diet. Exercise of 30 to 45 minutes everyday for at least 5 days in a week would help to control the HBA1c well. Once your sugar levels are consistently in the normal range, you can probably reduce the tablet to once daily. Possibility of completely stopping the medicine is less. It is a very stiff target of keeping HbA1c of 4.6 to 5.5, which is difficult to achieve. Keeping it less than 6.4 is fair enough.

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I am pr diabetic hba1c levels are 7.5 should I go for medication..please suggest me…my age is 47 male…

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Question by Vilas - Jun 05, 2023Hindi

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My HbA1C was 8.6 was advised T Glycinorm 80 2-2-0 and T Jalra 50 0-1-1 now after 3 months my HbA1C 7.9 also do tests at home on glucometer. On Average Fasting 80-90 P. P. 170- 180. Please Advice Modification. and Advice Thanks.

Ans: For lowering blood sugar levels, follow a diet rich with complex and high fibre carbohydrates like brown rice, brown bread, ragi, multi grains etc. Consume slim milk, buttermilk and yogurt made up of toned milk per day
Consume dark green leafy vegetables at least once in 3 days. Consume low calorie fruits such as apple, papaya and citrus fruits on daily basis. Include lean meat such as egg white, fish and chicken. Avoid sugars- white sugar, brown sugar, jaggary, icing sugar, frosting and its products such as candies, sweets, cakes, maple syrup, corn syrup. Follow regular daily exercises to increase your metabolic rate and lower body fat.

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Hi. I am Madhu, 52 yrs old male. My fasting blood glucose is 125 and post prandial is 201. How do I bring down post prandial levels and my HbA1c is 8. Please help.

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