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Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

General Physician - Answered on Mar 30, 2023

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Question by Mahesh on Mar 28, 2023Hindi

Health

I am diabetic for the last 35 years. I have controlled my diabetes through intermittent fasting and taking metformin+sitagliptin (500mg+50mg) daily before meals. My fasting sugar varies from 104-125; after exercise, it goes up to 140 and comes down to 110 when taking Tiffen at 1300 hrs. My HbA1C is in the range of 6.1 to 6.4, and I also control by avoiding sweets, maida, fried, etc. I it ok or I have to take some measures.

Ans: Please bring in some regular physical activity which will help you to come down on medications and have the optimum usage of medications

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 I am RV 54 years of age Male. I was detected with Type 2 Diabetes in July 2019. Since then I changed my diet, increased exercise, took care of sound sleep & stress and took Metformin 500 mg once at night. My type 2 diabetes has reversed and since July 2022 I have stopped Metformin 500 mg of my own as my sugar levels well drastically falling. I am still on restricted diet.I have got blood tests done every 3 months ( last done in June 2023 ) and except for Fasting Sugar, all results are perfect. My Fasting Sugar is in the range of 100 to 109. I know that I am suffering from Down Phenomena. I would be extremely grateful for your expert advice to bring the Fasting Sugar in the target range of 80 to 90 mg/dl.

Ans: If you are experiencing Dawn Phenomena, make sure to monitor your blood sugar levels especially in the evening. Eat dinner earlier in the evening and avoid late night high carb snacks. You can consume a high-fiber low-fat snack before bed to prevent the dawn phenomena. Almonds with plain or turmeric milk, nuts, milk with basil seeds are some examples. These items will control the blood sugar and keep your liver from overproducing glucose.

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Sir i am diabetic from last 20 years i am taking medicine but fasting sugar does not come in control and comes as 175-180 however random readings and after 2 hours sugar readings are well in control around 135-145. sir suggest what to do

Ans: It’s essential to address high fasting blood sugar levels and manage your diabetes effectively. Discuss your fasting blood sugar levels and any other symptoms you may be experiencing with your family physician. Focus on a balanced diet with whole grains, lean proteins, and vegetables. Avoid table sugar, honey, jams, fruit juice, and candy. Limit white bread, sweets, fast foods, alcohol, chocolates and processed foods. Regular physical activity can help regulate blood sugar levels.

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General Physician - Answered on Oct 03, 2024

Asked by Anonymous - Sep 22, 2024Hindi

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Iam aged 77 not diabetic, last few months some variation in the fasting sugar level 100 to 106 but post sugar level remains less thn 110.my Hba1c is being 6.4 and 6.5. I have all control regarding my morning walk and doing manual work at home . Not taking sugar at all . Whether I have to go for medication for sugar . I am taking Telmikind 4omg tab for bp 1 per day .

Ans: Give attention to your dinner meal
What goes into the dinner meal
Early dinner meal by 6 pm
Avoid heavy meal for dinner

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