Hii I am 56 yrs old (Male). Height 5.10 inches Weight 81 kgs My fasting is 135 to 145 Pp is 130 I eat 1bhakri,dal, sabzi, little salad for lunch and dinner I also have fish 3 days a week Half cup if milk tea in the evening with some snacks. I go to the gym Every day How to reduce fasting sugar levels

Ans: Increased fasting blood glucose concentration (hyperglycemia) is an indicator of a higher risk to diabetes. To lower blood sugar levels follow a dietary regimen which includes consuming small and frequent meals. Include complex and high fiber carbohydrates like whole wheat, brown rice, brown bread, ragi, multi grains etc. Have slim milk, buttermilk or yogurt every day. Eat dark green leafy vegetables and other vegetables. Salads should be consumed everyday. Consume low calorie fruits such as apple, papaya and citrus fruits on daily basis. Include good protein foods like beans and legumes, eggs or lean meat. Avoid white sugar, brown sugar, jaggary, icing sugar, frosting and its products such as candies, sweets, cakes, etc. Adopt a regular exercise regimen. Sleep well and drink at least 8-10 glasses of water daily.

Ans: Normal fasting sugar levels are between 70-100 mg/dl. A level of 174 mg/dl indicates blood sugar levels are out of the normal range. Consult a doctor for blood tests to be done and advise on medication. Do lifestyle modifications such as dietary restriction of sugar and physical exercise daily. Follow a healthy balanced diet and include fiber rich foods like whole grains, vegetables, fruits, beans, nuts, etc. in your diet. Have a high protein and fiber rich diet to increase satiety and blunt blood sugar spikes. Avoid high fat and sugary foods.

Ans: It’s great to hear that you’re staying active with walking and Hindu pushups! For dietary adjustments focus on meals that include a balance of protein, healthy fats, and fiber. This can help stabilize blood sugar levels. Choose foods with a low glycemic index, such as whole grains, legumes, and non-starchy vegetables. Be mindful of portion sizes, especially with carbohydrates. Smaller, more frequent meals can help maintain stable blood sugar levels. Opt for snacks like nuts, seeds, and Greek yogurt, which can help keep blood sugar levels steady. Include protein-rich foods like legumes, tofu, low-fat dairy products, eggs, lean meat, etc. Strengthening exercises will help in gaining muscle mass and remain well hydrated throughout the day.

Ans: Hi Vasant Ji,
Please check whether you have done any change in your diet. Please check your blood sugar levels 2 hr after breakfast and pre lunch and pre-dinner. That will provide a profile of blood sugar levels.

A comprehensive blood check up including HbA1c, lipid profile, liver function test and information on your weight and height and BMI will help me in guiding the treatment. You might benefit from insulin as well

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