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Should I take injections to manage my blood sugar? (61 year old male)

Komal Jethmalani |374 Answers |Ask -Follow

Dietician, Diabetes Expert - Answered on Sep 20, 2024

Komal Jethmalani is a practising dietician and nutritionist with over 26 years of experience.
She specialises in weight loss and diabetes management.
Jethmalani has completed her MSc in food and nutrition from SNDT University and trained at Jaslok Hospital.
She is a NDEP-certified diabetes educator.... more

Question by Narayanasami on Sep 09, 2024Hindi

Health

Hi Komalji I am Male 61 yeas old, H1ABC 9.4 BFS 180 Random sugar 264. My cholesterol and BP under control My medication includes Diamicron XR 60mg - 1Tab before BF and Janumat 50/1000-1Tab after dinner . Do you advise me to take any other medicine or needle injected insulin to control my sugar level

Ans: Given your current HbA1c level of 9.4% and blood sugar readings, it seems that your diabetes is not fully controlled with your current medication regimen. For dietary modifications, focus on a balanced diet with low glycemic index foods, plenty of vegetables, lean proteins, and whole grains. Avoid processed , sugary foods and drinks. Regular physical activity can help improve insulin sensitivity and lower blood sugar levels. It’s crucial to consult with your family physician before making any changes to your medication or starting new treatments. They can provide personalized advice based on your overall health and specific needs.

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 raghu my age is 44 I have BP shown 130 / 85 and take olmeter CH 20 and now a days fast sugar ranges 100 - 111 Should I start medicine for sugar is this normal for my age kindly suggest

Ans: Fasting blood sugar levels between 100 and 111 mg/dL are generally considered to be in the high-normal range. Whether you should start medication for blood sugar control depends on several factors, including your overall health, presence of symptoms, and risk factors for diabetes. It's important to note that medication is just one aspect of managing blood sugar levels. Lifestyle modifications, such as a healthy diet, regular exercise, and weight management, are equally important. I would suggest taking advise from your medical practitioner or health care provider.

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Sir,my age is 61and diabetic for last10 years,,Doctor has prescribed Amarylong 80 brfore b/bf and Daplo-v(10/100) after b/bf.Monitering the sugar at home comes in between 97-130 (fasting) but at the lab,it comes aroun 195.Please suggest the remedy to control the same

Ans: Venous blood has a better accuracy than capilllaries
Please check your HbA1C once in four months to reconfirm on your fluctuations

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I am diabetic since last 30 years aged 70yesrd.I am taking insulin 14 unit in morning and 12 evening.Fasting sugar fluctuating 120 to 150 off and on.Besdes I also take TabTRIBOLIVE 2 and PROMINOD PIOS.KZINDLY SDVISE ME PROPER MEDICATION

Ans: Blood Sugars look OK considering the factor that you are on Insulin
Please include daily walks into your routine and continue the same

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Question by Narayanasami - Sep 09, 2024Hindi

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Hi Komalji, I'm 61 years male with HbA1C- 9.36 FBS @180 and Random sugar level @ 265 calculated in recent lab tests . My LDL cholesterol (71) and BP is in control even though i am taking 10 mg of Rostarvasten tablet for cholesterol and Janumet 50/1000mg daily once after dinner and Diamicron XT 60mg once in a day before breakfast for sugar . Is this medication Ok or do I have to take Needle injected insulin to reduce my sugar level .If so how much quantity per day?

Ans: The acceptable HbA1c is less than 7% and fasting within 70 to 140 mg% and 2 hr post breakfast within 70 to 180 mg%. Your blood sugar levels are not in control and the medications you are taking are clearly insufficient. Either oral medications need to be increased or (and a better approach) would be to start on insulin.
There are many myths about insulin in people and they fear to get started on insulin. What is not understood that we need to have sugar under control and in good control to prevent the complications. Insulin which is administered is exactly what our body produce - an hormone and when body fails to produce, we need to give injectable insulin.

Please discuss with your doctor and ensure your blood sugar levels falls with in range. Starting on insulin and than adjusting oral antidiabetic medications is a good idea. Your LDL cholesterol is just close to the range and it ismost likely due to 10 mg of Rosuvastatin you are taking, so please continue that.

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

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