I am diabetic type I 4 timws insulin, thyroid and BP. BP under control. How to contorl. No sugar no aceess salt

Ans: An HbA1c of 8.5 is indicative of hyperglycemia or uncontrolled diabetes. This if long term can lead to serious complications. For lowering your blood sugar levels, focus on healthy carbohydrates like whole grains, oats, cereals, legumes, dried beans, peas, lentils, low fat dairy products fruits, vegetables in your diet. Importance of portion control to help control your blood sugar, Choose fiber rich foods restrict saturated fat. Restrict refined & simple carbohydrates like sucrose, glucose or fructose, white rice, white bread, table sugar, jaggery, sweets, honey, corn-syrup and alcohol. Exercise regularly to reduce body fat.

Ans: Blood sugar levels of 250 to 350mg/dl are out of range. You should consult your family doctor. Dietary control is important , thus start the day with some whole grains like whole wheat, whole oats, millets, etc.
Eat more fiber rich foods like vegetables and fruits. Include beans/legumes which are an excellent source of slowly digested carbohydrate as well as a great source of lean protein. Substitute for meat 1-2 times per week. Avoid sugar and high fat foods like cakes, pastries, chocolates, savories, aerated water, alcohol, etc. Follow a regular exercise regimen to lower body fat.

Ans: An HbA1c level of 9 is indicative of uncontrolled blood sugar. It is unclear which parameter of thyroid function test is 6.2. It is advisable to consult your physician for further advise. Start with life style modifications of following healthy eating habits. Choose carbohydrates wisely, such as those from vegetables, whole grains, and fruits, while avoiding highly refined carbohydrates like white bread, pasta, and sugary foods. Maintain a healthy weight and follow consistent exercise schedule. Reduce the intake of foods high in added sugars and processed foods to prevent blood sugar spikes. Focus on a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. A balanced diet helps in managing blood glucose levels and body weight.

Ans: Diabetes and hypertension both are risk factors for kidney damage or nephropathy. Considering you have these health issues for more than 3 decades, please get a comprehensivelab work up done followed by a consultation with physician or a nephrologist.

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