I am 63 yrs , weight between 69-73 kgs for past 10-15 yrs. height 5'.10". my H1ABC is 7.5 last test in february. Iam an DM Patient for the past 10 years. My fasting has been hovering around 90-115 for the past few months pp. around 250. pre-lunch and dinner around 157-170 (checked at home accu check). Kindly guide me for my routine I should follow.. and the type of caution I should take

Ans: Diabetes management is crucial for maintaining good health. Blood sugar levels should be monitored and controlled by following a lifestyle intervention of more complex carbohydrates like whole grains, fruits, vegetables, etc., good protein sources like low fat dairy sources, pulses and legumes, and low fat in the diet. Foods to avoid include simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries, and namkeen. Ensure portion control and low glycemic foods in every meal. Adopt an exercise regimen which includes strengthening and aerobic exercises.

Ans: A high HbA1c increases the risk of long-term diabetes complications like blindness, nerve damage, and kidney failure. Dietary modifications include use of 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. Have salads and vegetables daily to increase the fiber content of the diet. Consume low calorie fruits such as apple, papaya and citrus fruits on daily basis. Include lean meat such as egg white, fish and chicken without skin and organ
Avoid white sugar, brown sugar, jaggary, sugar products such as candies, sweets, payasam, cakes, maple syrup, corn syrup. Concentrated foods like sweets, chocolate cakes, pastries, ice creams and fried foods should be avoided. Adopt a regular exercise schedule.

Ans: A fasting blood sugar level of 484 is indicative of uncontrolled diabetes. It would be advisable to check with your local physician or a diabetologist on this. You may need to undergo some blood tests to diagnose the etiology of the condition.