Hi Mam, This is Shankar and 39 years old 69Kg weight and 5.10 height. I have fasting level around 180 and after food 250. Hba1c around 11. Taking metformin 500mg morning and night after food. Doing walking around 3km on morning. Please advise to reduce Hba1c.
Ans: A very high HbA1c can cause serious health problems, including heart disease, kidney disease, and nerve damage. It indicates the need to review your medication dosage and include dietary and lifestyle modifications. Follow a diet with low simple carbs from white bread, maida, sugary foods, etc. Include complex carbs and fiber foods like whole grains, vegetables, fruits, beans, etc. Avoid high fat and high sugar foods like sweets, chocolate cakes, pastries, ice creams and fried foods. Exercises should include aerobic and strengthening exercises.