
Suggest Ways To Reduce Sugar Levels

Increase dose.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
In the case scenario of your father in law, I would give a re trial of giving oral anti Diabetic drugs and if still not controlled he would require insulin.
I would advice in such case :
1. Gliptins like Sitagliptin or Vildagliptin.
2. A combination of Pioglitazone, Glimiperide and Metformin.
Currently he is just on Glimiperide and Metformin as I could understand from his prescription attached.
In case these medicines also fails insulin is the only best drug for him.
Also he needs a good BP control and quitting smoking.
There is lot to do in his case scenario and if correctly managed he might not require insulin.
He needs to visit a doctor who specializes in Diabetes.
Share my opinion with him.
In case you live somewhere near XXXXXXX you can make him visit my clinic.
I hope it helps.
If you have any further query, please ask me.


Low fat , Low carbohydrate diet
Detailed Answer:
Hello,
For control of Hypertension and Diabetes, following life style changes should be adopted:
1. He should reduce his weight. Should start exercising regularly particularly brisk walk.
2. Avoid Fatty food in diet.
3. To consume potato, rice, oil, ghee, sweets, carbonated beverages in moderated amount only.
4. Avoid alcohol and smoking.
5. Take low salt diet and avoid pickle, namkeen, papad in diet.
6. Sweets, Sugar, Rice, Potato should be avoided.
Lifestyle and dietary modifications would help in controlling the blood sugar and BP, but he would also require medications for the same.
If you have any further query, please ask me.
Stay healthy.

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