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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Elevated Blood Sugar Levels Be Controlled Through Diet And Exercises?

I am 49 years old Man, Engeneer having Hypertension and well in control with medicine Eritel 40. I had sugar level so far in normal range. But recently while GRBS it eas found 210. Doctor suggested for Glycomet 500 1 Tb. Is it Ok to start mediicines ? or shall I go for diet & exercises ?
Tue, 12 May 2015
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General & Family Physician,  's  Response
Hello, welcome to HCM,

In my own practice, I have always preferred to have patients try lifestyle modification such as diet and exercise before starting medication. In many cases, when people are very committed to doing so, lifestyle modifications are enough to bring blood sugar down into a normal range.

I don't know what "GRBS" is - I am assuming fasting blood sugar?

210 is significantly elevated so I can certainly understand your doctor prescribing medication for this.

I think it would be good to also get a test called "Hemaglobin A-1C". This test shows what your blood sugars have been averaging over the past 2-3 months.

If you decide to go the lifestyle modification route, it would be a very good idea to get a consultation with a dietician/nutritionist. They can help you to know what food choices are best and how many calories.

To start, please eliminate all added sugars such as in sodas. Also, when eating carbohydrates, choose complex carbohydrates such as from whole, minimally processed grains rather than refined white flours.

If you are significantly overweight, and have a high HemaglobinA1C, you may want to consider the Metformin your doctor is prescribing while you start making the lifestyle changes.

I hope this information helps you in your decision process. Best wishes to you.
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Can Elevated Blood Sugar Levels Be Controlled Through Diet And Exercises?

Hello, welcome to HCM, In my own practice, I have always preferred to have patients try lifestyle modification such as diet and exercise before starting medication. In many cases, when people are very committed to doing so, lifestyle modifications are enough to bring blood sugar down into a normal range. I don t know what GRBS is - I am assuming fasting blood sugar? 210 is significantly elevated so I can certainly understand your doctor prescribing medication for this. I think it would be good to also get a test called Hemaglobin A-1C . This test shows what your blood sugars have been averaging over the past 2-3 months. If you decide to go the lifestyle modification route, it would be a very good idea to get a consultation with a dietician/nutritionist. They can help you to know what food choices are best and how many calories. To start, please eliminate all added sugars such as in sodas. Also, when eating carbohydrates, choose complex carbohydrates such as from whole, minimally processed grains rather than refined white flours. If you are significantly overweight, and have a high HemaglobinA1C, you may want to consider the Metformin your doctor is prescribing while you start making the lifestyle changes. I hope this information helps you in your decision process. Best wishes to you.