How Can Blood Sugar Levels Be Kept Under Control?

** Thanks for contacting with your health concern 1. As you are a chronic case of type II diabetes and keeping a good lifestyle modification programme, thus following are my observation: i. As HbA1c is on the higher side which means that although your exercise regime is helpful in getting your weight to lower side but your blood sugar is not under control. ii. Natural ways to reduce blood sugar levels along with necessary instructions: DIETARY REGIME - Take: i. Cereals: barley, a special variety of grains [sanvaka, kodrava], wheat. ii. Pulses: green gram, horse gram, pigeon pea, alasi, chickpea. iii. Fruits & vegetables: patola, karela, amalaki, haridra, kapittha, black pepper Others: betel nut, rock salt. iv. Lifestyle: walking, playing, physical exercise, bathing. a. have vijaysar plant water to drink. b. have roti of chickpea with 20 ml bitter gourd juice c. chewing leaves of bael with black pepper is good. - Avoid: i. Cereals: freshly harvested grains, rice. ii. Pulses: black gram. iii. Fruits & Vegetables: mangoes, grapes, Others: milk, curd, clarified butter, jaggery, oil, alcohol, sugarcane products, eating before digestion of previous food, incompatible food. iv. Lifestyle: day sleeping, sudation, smoking, suppression of natural urges, therapeutic bloodletting, riding. A. say NO to: Sugar, all sweets, cakes, sweetened biscuits-drinks, sweet fruits like mangoes and grapes, jam, honey, canned sweet fruits. . Eat in Plenty: all leafy vegetables, tomato, cucumber, brinjal, cauliflower, lady s finger, soup [tomato/vegetable], buttermilk, sugar-free drinks, tea/coffee with sweeteners, all cereals, sprouted pulses. . Eat restricted quantities: chapati, bread, corn flour, plain or salted biscuits, rice, meat, eggs, chicken, fish, skimmed milk. . Regularize timings and quantity of meals. . be careful in festivals and marriages, compensate for extra sweets by reducing previous and subsequent meals. . do not remain starving for long periods . avoid alcoholic drinks. . wash the feet daily, dry them, inspect them & then sprinkle a lot of talcum powder. . avoid walking barefoot, even at home. . wear soft cotton socks and canvas shoes, avoid tight fitting shoes and chappals. . cut nails carefully and always after a bath, when they are soft. PS. what to look for clinically A. 1. Weight 2. blood pressure [must be checked on every visit] 3. Check peripheral pulses on the legs [even if the patient does not have any leg complaints] 4. Examine the feet: especially the interdigital spaces and soles, for infections, ulcer, and sensory loss 5. Recommended investigations during follow up: . ask for EKG [electrokardiogram], . Retinoscopy, . Urine for microalbuminuria and Glycosylated Hemoglobin . Lipid profile. . Ultrasonography of abdomen for pancreas.