Hello, Thanx for using hcm your husbands sugars are very high,You didnt mentioned whether he is on insulin or medicines .Its must for him to follow a good diet and exercise regime being diabetic and also on pacemaker. 1 .He should have small meals 5 times a day 2 .Follow the carbohydrate exchange ( portion size) For diabetes. stick to those quantities dont serve large quantities. 3 .Avoid juices , sweets, carbonated beverages, energy drinks as they increases sugars fast. 4 .serve whole grain cereals like whole wheat breads , brown rice, oats, quinoa as they have low glycemic index that means they are digested slowly .Always include healthy proteins (without fat) in each meal . 5 .Avoid starches like potatoes, yams ,refined breads and refined cereals. 6 .Serve lots of raw vegetables in the form of salads they are filling , rich in fibre and helps in controlling hunger and sugars. 7 .Brisk walking or threadmill will be ideal exercise for a duration of 30 minutes daily. By doing these things he can loose weight also.