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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diabetes

Dear Dr. Nitin Rao, I hope you ll be fine and doing great. I consider myself lucky to ask a health related query to such an erudite person like you. Well, my father just got his blood sugar tested some days ago. Test values are as below: (Fasting=123 & Random=297)mg/dl He is so worried about this that he suffered from diabetes. We do not have any diabetic history in our whole family both from my father and mother side. Since the day of my father s blood sugar test, he has started daily walk in evening time of about 3kms atleast. Furthermore, he has also skipped sugar and other fatty foods like burgers, pizzas etc. Please guide what else my father should do to keep diabetes away. One important thing, my father is very fond of milk, can he drink milk or not ? My Father s Details: Age: 59 Height=5 feet 11 inches. Weight: (90 - 93) KG Looking forward your your kind and expert opinion. Best Regards | Faraz Saleem                                                                  
Wed, 24 Dec 2014
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Diabetologist 's  Response
thankyou for your query.
As per your fathers blood glucose levels he is diagnosed case of diabetes. Moreover his BMI shows that he is overweight.
There is absolutely no reason to panic. All you have to do is to start antidiabetic drugs as soon as possible. You can start tab gliclazide 30 mg once, half an hour before breakfast and 500 mg tab metformin half an hour after dinner. Along with this he has to work up on his diet plan also. He should follow frequent (5 times) and short meals. He can take oats, cornflakes, sprouts, or a glass of skimmed milk, tea (either with sugar free or without sugar). After two hours he can either take a bowl full of rice or 2 multigrain chappatis, bowl of green leafy vegetables, nuts, curd (fat free) or butter milk at lunch. Then he can take some oil free snacks at evening tea and then repeat the same regime as has been told for lunch. Keep changing oil from mustard to olive to sunflower or safflower oil.
Apart from this he should do 30 minutes of brisk walking or 30 minutes of aerobics. After following this schedule if his fasting and post prandial sugar comes down then stick to the same regime, else add 15 mg of pioglitazone. Contact for further query.
Feel free to contact any time.
God bless
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Suggest Treatment For Diabetes

thankyou for your query. As per your fathers blood glucose levels he is diagnosed case of diabetes. Moreover his BMI shows that he is overweight. There is absolutely no reason to panic. All you have to do is to start antidiabetic drugs as soon as possible. You can start tab gliclazide 30 mg once, half an hour before breakfast and 500 mg tab metformin half an hour after dinner. Along with this he has to work up on his diet plan also. He should follow frequent (5 times) and short meals. He can take oats, cornflakes, sprouts, or a glass of skimmed milk, tea (either with sugar free or without sugar). After two hours he can either take a bowl full of rice or 2 multigrain chappatis, bowl of green leafy vegetables, nuts, curd (fat free) or butter milk at lunch. Then he can take some oil free snacks at evening tea and then repeat the same regime as has been told for lunch. Keep changing oil from mustard to olive to sunflower or safflower oil. Apart from this he should do 30 minutes of brisk walking or 30 minutes of aerobics. After following this schedule if his fasting and post prandial sugar comes down then stick to the same regime, else add 15 mg of pioglitazone. Contact for further query. Feel free to contact any time. God bless