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My father is now 80. He has checked his blood sugar level. The result is Fasting Blood Sugar Level 125 and PP Blood Sugar Level 217. Please suggest a medicine.


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replied November 9th, 2015
General Q and A Answer A54752
Welcome to e health forum.

For your information, According to the Recommendation of the ADA, you may interpret your fasting blood sugar as follows:

- FBS < 100 mg/dl (5.6 mmol/l) = normal fasting blood sugar;

- FBS 100-125 mg/dl (5.6-6.9 mmol/l) = IFG (impaired fasting glucose);

- FBS 126 mg/dl (7.0 mmol/l) = provisional diagnosis of diabetes

If your father has been recently been detected to be having abnormal blood sugar levels or has been diagnosed to be a diabetic, then he will need additional tests to decide the further management including the need for medications.

Initially diet control, exercise and lifestyle changes can be very helpful, to control the blood sugars and might help to avoid medications as well.

To move ahead, confirmation of your diabetes status you need to get evaluated and additional testing including the HBA1C and a complete lipid profile to assess your cholesterol.

The HbA1C test is currently one of the best ways to check diabetes is under control. A normal non-diabetic HbA1C is 3.5 - 5.5 %. In diabetes about 6.5% is good.

Healthy eating helps keep your blood sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood sugar can prevent the complications of diabetes.

Healthy diabetic eating includes

1. Limiting foods that are high in sugar
2. Eating smaller portions, spread out over the day
3. Being careful about when and how many carbohydrates you eat
4. Eating a variety of whole-grain foods, fruits and vegetables every day
5. Eating less fat
6. Limiting your use of alcohol
7. Using less salt

Recommended foods
Quality is much more important than quantity. Make your calories count with these nutritious foods:

Focus on the healthiest carbohydrates, such as fruits, vegetables, whole grains, legumes (beans, peas and lentils) and low-fat dairy products.

Fiber-rich foods can decrease the risk of heart disease and help control blood sugar levels. Foods high in fiber include vegetables, fruits, nuts, legumes (beans, peas and lentils), whole-wheat flour and wheat bran.

Eat heart-healthy fish at least twice a week. Fish can be a good alternative to high-fat meats. Cod, tuna and halibut, for example, have less total fat, saturated fat and cholesterol than do meat and poultry. Fish such as salmon, mackerel and herring are rich in omega-3 fatty acids, which promote heart health by lowering blood fats called triglycerides. However, avoid fried fish and fish with high levels of mercury, such as tilefish, swordfish and king mackerel.

'Good' fats. Foods containing monounsaturated and polyunsaturated fats — such as avocados, almonds, pecans, walnuts, olives, and canola, olive and peanut oils — can help lower your cholesterol levels. Eat them sparingly, however, as all fats are high in calories.

FOODS TO AVOID:-

High-fat dairy products and animal proteins such as beef, hot dogs, sausage and bacon contain saturated fats. Get no more than 7 percent of your daily calories from saturated fat.
Trans fats are found in processed snacks, baked goods, shortening and stick margarines and should be avoided completely.

Sources of cholesterol include high-fat dairy products and high-fat animal proteins, egg yolks, shellfish, liver and other organ meats. Aim for no more than 200 milligrams (mg) of cholesterol a day.

Sodium. Aim for less than 2,000 mg of sodium a day.

If your glycemic control is not better with diet and exercise, then your doctor might recommend you medications. In addition, To attain good glycemic controls, you may need change or adjustment of dose of your medication, which can give you better glucose controls.

You will need to work with your dietician as well as your diabetes doctor more constantly, so that the combination of diet and medications work effectively to achieve good glycemic control.

I hope this helps.


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