Hi, I would like to consult for my mom. She has high diabetes (H1bAC of 12.9, urine glucose 3+, fasting 288) - Could you let me know if there are any early precautions she need to take to bring down the glucose level? She is going for atleast 30 minute walk. She skipped my diabetes medicine for a couple of times in last few days - could that have triggered high diabetes fasting glucose as well? Is there any way her current diabetes can be controlled without external insulin, like by improving eating habits and regular exercise? I am afraid that insulin could be a life time thing so would like to avoid it (please correct me if I am wrong).
Hello, I would like to remove a few wrong beliefs from you if we need to start a patient on insulin it always doesn't mean he or she has to be on it for life if in future we will see that the patient sugar is controlled by some antiglycemic then she can be reverted to it and yes definitely along with the medicine many lifestyle changes are must for her # Diet should be around 1400 kcal /day# She should avoid rice, potato, sweet potato, fruits which are very pulpy like mango, banana, and anything sweet #Instead of sweet she can use sugar-free# She should take a diet rich in fiber and protein like soybean, manner etcetera#Along with that she needs to continue her walk Hope I have answered your query. Let me know if I can assist you further.