Respected Doctor.My husband is 50 years ,5.8 hight and 80 kg weight. having type 2 diabetes and obesity ,sleep apnea.he don t do physical activity ,no diet control.He is taking azulix 1 tablets daily 2 for 10 days in a month.remaining 20 days he doesn t take any care..will he out of danger?
Hi, If patient has diabetes and is also overweight, like your husband (BMI26.81 kg/M2), then it is absolutely necessary to control blood glucose within the prescribed limit like fasting closer to 100 mg, Pp 150 to 160 mg & HbA1c%. To control sleep apnea, weight reduction is a must. Lifestyle changes that help reduction of weight will help in reducing sleep apnea. Particularly weight reduction. That means patient has to follow a strict dietary restriction, taking calories based on his ideal body weight (72 kg X 25 call = 1800 calories/d), avoiding alcohol completely and exercising for at least 1 hour a day. These changes will help in reducing body weight. Plus there are devices like CPAP, which can be used to prevent sleep apnea. But taking specific medication, controlling blood glucose, following dietary restrictions, adapting changed lifestyle and regular exercise is the only way to overcome the present situation. If he is unwilling to follow these necessary adaptations then it is difficult. Thanks,