Hello doctor, My grandfather aged 79 years has diabetes for past 22 years. He has been on medication since then. He has other parameters normal but his sugar levels are quite high for some time. Before three months, the fasting blood glucose level was 116 mg/dl and postprandial blood glucose level was 206 mg/dl and a month back, his fasting blood glucose level was 186 mg/dl and postprandial blood glucose level was 362 mg/dl. He is currently having following medications: Zemiglo 50, Glycinorm 40, Tide 10, Cilamet XL 25, Modlip ASG, Pantoze LS, Gabapin NT. Otherwise, he is normal and his other parameters are normal. He eats rice for the lunch and otherwise, he avoids sugar as much as he can. Is there anything to worry and also please elaborate further line of treatment. Three months back, his creatinine was 1.5 which lowered to 1.4 after the above medication.
Hello. Your father is doing really well. The change in his sugar levels is due to his age. As he ages, his body processes would start to derange even if they were previously stable. He can continue eating as he presently is. But, ask him to also avoid sugar-rich fruits which usually are missed out like custard apple, chikoos, mangoes, pineapples. He should not eat high carbohydrate food as well as potatoes. Presently he is only taking tablet Zemiglo 50 and tablet Glycinorm 40 (for diabetes) rest are for hypertension, acidity and cholesterol lowering. I would like to know how many times is he taking these medicines, twice or once a day and also I wanted to know if its tablet Glycinorm M 40 or just tablet Glycinorm 40. You could also do the HbA1c (glycosylated hemoglobin) test, which would let us know if there are any variations in his sugar levels over the day, for the last three months. He should walk at least twenty minutes five times a week (if physically it is possible for him). It would help him get fitter. Overall, there is nothing for you to get worried. He is doing really well. Let him do things that keep him happy. The more he is happy, the better his health would be. For further queries consult a diabetologist online -->