Dear Doctor I am female 26yrs old. I have been diagnosed with diabetes from past 4 years. I take the following medicines every day: 1. Diamicron 60mg before breakfast 2. Gluconorm 500mg after lunch 3. Gluconorm 500mg after dinner Due to current covid situation, I am unable to visit any medical center to perform diabetes related blood tests. But I did test my sugar levels at home after breakfast. It was 346. I am worried as to how to consult doctors in this present situation. My sugar levels are not coming down, I eat normal meals in small portions like roti, little rice, snacks, etc. My last HBA1c tested 6 months back was more than 8. I use to take Jardiance before but stopped as I wanted to plan for my pregnancy. Since my sugar levels are not coming down, I am worried about my future. Can you please guide and suggest as to what action plan I should take to help reduce my sugar levels to normal range. Appreciate your timely help in this quarantined environment. I have thyroid too, taking Euthyrox 75mg every morning Regards
Hi. Good day. Thanks for your query. I have very uncontrolled diabetes. Ur lipids are also very high. That means ur not controlling ur sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes. It can affect heart kidneys eyes nerves brain and everything. First of all u need to stop bread rice pasta potatoes. Eat less fruits especially mango banana and grapes. No sugar in tea, no sugary juices ice cream or chocolates. Exercise at least 40 minutes daily even if it’s just a walk. If u will not change lifestyle no medication can control ur sugar. With the time ur all body can be then affected with diabetes. It’s a dietary disease and treatment is with diet only. Medication help when u change ur lifestyle. If ur planning to be pregnant u need to be on insulin and u need to have HBA1c less than 6.5. In pregnancy. U know where ur right now. I don’t think ur taking good drugs right now either. These will increase ur weight and that will lead u to have more sugar. Did u try glucophage before ? If yes why u had to stop. Did u try Sitagliptin? Jardiance is a good drug as well. So in my opinion u should be in insulin at present situation if u want to be pregnant especially. Otherwise the drugs I mentioned are the best choices. Let me know what u feel. If u agree we will start those. Thanks