My HbA1c is 11. What is the best advice to keep normal sugar level?
Patient's Query
Hello doctor,
My fasting sugars are 180 mg/dl, post lunch is 250 mg/dl, HbA1c is 11. I am presently on Metformin 1000 mg twice daily. Human mixtard 30/70 morning 30 units, evening 20 units. My age is 50 years, male. I have diabetes for two years. What is the best advice to keep sugars normal?
Hi,
Welcome to icliniq.com.
From what you mentioned, you have uncontrolled blood sugar level. This could cause a lot of complications. Fasting should not be higher than 110 and post-prandial should not be higher than 140. HbA1c should not be higher than 7.5. My advice is as follows:
- You should increase the dose of insulin to 40/20.
- Healthy diet: low fatty foods, low sugary foods, low carbohydrates, grilled meats are fine, fruits one piece only, green vegetables are fine and favorable. For further advice seek help from a dietitian.
- Continue the Metformin.
For more information consult an internal medicine physician online
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