I am a diabetic. Help me control my blood sugar.

Hello,

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I have gone through your reports (attachment removed to protect patient identity) in detail, and my observations are: Your blood sugar level is much higher than normal. This can be seen from the HbA1c (test to detect average blood sugar) and average blood glucose values. It is important for you to get back to your doctor and start insulin on a sliding scale. You are a young person, and if you do not control from now, then there might be serious complications after 15 to 20 years. Blood counts and homocysteine are almost normal. I would like to make the following suggestion: Iron is in the lower limit of normal, so you can include more green vegetables in the diet and also take iron supplements. Kidney function test is normal. Serum creatinine and uric acid are slightly below normal, and this is not a problem. Cholesterol levels are normal, and this is not a concern. In liver function tests, alkaline phosphatase is slightly elevated that might be due to diabetes. In the case of controlled diabetes, this will also come down to normal. Diabetes can be controlled with a proper diet and by taking insulin on time. Thyroid function test shows normal T3 and T4, both are in mid-range. TSH (thyroid stimulating hormone) is slightly elevated, and therefore this is also not a problem. Please do yoga or physical exercise for 30 minutes daily and maintain your body weight in the normal range. I hope your query been answered.