How can I improve my insulin level?

Hi,

Welcome to icliniq.com.

Thanks for your query.

Your investigations report shows your HBA1c is higher than your target. It shows average blood sugar levels over three months of time. You are already taking three different types of medications. If you are taking them regularly and still your sugar levels are high as evident by your investigations, then you may need to take an insulin injection. As your blood tests also show that your pancreas is not making enough insulin, as this is what happens with long-term diabetes. So, try to adopt lifestyle modifications more strictly as explained below, and check your sugar levels as you have done now after three months. If your sugar levels still remain high like this, you will need to start insulin but if it comes down then you can continue with the same medications. Diabetes has many complications so, it is not just to bring down the numbers but to monitor and treat complications associated with diabetes. Lifestyle modifications are the best treatment for diabetes.

1. Get your eyes checked for retinopathy, and kidneys with urine albumin-creatinine ratio.

2. Get your feet also checked.

3. Low carbohydrates diet should be taken and no added sugar, no sugary juices, no bread, rice pasta, or potatoes. If u cannot stop, at least take as little as possible.

4. More vegetables, salads, and fibers should be consumed.

5. Fruits, only as a sweet dish can be taken. Do not take mango, grapes, and banana. Apple, not more than one piece. Strawberries and other berries are fine along with peach, apricot, and small amounts of plums.

6. Intermittent fasting will also help you to control your diabetes. You can fast for 16 hours, like taking your dinner at 7 PM and not eating anything after that. Next, you can take breakfast at 11 AM. During fasting, just drink water and green tea without sugar. You can extend fasting up to 24 hours and then 36 hours as your body adopts. You can do fasting two times a week or as you feel comfortable. It will control your sugar levels.

7. Drink more water. Sleep well. Exercise, at least walk 30 to 40 minutes daily.

The more you will practice these things, the better will be your control. Check your sugar levels frequently. Your fasting target should be 90 to 130 mg/dL. Two hours after eating should be 50 to 160 mg/dL.

Hi,

Welcome back to icliniq.com.

Check your feet means to check them every night before sleep for any wounds because with long-term diabetes feet become numbed, and you may not feel any pain even if your feet are hurt and simple abrasion may result in the big wounds over time. Intermittent fasting will sensitize your insulin gradually. You should be wearing well-fitted shoes and wear socks too. If you have numbness in your feet, you can take Pregabalin tablet 75 mg once daily.

Thanks a lot.