How to control fluctuating sugar levels in a 62-year-old?

Question

Hi doctor,

My father is 62 years old and has had type 2 diabetes for 10 years. He is on Metformin 500 mg twice daily and recently started Glimepiride. His fasting sugar levels remain around 145 to 160 mg/dL, and his HbA1c last month was 8.2%. He has also been complaining of tingling in his feet and blurry vision in the evenings.

Could this mean diabetic neuropathy, or might it be due to fluctuating sugar levels?
What is the safest way to bring his sugars under better control without risking it, especially since he lives alone and tends to skip meals?

Please help me.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

The combination of tingling feet and blurred vision, along with an HbA1c (glycated hemoglobin) level of 8.2%, suggests diabetic neuropathy is a likely cause, though fluctuating blood sugar levels can also contribute to vision changes and sensations like tingling. An HbA1c of 8.2% indicates poor long-term blood sugar control, which can lead to nerve damage (diabetic neuropathy) over time.

The safest way to improve blood sugar control without causing dangerous lows involves a combination of dietary adjustments, regular exercise, and potentially medication adjustments under medical supervision. Focus on a balanced diet with controlled carbohydrate intake, and increase fiber and protein.

Limit sugary drinks and processed foods. These can cause rapid spikes in blood sugar. Opt for water, unsweetened beverages, and whole, unprocessed foods. Eat regular meals and snacks. Skipping meals can lead to fluctuations in blood sugar. Eating at regular times helps maintain stable levels. Consult with a healthcare professional or certified diabetes educator for personalized guidance.

Thank you.