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Q. I am 26 years old with an increased blood sugar level. Please advice me on how to control it.

Answered by
Dr. Zulfiqar Ahmed
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 23, 2021

Hi doctor,

I am a 26-year-old male, and I am taking tablet Metformin 500 mg twice daily for my blood sugar, but still, it is 230 mg/dL in the morning (fasting) and 300 mg/dL in postprandial. Please help me with what I should do and guide me on how I can control my sugar. I am panicked about this, and I need proper advice on how should I handle this?

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Hi,

Welcome to icliniq.com.

What is the HbA1c (glycated hemoglobin) value which shows your average sugar over the last two to three months?

Diabetes has many complications, so it is not just to bring down the numbers but to monitor and treat complications associated with diabetes.

Check your eyes for retinopathy.

Check your kidneys for urine albumin creatinine ratio.

Check your feet.

Lifestyle modifications are the best treatment of diabetes.

1) Low carbohydrate diet and no added sugar. No sugary juices. No bread, rice, pasta, and potatoes. If you cannot stop, at least take as little as possible.

2) More vegetable salads and fibers. Fruits only as a sweet dish. 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.

3) Intermittent fasting will also help to control your diabetes. You can fast for 16 hours, like taking your dinner at 7 PM and breakfast at 11 AM, and do not eat anything between that. During fasting, drink water and green tea without sugar. You can extend fasting to 24 hours then 36 hours once your body adapts. You can do fasting two times a week or how you feel it will control your sugar.

4) Drink more water and sleep well.

5) Exercise at least walk 30 to 40 minutes daily. The more you will practice these things; the better will be your control.

6) Check your sugar frequently. Your fasting target should be 90 to 130 mg/dL and two hours after eating 150 to 160 mg/dL. HbA1c should be less than 7. These targets can vary in individual patients depending upon their diabetes duration and other relevant issues.

7) As your sugar is high and it is not controlled with tablet Metformin alone. You need to change your medicine. Start tablet Janumet 50/1000 (Sitagliptin 50 mg and Metformin 1000 mg) morning and evening.

Follow the above diet and lifestyle modifications.


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