BLOOD SUGER FASTING: 197Mgms/100ml.

by atish
(mumbai)

QUESTION: Hello doctr…m 4m mumbai,

my dad( age-58yrs) just have done blood glucose test,who have diabetes(diabetes type2) 4m last 7-8 yrs,so the report on blood glucose as follows;

BLOOD SUGER FASTING: 197Mgms/100ml.
FASTING URINE SUGER : PRESENT(+++).
POST PRANDIAL BLOOD SUGER : 291Mgms/100ml
POST PRANDIAL URINE : PRESENT(+++),

so all dis count is more dan normal range,n m 2much worry abt dis,plz tel me is der ne 2much serious issue 4 my dad’s health?wat should i do nw???plzzzz…. help me…m waitg yr repl…my email id is – atish.pote@gmail.com

also tel me,which type of diet must be use 4 my dad,means which type of food take in breakfast?lunch? and dinner?n any health supplement?

ANSWER: Hi Atish,

The high blood glucose (BG) of your dad indicate that his pancreas is not producing or secreting enough insulin, or this insulin is not functioning due to peripheral resistance.

Therefore, it is important to measure the insulin levels in his urine to further understand what is happening.

In case you cannot measure insulin levels in blood or urine, please advise your father to follow his doctor advice and to take the diabetic medications he/she has prescribed, never miss them.

At your father age, it is important to take medications as his body cannot make it to stabilize blood sugar itself.

However, your father should also follow the other lifestyle and dietary changes to succeed.

I cannot specifically tell you what your father can eat at each meal, because I do not know what kind of foods are typical for Mumbai.

Furthermore, everything must be calculated according to your father age, weight, height, in collaboration with your personal doctor to find out the calories he needs everyday.

In general I can only give you a daily menu as the following:

Breakfast: 1 slice of wholegrain bread (or rye bread). I know you eat roti, make sure your roti is made of wholegrain flour or rye flour.

1 glass or low-fat milk or 1 slice of low-fat cheese.

In between meals: 1 medium size apple (preferable green) or 1 small banana (if it is medium or big, cut it in 2 parts) or 1 medium size orange or 1 small size mango; etc.

The main idea is to give your father fresh fruits or vegetables, whether mixed or separate.

Lunch: 1 small bowl with vegetable soup
1 small slice of wholegrain bread
1 small piece of chicken breast
mixed vegetables salad (e.g, mix cut tomatoes, cucumbers, onions, pepper; add iodized salt and olive oil and lemon juice or vinegar).

In between meals: 1 small slice of toast
or mixed fruits or vegetables or 5 small pieces of crackers.

Dinner: 1 medium bowl of brown rice with fish fillet and a yogurt dish (e.g., cut the cucumber very firmly, add chopped garlic, mix with yogurt, salt and olive oil).

Before bed: Take a low-calorie snack

Another point is that you ask your father to walk for at least 30 minutes/day, and/or to add some aerobic exercises according to his health conditions.

There are some Indian herbs that help lower BG, e.g., cinnamon that I know it is wide-used in India. If you cannot find all the right herbs, you can use certain diabetic supplements that contain their extract.

All the best!

Dr.Alba