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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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My blood sugar reading was on borderline diabetic for a long

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My blood sugar reading was on borderline diabetic for a long time then it went to 114 in Dec. I did not worry about it very much then had it checked early this month. The office called & said it was 127 & I was diabetic & prescribed med. & told to ck again in a month. I worried about it, bought a book & saw that my nos. were just 2 in the diabetic zone. I went in to see the dr. in person. She told me if I wanted to try to manage it by diet-I had already started dieting-I could & not take the med. & come back in 3 mos & recheck. I have lost 13 lbs. this month. I have been trying to follow guidelines for diabetic but has been hard. We went to a steakhouse Sat. & I had steak, baked potato-loaded & Salad & roll thinking that my bs test had been better (I have bought a meter also.) When I tested the next morning it was 132 then the next day 136. My question is: am I going to be able to be a non-diabetic or borderline diabetic or is this my fate? If I can prevent a full fledged diabetes diagnosis, what an I supposed to eat & control it before the nos. get permanently bad?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

Customer:

Hi

Mysticdoc :

You need to get your hemoglobin A1c checked

Customer:

what's that?

Mysticdoc :

This will give you an average of 3 months blood sugar

Mysticdoc :

The normal value should be below 6.5

Mysticdoc :

Random blood sugar may fluctuate but does not give better idea.

Customer:

This should be 3 mos from now. or the past 3 mos?

Mysticdoc :

past 3 months

Mysticdoc :

for example if your A1c is 7, that means your average blood sugar for past 6 months is around 130

Mysticdoc :

sory past 3 months

Customer:

I am afraid the past 3 mos. will be high. If the next 3 mos. may be able to bring it down some.

Mysticdoc :

Yes that can be controlled with proper diet and exercise.

Mysticdoc :

I am going to post a general idea on diabetic diet here.

Mysticdoc :

You should also see a nutritionist for individual diet plan.

Mysticdoc :


  • Healthy carbohydrates. During digestion, sugars (simple carbohydrates) and starches (complex carbohydrates) break down into blood glucose. Focus on the healthiest carbohydrates, such as fruits, vegetables, whole grains, legumes (beans, peas and lentils) and low-fat dairy products.




  • Fiber-rich foods. Dietary fiber includes all parts of plant foods that your body can't digest or absorb. Fiber can decrease the risk of heart disease and help control blood sugar levels. Foods high in fiber include vegetables, fruits, nuts, legumes (beans, peas and lentils), whole-wheat flour and wheat bran.




  • Heart-healthy fish. Eat heart-healthy fish at least twice a week. Fish can be a good alternative to high-fat meats. Cod, tuna and halibut, for example, have less total fat, saturated fat and cholesterol than do meat and poultry. Fish such as salmon, mackerel and herring are rich in omega-3 fatty acids, which promote heart health by lowering blood fats called triglycerides. However, avoid fried fish and fish with high levels of mercury, such as tilefish, swordfish and king mackerel.




  • 'Good' fats. Foods containing monounsaturated and polyunsaturated fats — such as avocados, almonds, pecans, walnuts, olives, and canola, olive and peanut oils — can help lower your cholesterol levels. Eat them sparingly, however, as all fats are high in calories.



Customer:

So I wouldn't be a diabetic? The weight is coming off pretty fast. I would like to continue to monitor the diet but not as strict as a reg. diabetic. Thank you for posting the food list. I will print out. Is there a portion size?

Mysticdoc :

Yes probably not.

Mysticdoc :

in many cases, you can avoid diabetes by controlling your diet, weight and exercise.

Mysticdoc :

yes there is portion size.

Mysticdoc :

Small portion size is preferred.

Customer:

I appreciate the info. That should ans. my question. thanks again.

Mysticdoc :

your daily caloric intake should not exceed 1200 kcal .

Mysticdoc :

And you should also count carbs.

Mysticdoc :

Total carb intake should be within 130 grams daily.

Mysticdoc :

These are the basics.

Mysticdoc :

Best wishes,


Please rate the chat Good or Excellent, if you are satisfied with our conversation and do not have any further question, so that I get rewarded for my time & effort. Thank you!


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Customer:

Thanks again.

Mysticdoc :

very welcome

Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 21912
Experience: MD
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