Insulin has no side effects: Dr. Tejas Shah
Dr. Tejas consults at Diabetes Care Clinic, the Apollo Centre for Obesity and Bariatric Surgery and at Sanjeevani Mulispeciality Hospital.
Dr. Tejas specialises in gestational diabetes, diabetic neuropathy and type 2 diabetes for youth.
He is the founder member and Treasurer of United Diabetes Forum and a member of the Research Ssociety for the Study of Diabetes, India (RSSDI)
Dr. Tejas took time off his busy schdule to answer Sify readers’ questions on diabetic neuropathy, HBA1C levels, and provided diet recommendations and foot care counselling in an exclusive chat. Read the chat transcript here.
I am a gujrati & you know the eating habits of gujjus however I request you to suggest diet care to be taken & foot care to be done as i am a diabetic. I have fasting reading between 140 to 160 I am taking tablets like glypride 2 mg before lunch,glyciphage 500mg after dinner & breakfast, 15 units insulin before breakfast & 10 units insulin before dinner. Insulin was started from Jan 12 as i was to be operated for appendicitis. however operation did not happen as barium X-Ray did not show
appendicitis, but all the medicine intake is there.I want to get rid of insulin & bring diabetes into control naturally.
What steps needs to be taken?
You need to avoid high calorie foods like fried foods , junk foods , juices, colas. Try to eat frequently, but small meals, exercise regularly, keep a check on your blood sugar count regularly and slowly your medications will come down…
Don’t walk bare foot, wear proper footwear, pay attention to any small cuts/wounds/ bites immediately and treat them.
Check with your Docter for Neuropathy or PVD.
I am diabetic since 8 years & My Fasting range is 135 Iam taking 1 tab glynes MF in morning & one in evening But at the time of lunch at 2.30pm my sugar level will be 70 -75
Since your sugars are going low in the afternoon try reducing your morning dose by half and see the result or else pls consult an expert…
my fasting sugar is 235 & pp is 345, which medicine should I Take
Cannot comment without history and examination…
iam 52 years recently hospitalised my blood sugar was 412 and taking insulin (Human Acrapid) 10-10-10 for last 2 months. Now my blood sugar is 132/165. I want to know if insulin can be replaced with some oral medicine ?
Since I do not know your history..I cannot prescribe any medication..pls consult your Diabetologist…
I am 45 years , Male- My blodd sugar level shows differently at 3 tests. 100 – 126 125 – 160 101 – 140 110 – 145 Do I have Diabetics?
Since one or two readings has crossed 140, you are in a stage of impaired glucose tolerance so you need to be on diet control, exercise…consult an expert for medications…
my mother has diabetes for last 10 yrs, range frm 125 fasting and 175 2 hrs after dinner. she is taking glycomet gp1 in the morn; 1 in eve before breakfast and dinner resp. sugar level not maintaining at normal 70/120 ,please advice.
Consult your Diabetologist for the change in medication..
What is the best way of controlling my sugar levels without increase the dose of medicine I take ameryl 1mg
Eat a balanced diet and exercise regularly !
male, 47, fasting 145, pp 215. on GEM1 or Zoryl M (Glimepiride 1mg + Metformin 500mg) bef lunch, bef dinner: Glycomet 250mg. Do I need meds forever? low cal diet, 45min walk per day. wt 78KG, Ht 5ft8. sideeffects for meds? suggest lifestyle modifications
You need medications to be taken continuously and no major side effects with these medicines you are taking right now… continue walks and less stress, eat small frequent meals and avoid junk food…
can jaggery causes diabetes ?
No…But you cannot have it freely…
How does HB1AC HELP IN MONITORING ONE`S SUGAR LEVEL?What is accepted HB1AC level?
It tells us the average glucose of the last 3 months and a accepted level of 6-7 percent denotes a good sugar control..anything above 8 percent could lead to complications…
I am taking insulin (Human Acrapid) 10-10-10. my blood sugar is 132/165. I want to replace insulin with some other oral medicine. Please suggest.
Can’t comment without history examination… Pls consult some expert personally…
My march HBA1C LEVEL was 7.9 iam on gliclazide80/metformin in morning&metformin 500 sr in the night.I plan to check again HBA1C IN JUNE.My fasting level is 125 to 130.Pl advise whether iam on correct track.
Since your HBA1C ia 7.9.. it denotes a slight high level ..get your post lunch blood sugar also checked and keep it below 160.
can a diabetic go to gym and do the muscular exercise
Yes he can!
My father has diabeties he is 69 and he cant see properly with his eyes. What diet he should take
Get your father’s retina check up done first.
1.What are the merits & demerits of taking insulin-Vs-Oral tablet to control diabetes. 2.Whether switch-over alternately week wise/month-wise between insulin-& -Oral tablet more beneficial and healthy?
Insulin has no side effects and is absolutely safe … and is a natural hormone to reduce blood sugars and the only demerit with insulin is that it can cause weight gain..switch over is not a recommended alternative.
can we taken jaggery instead of sugar.
pl give advice about diet control to control bloodsugar
Small frequent meals and a high fibre diet..avoiding things like maida, sweets, colas, juices would help!
my husband fasting blood glucose:128.2 and 2hours ppbs:171.8 he does not take any medicine.please advice us.
Cant start a medication without history examination but pls get his HBK1C checked…
hello sir, my cousin brother who is only 10 years old is suffering from severe diabetic problem since 4 years.he takes daliey insulin injection before meal.please help us thanks nis
Since he is type 1 he has to be on insulin..as he grows older it will be easier for him to manage later and certain advances in insulin pumps are already there in India to make his life simpler…
sir,My age is 43 yrs….Have been sufferering from Type 2 Diabetes last 8 yrs…..Having been doing diet and sports…but diabetes not coming under control…..Bf Bkfast 166 2 hrs Post lunch 239…..Glucororm 1mg 2 times a day…..please help
Either change your medications or step up the dose after consulting your doctor…
im 37 yrs female, I hv diabetes from 2005 medicats. I do regular check up Nw my left hand is paining n my backward movements are restricted my diabetes is under control.medicine Gp2 1-0-1/2 empty stomac Gluconorm SR 1g and Cobadex
It looks you have a frozen shoulder problem or which you require a physiotherapy so try doing it or consult an orthopaedic surgeon.
Is there permanent cure for Diabetes Type 2? Have been taking medicine everyday. Home Tips to control Diabetes. Alternate medicine etc.,
No there isn’t a permanent cure…eat a balanced diet, exercise regularly and lead a stress-less life!
is diabetes heriditary.
Do fenugreek & bitter gourd-like things fight diabetes? If yes, how? Do any foods have insulin-like properties? Some Ayurvedic doctors like Ramdev promise cure by herbs and I have seen patients responding. What do you say?
Things like fenugreek are high in fibre so beneficial for our body.. so you could take it.. can’t comment on Ayurveda…
diabetic since 11 yrs. 46 yrs old. HbA1C under control (varies betwn 6.4 to 6.7 ). SGPT & SGOT are above normal. Pl let me know reasons and ways to control the same. Are there any side effects?
You could have a fatty liver problem ..get the sonography of your abdomen done and consult an expert with the report…
my husb age 47 had fasting 107 about 3 months ago. is it a must to do GTT now. normal weight, mild high cholesterol. his father was diabetic
Need not do GTT but do a fasting sugar and a post lunch sugar every 6 months…
what is the effect eating leaves of deadman’s plant.
I have not heard of this before!
diabatic for last 25 yrs, 5Yr ago bypass surg. taking 30/70 homo insulin 18 units morn & eve. BS minimum 130-140. on cardiac tabs; walking 1 hr 5km daily. am fit, veg. need suggestions on diabetic level.
Keep your fasting sugar below 110 and post lunch below 180 and HBA1C upto 7.5 maximum.
i am having post lunch 250 but i am not taking any medicine so far i am doing only exercise and i dont want to take medicine pl. advise
Your levels are such that you need to be on medication..I won’t like to advice you to continue like this…
what is the best way of getting out of biabetes
Diabetes is usually life long but keeping it under control is the best way to manage it.
Doctor,how many mangoes are allowed per day in diabetics?
Hi Albet… One mango a day is advisable but eat it 3 hrs after your lunch… but do not eat it everyday.. : )
my blood sugar is 132/165. Taking insulin 10-10-10 with Pantab 40 & Bigsule tablets. I want to replace insulin with some oral medicine. Please advice. My diabete detected two months before only.
Can’t advice as history and examination is required…Pls see an expert…
How fatal is diabetes.Prolonged sugar level around 250 after meal can cause damage at what level?
Diabetes is not fatal but a slow progressive disease ..anything above 180 post lunch sugars can lead to complications…
i’m 35 year odd, My fasting sugar was 127 and post breakfast 190…after doctor advice i’m maintaing my diet and excersie regularly .Now my sugar level is normal without medication. -Do I need to do GCT to confirm if i’m diabetic? Thanks Ashok
You need not do a GTT but do a HBA1C every 4 months to make sure you are undert control..
hi Dr. am 38 years old, and my wight is 165 KGS, i know i have sugar, pls suggest me reduce both, HOW?
Exercise and a balanced diet is adviced. You need medication too… as with the weight like 165 kgs you seriously need to see an expert immediately.
Namaste. My blood sugar levels have varied very erratically in the past few days despite regular yoga, walking, aerobics, diet, and medication. FBS: 210, 197, 194, 166, etc. PPBS: 197, 210, 206, 151, 132, 297. What could the reason be for this? MS
Maybe your medications are not working on you or not suited for you well.. Pls change the medications after consulting an expert Diabetologist…
i am 28yrs, and i have thyroid, due to this i put up my weight, very offen, and many times i skip my lunch, to reduce my weight. please suggest me a proper diet chart to avoid my stomach,
Take small meals in small quantity 4-5 times a day ..avoid things like fried foods, sweets, cold drinks, fast food and maida products… But pls don’t skip your lunch…!
my mother’s sugar level is 300. she is under control about her food. but still the level is not coming down. What should I do?
You need to change her medication soon…
I SUFFER FROM DIABETICS SINCE LAST ONE YEAR FROM PERENTAL SUGAR LEVEL REDUCED FROM 240 TO 130 FASTING BUT FREQUIENTLY UP – DOWN MY A1C IS 9.7 AS ON 02.04.2012 TESTING DONE AT DR B LAL , JAIPUR MY AGE IS 42 YEAR
Since your A1C is 9.7 it denotes uncontrolled blodd sugars so pls change your medication after consulting an expert Diabetolgist
I am 28yrs femal diabetes patient, last two years i’m taking insulin, in braefast 20 unit & dinner 10 unit. After insulin my FBS is 80-100 & PPBS is 120-150. sir, my question is to you, can I cantrol my sugar level taking any pills?
Can’t comment as I do not know your history in detail… See an expert pls personally…
My mother is diabetic last 20 yrs(age-70), she has sever cramps in her leg and sort of pain in the thighs and the joint of leg at the bum its diabetic blood circulation related issue – please guide me. sugar is under control.
The pain looks to be a more of neuropathic pain rather than a blood circulation problem… to check the blood circulation problem you need to to do a colour doppler.
i am 56 years old, I take sugar free in Coffee and tea; Very often I use to go on tours. please suggest me what foods should I take. I am purely vegetarian. Blood sugar is normal.
You can have all fruits except custard apple and chickoo..dont have your fruit with your meals but 3 hrs after your meals…
i am suffering from diabetic but maintaining sugar level of 104/116,i am taking medicine named glynase-1.but maximum time like my hole body is shivering,can u advise me something for this i am also feeling weak.
At the time you get shivering try to check your blood sugar immediately as it could be a sign of hypoglycemia…
I have been taking Metformin tablets ( twice a day) product name ‘GLYCIPHAGE” , but i am have been losing weight due that. Is it becoz of that & what should i do to gain the weight ??
Just check whether your blood sugar is under control which might lead to weight loss… If you are not underweight you could continue with the same…
how to kill more calories,by walking or by running in the morning
Brisk Walking 45 mins atleast 6 days a week would be ideal..
i have meralgia paresthetica of right thigh since 4 months.my doctor says it is due to my having impaired glucose tolerence.still have pain on and off . have stopped sweets totally since 3 weeks.how long will it take to resolve.thanks
Since your blood sugar is only 4 months old and on the borderline, it is unlikely to lead to this problem… pls get yourself checked whether you have a spinal problem which may lead to this…
My mother (Age 47) is diabetic patient and on insulin also. Since last few months she has problem of high sugar and swelling and pain on legs, arms and face, she also has problem of chest pain, mostly due to gastric problem. Please advise best treatment,
Treatment cannot be advised without investigation …pls get her investigated by certain tests like creatinine, tsh, 2-d-echo, stress test to find out the cause of her problem…
Dr.last 2002 I got my bypass surgery due to diabetic at the age of 32 now Im taking PIOGLAR 30+2 GF and RIOMET OD 500 what is my next step?
Make sure your blood sugar is under control with the medications you are taking and check other parameters like kidney, eyes, heart regularly…
my mother, aged 69 years is diabetic from almost 10 yrs now. She gets this burning sensation under her feet area, for which she prefers to walk barefoot on cold floors at home. What she can do at home to get over this issues. Thanks.
Pls do not walk bare foot at all.. she can socks in the house with a specially made footwear and let her take medications from an expert for Neuropathy…
diabetes,( Type 2) since last 3 years presently I am not taking any medicine .Sugar level is 130 after breakfast. I am avoiding rice and sugar items. and having roti with vegetables. weather not taking rice will help me and what diet should I follow
No you need not avoid rice but eat in small proportions at regular intervals…check your post lunch sugar and your HBA1C
hello sir iam sandeep a type1 diabetic since 23 years iam 41 now on insulin pump and my feet burns in summer i have creatine levels of 1.8 to 1.9 since 2001 my hba1c is 6.8 i have no appetite and no thirst kindly help
Your loss of appetite could be because of your slightly high creatine… Pls consult an expert Diabetologist and he will prescribe you certain medications for your burning feet.