instruction: hello doctor taking ctd 6 25 for hypertension and amaryl my for diabetes for more than five years my fasting sugar level is always above 200 on average besides this I have vertigo syndrome rbb severe constipation and for the last three years itching in lower legs right leg in winter and left leg in summer most of the time I am sitting for my job my height is 181 am and weight 10 keg no change for the last five years
output: hello after going through short the medical history I want to address some points for you first important aspect of management of diabetes is diet that will remain the primary objective for the management of type diabetes across the globe please elaborate a little about your basic diet pattern second important aspect of management of diabetes is exercise as you have mentioned your are an accountant and that will make you a less active person during a major time of the day while on the job and presently in lockdown at home take small 10 minutes of time and walk across the corridor start with little things then on the third part comes the medicines you have not mentioned how many times a day you are taking amaryl my please do mention that your weight is also more compared to your height amaryl can cause a little weight gain also you should opt for tablets that will not gain weight there are certain medicines available now which controls blood sugars and also help in weight loss apart from this I would like to know about your family history of diabetes and the stress levels you are facing on the scale of 10 are you getting enough sleep how many times you have to go for urine at night any pain or burning sensation in legs obesity uncontrolled sugar levels fbi fasting blood sugar pubs post prandial blood sugar hba1c glycated hemoglobin lipid profile serum creatinine type do continue the same medicines until we work on detailed diabetic history take six to seven small frequent meals a day more leafy vegetables fruits pulses take less grains maid and processed food once detailed history available and reports done