instruction: hi doctor I am a 45 year old female I have hypertension for four years and I take co diovan 80 12 in the past days I performed blood sugar tests on accu check device and got the following results respectively in four days after eight to ten fasting hours 283 364 420 483 after the lock down I will go to a doctor my question is can I go on fasting and taking the same medicine what can I do these days to lower the sugar levels
output: hi you have diabetes mellitus and your weight is high as well if you do not have symptoms you can go for fasting you need to do hba1c glycated hemoglobin which will show your average sugar over two to three months previously check your eyes for retinopathy kidney function test with urine albumin creatinine ratio check your feet and blood sugar frequently when fasting lifestyle modifications are the best treatment of diabetes low carbohydrates 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 take more vegetable salads and consume 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 fasting will also help you to control your diabetes drink more water at night sleep well do regular exercise at least walk 30 40 minutes daily the more you practice these things the better will be your control you may not need medication even but if you cannot take glucophage metformin 500 my in the morning and evening check your sugar frequently your fasting target should be 90 130 my dl and two hours after eating should be 150 160 my dl