instruction: dear doctor I am female 26years old I have been diagnosed with diabetes from past years I take the following medicines every day diamicron 60mg before breakfast gluconorm 500mg after lunch gluconorm 500mg after dinner due to current couid situation I am unable to visit any medical center to perform diabetes related blood tests but I did test my sugar levels at home after breakfast it was 346 I am worried as to how to consult doctors in this present situation my sugar levels are not coming down I eat normal meals in small portions like roti little rice snacks etc my last hba1c tested months back was more than I use to take jardiance before but stopped as I wanted to plan for my pregnancy since my sugar levels are not coming down I am worried about my future can you please guide and suggest as to what action plan I should take to help reduce my sugar levels to normal range appreciate your timely help in this quarantined environment I have thyearoid too taking euthyearox 75mg every morning regards
output: hi good day thanks for your query I have very uncontrolled diabetes ur lipids are also very high that means ur not controlling ur sugar treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes it can affect heart kidneys eyes nerves brain and everything first of all you need to stop bread rice pasta potatoes eat less fruits especially mango banana and grapes no sugar in tea no sugary juices ice cream or chocolates exercise at least 40 minutes daily even if it is just a walk if you will not change lifestyle no medication can control ur sugar with the time ur all body can be then affected with diabetes its a dietary disease and treatment is with diet only medication help when you change ur lifestyle if ur planning to be pregnant you need to be on insulin and you need to have hba1c less than 5 in pregnancy you know where ur right now I do not think ur taking good drugs right now either these will increase ur weight and that will lead you to have more sugar did you try glucophage before if yes why you had to stop did you try sitagliptin jardiance is a good drug as well so in my opinion you should be in insulin at present situation if you want to be pregnant especially otherwise the drugs I mentioned are the best choices let me know what you feel if you agree we will start those thanks