I present myself: I am 61 years old, 4 bypass and I have a diabetes of 120 average approx., My problems, as a lot, and also a lot of bread.Milk with calcium.I'm quite quickly (1 hour, 6 km approx.). What kind of diabetes do I have?Can I download it less?What medication should you take?For how long?It is compatible with the others that I take (Adiro, Ezetron, Cardyl 10, Masdil Retard, Omeprazole and Diafusor 10. My doctor is not a friend that I take more medications, but on the other hand, despite eating very healthy, it does not lower me from 116/126. Please advise me, thank you very much.
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Hi Pepelu
First, no idea if you have diabetes.In case of having it, it would be type 2. Technically, the glycemia that you put (Masmenos 120) are indicators of a "prediabetes", although in my opinion it is already a diabetes. The fact is that, the first "traditional" measures taken are: diet, exercise and reduce the weight.
Regarding the diet, which elevates glycemia are carbohydrates ... but at the same time they are necessary for daily functioning, it is recommended that 40 or 50% of the diet be based on carbohydrates (pasta, flours, milk, fruits ... basically, everything that is born from the earth are carbohydrates). It is advisable to consume the slow absorption hydrates and with a good fiber base that further slows down. In this link you have a lot of information:
As for the exercise, I believe that in your case a daily continuity is recommended more than a high intensity ... better to walk every day at 70% than 4 days to 90% effort.
The medication must be prescribed by the doctor, mandatory, with 120 figures (I understand that they are always fasting figures, glycosylated hemoglobin should better look at: Link ) It is not mandatory to guide medication ifWith diet and exercise it is controlled.
Adiro is "aspirin", the Ezetron I do not know it, the cardyl is for cholesterol and the rest are related to your coronary heart disease ... I understand that an oral antidiabetic would not interfere in any of these medications, but it is better that this value itThe doctor.
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Hi Owash:
Thank you very much for answering so well and as soon. I give you my latest shots, always fasting, recently raised: High Date Glucose 11-Nov 115 61 110 14-No 111 48 112 18 112 61 116 22 115 61 112 25 112 58 116 29 114 62 128 02-Dec 111 61 120 6 110 62 108 9 117 58 114 13 113 59 109 20 113 62 121 23 111 60 122 27 108 61 110 30 110 54 116 03-Ene 106 60 113 6 110 58 107 10 112 55 120 13 121 56 109 17 123 73 117 20 130 77 109 24 131 74 126 27 126 62 116 31 136 71 124 03-FEB 118 61 123 7 115 62 124 (The amounts are = date; high voltage; low voltage and glucose) Indeed, it must be prediabetes, but for my arterial problems I must be very careful, right? Diet (I make healthy meals, low in fat and salt, and practically without sugar, although I ingest about 5 pieces of daily fruits -kiwi on an empty stomach; orange and a half after eating; apple after dinner; and a 0-0 a half a yogurt to averagelate).In the main half -day and dinner meals, as a lot of quantity, varied and with appetite.I drink approx.1.5 l.of water a day -mainly a glass with each pill. Exercise: Normally, 5 days a week, I am quickly 1 hour;approx.The 5 kms calculate.The other 2 days, I go to the heated pool, swim an hour (at a moderate rhythm);and in coming and going 20 minutes on each journey.In the afternoon, an average of 5 days, I am another 15+15 minutes to moderate rhythm. Weight = I have the right weight 67 kg for 170 cms.high, very little for what. Ezetron 10 mg, is also for cholesterol. In principle, I plan to continue informing myself of glycosylated hemoglobin;Slow absorption carbohydrates: Continue taking glucose and if I continue at these levels, request an appointment with the endocrine or educator. Do you think all this do you?. I repeat, thank you very much.
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What you do is fine, and your figures are good (very good I would say those of blood pressure).
As for blood glucose, you have only 1 moment of the day: before breakfast. To see how the pancreas works and have more complete and accurate information, 1 full profile is recommended. A profile is to measure glycemia 1 time every day but at different times:
Monday.Before breakfast Tuesday.2-3 hour after breakfast. Wednesday.before meals Thursday.2-3 hours after food Friday.before dinner Saturday.2-3 hours later dinner Sunday.Between 2 and 4 in the morning (this is optional, perhaps in your case it would not be necessary)
Before meals you should be between 80 and 120 ... and after meals below 140-160.
I agree with you that you should visit an endocrine to analyze all the variables very well (glycemia, hypertension, cholesterol etc ..) and that paute or not medication. After that he asks for an appointment with the educator nurse and that they explain the topic of food well.
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Tests and exams An urine analysis can show high blood sugar levels.But a urine exam only does not diagnose diabetes.
Your medical care provider may suspect that you have diabetes if your blood sugar level is greater than 200 mg/dl (11.1 mmol/l).To confirm the diagnosis, one or more of the following exams must be done.
Blood exams:
Fasting glycemia.Diabetes is diagnosed if the fasting glucose level is greater than 126 mg/dl (7.0 mmol/l) in two different exams.The levels between 100 and 126 mg/dl (5.5 and 7.0 mmol/l) are called ease or prediabetes glucose.These levels are risk factors for type 2 diabetes. A1C hemoglobin exam (A1C).The normal thing is less than 5.7%, prediabetes is between 5.7% and 6.4%, and diabetes is 6.5% or higher. Oral glucose tolerance test.Diabetes is diagnosed if the glucose level is greater than 200 mg/dl (11.1 mmol/l) after 2 hours of taking a sugary drink (this test is used more frequently for type 2 diabetes). Type 2 diabetes detection tests in people who do not present symptoms are recommended for:
Overweight children who have other risk factors for diabetes, from the age of 10 and repeats every 3 years. Overweight adults (BMI of 25 or higher) who have other risk factors such as having high blood pressure or having a mother, father, sister or brother with diabetes. Adults over 45 years, repeat every 3 years. Treatment Type 2 diabetes can be counteracted with changes in lifestyle, especially giving weight with exercise and eating healthier foods.Some cases of type 2 diabetes can be improved with weight loss surgery.
There is no cure for type 1 diabetes.
The treatment of both type 1 diabetes and type 2 diabetes consists of medications, diet and exercise to control the blood sugar level.
All people with diabetes should receive adequate education and support on the best ways to handle their diabetes.Ask your supplier about the possibility of consulting an educator nurse in diabetes.
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1. type 1 diabetes (destruction of β cells of the pancreas with absolute deficit of insulin). 2. Type 2 diabetes (progressive loss of insulin secretion accompanied by insulin resistance). 3. Diabetes mellitus gestational (DMG) diabetes that are diagnosed in the second or third trimester of pregnancy. 4. Diabetes for other causes (for example: mody, cystic fibrosis, pancreatitis, Medication -induced diabetes
The National Health and Nutrition Examination Survey (Nhanes) indicates that a point A1C cut ≥ 6.5% detects a third of patients with diabetes without diagnose that a fasting glucose test ≥ 126 mg/dl.It is important to take In mind the age, race/ethnicity and the presence of anemia or some hemoglobinopathy When the A1C is used to diagnose diabetes. Epidemiological studies show, so far, that the A1C is only useful For adults, however, it remains in discussion if it must remain the same point cut both for adults and adolescents and children aesthetic surgeon medellin aesthetic surgeon cali Tests for the diagnosis of diabetes Diabetes can be diagnosed based on plasma glucose levels, either through a quick glucose test in plasma or a test of Plasma glucose 2 hours after having ingested 75 grams of glucose via oral or with a glucosylated hemoglobin test (A1C).The criteria are shown In the following table: Diagnostic criteria for 2018 Diabetes Fasting glucose ≥ 126 mg/dl (not having caloric intake in the last 8 hours). EITHER Plasma glucose at 2 hours of ≥200 mg/dl during an oral test of glucose tolerance.The test must be performed with a load of 75 grams of glucose dissolved in water. EITHER Glycosylated hemoglobin (A1C) ≥ 6.5%.This test must be performed in laboratories Certificates according to the A1C standards of the DCCT. EITHER Patient with classic symptoms of hyperglycemia or hyperglycemic crisis with a random glucose ≥ 200 mg/dl
